Apnea, Sudden Infant Death Syndrome, and Home Monitoring

More than 25 years have elapsed since continuous cardiorespiratory monitoring at home was suggested to decrease the risk of sudden infant death syndrome (SIDS). In the ensuing interval, multiple studies have been unable to establish the alleged efficacy of its use. In this statement, the most recent...

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Bibliographic Details
Published in:Pediatrics (Evanston) 2003-04, Vol.111 (4), p.914-917
Main Authors: Blackmon, Lillian R, Batton, Daniel G, Bell, Edward F, Engle, William A
Format: Article
Language:English
Subjects:
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Apnea - classification
Apnea - epidemiology
Apnea - prevention & control
Biological and medical sciences
Bradycardia - prevention & control
Chromosome aberrations
Emergency and intensive care: neonates and children. Prematurity. Sudden death
Evidence-Based Medicine
Home Nursing - methods
Home Nursing - trends
Humans
Hypoxia - prevention & control
Infant
Infant, Newborn
Infant, Premature
Infant, Premature, Diseases - prevention & control
Intensive care medicine
Medical genetics
Medical sciences
Monitoring, Physiologic - instrumentation
Monitoring, Physiologic - methods
Monitoring, Physiologic - trends
Pediatrics
Peer Review, Research
Predictive Value of Tests
SIDS
Sleep disorders
Sudden Infant Death - classification
Sudden Infant Death - epidemiology
Sudden Infant Death - prevention & control
Sudden infant death syndrome
Treatment Outcome
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Summary:More than 25 years have elapsed since continuous cardiorespiratory monitoring at home was suggested to decrease the risk of sudden infant death syndrome (SIDS). In the ensuing interval, multiple studies have been unable to establish the alleged efficacy of its use. In this statement, the most recent research information concerning extreme limits for a prolonged course of apnea of prematurity is reviewed. Recommendations regarding the appropriate use of home cardiorespiratory monitoring after hospital discharge emphasize limiting use to specific clinical indications for a predetermined period, using only monitors equipped with an event recorder, and counseling parents that monitor use does not prevent sudden, unexpected death in all circumstances. The continued implementation of proven SIDS prevention measures is encouraged.
ISSN:0031-4005
1098-4275
DOI:10.1542/peds.111.4.914