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Sudden infant death syndrome in infants evaluated by apnea programs in California

Home apnea/bradycardia monitoring is frequently used in the management of infants at increased risk for sudden infant death syndrome (SIDS). However, some infants have died despite evaluation by infant apnea programs, and the benefits of home monitoring remain unproven. To determine the SIDS rate an... Full description

Journal Title: Pediatrics (Evanston) 1986, Vol.77 (4), p.451-458
Main Author: DAVIDSON WARD, S. L
Other Authors: KEENS, T. G , ALLEN MERRITT, T , NICKERSON, B. G , STODDARD, R. A , VAN DER HAL, A. L , CHAN, L. S , CHIPPS, B. E , CARSON, S. H , DEMING, D. D , KRISHNA, V , MACDONALD, H. M , MARTIN, G. I , MEREDITH, K. S
Format: Electronic Article Electronic Article
Language: English
Subjects:
Quelle: Alma/SFX Local Collection
Publisher: Elk Grove Village, IL: American Academy of Pediatrics
ID: ISSN: 0031-4005
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recordid: cdi_proquest_miscellaneous_76776582
title: Sudden infant death syndrome in infants evaluated by apnea programs in California
format: Article
creator:
  • DAVIDSON WARD, S. L
  • KEENS, T. G
  • ALLEN MERRITT, T
  • NICKERSON, B. G
  • STODDARD, R. A
  • VAN DER HAL, A. L
  • CHAN, L. S
  • CHIPPS, B. E
  • CARSON, S. H
  • DEMING, D. D
  • KRISHNA, V
  • MACDONALD, H. M
  • MARTIN, G. I
  • MEREDITH, K. S
subjects:
  • Abridged Index Medicus
  • Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
  • Biological and medical sciences
  • California
  • Clinical death. Palliative care. Organ gift and preservation
  • Cooperative Behavior
  • Female
  • Humans
  • Infant
  • Infant, Newborn
  • Infant, Premature
  • Male
  • Medical sciences
  • Monitoring, Physiologic
  • Parents - psychology
  • Risk
  • Sleep Apnea Syndromes - diagnosis
  • Sleep Apnea Syndromes - mortality
  • Sudden Infant Death - epidemiology
  • Sudden Infant Death - prevention & control
  • Surveys and Questionnaires
ispartof: Pediatrics (Evanston), 1986, Vol.77 (4), p.451-458
description: Home apnea/bradycardia monitoring is frequently used in the management of infants at increased risk for sudden infant death syndrome (SIDS). However, some infants have died despite evaluation by infant apnea programs, and the benefits of home monitoring remain unproven. To determine the SIDS rate and risk factors of infants evaluated by infant apnea programs, 31 apnea programs and ten home monitor vendors in California were surveyed. Eleven (35%) of the apnea programs and four (40%) of the vendors responded. Information was obtained on 26 infants who died. Thirteen (50%) deaths were due to SIDS. Abnormal sleep studies did not predict death. Fifteen infants died despite a recommendation for home monitoring. Seven deaths occurred in association with technical errors or noncompliance with monitoring. Four deaths were due to nonaccidental trauma. The apnea programs evaluated 3,406 infants during a 5-year period; 1,841 had monitoring recommended. Term infants with apnea, subsequent siblings of SIDS victims, and infants evaluated at referral centers were more likely to have monitoring recommended than premature infants with apnea or infants evaluated at nonreferral centers (P less than .0001). Infants who had monitoring recommended were at equal risk of dying of SIDS as those who did not.
language: eng
source: Alma/SFX Local Collection
identifier: ISSN: 0031-4005
fulltext: fulltext
issn:
  • 0031-4005
  • 1098-4275
url: Link


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titleSudden infant death syndrome in infants evaluated by apnea programs in California
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creatorDAVIDSON WARD, S. L ; KEENS, T. G ; ALLEN MERRITT, T ; NICKERSON, B. G ; STODDARD, R. A ; VAN DER HAL, A. L ; CHAN, L. S ; CHIPPS, B. E ; CARSON, S. H ; DEMING, D. D ; KRISHNA, V ; MACDONALD, H. M ; MARTIN, G. I ; MEREDITH, K. S
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descriptionHome apnea/bradycardia monitoring is frequently used in the management of infants at increased risk for sudden infant death syndrome (SIDS). However, some infants have died despite evaluation by infant apnea programs, and the benefits of home monitoring remain unproven. To determine the SIDS rate and risk factors of infants evaluated by infant apnea programs, 31 apnea programs and ten home monitor vendors in California were surveyed. Eleven (35%) of the apnea programs and four (40%) of the vendors responded. Information was obtained on 26 infants who died. Thirteen (50%) deaths were due to SIDS. Abnormal sleep studies did not predict death. Fifteen infants died despite a recommendation for home monitoring. Seven deaths occurred in association with technical errors or noncompliance with monitoring. Four deaths were due to nonaccidental trauma. The apnea programs evaluated 3,406 infants during a 5-year period; 1,841 had monitoring recommended. Term infants with apnea, subsequent siblings of SIDS victims, and infants evaluated at referral centers were more likely to have monitoring recommended than premature infants with apnea or infants evaluated at nonreferral centers (P less than .0001). Infants who had monitoring recommended were at equal risk of dying of SIDS as those who did not.
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subjectAbridged Index Medicus ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Biological and medical sciences ; California ; Clinical death. Palliative care. Organ gift and preservation ; Cooperative Behavior ; Female ; Humans ; Infant ; Infant, Newborn ; Infant, Premature ; Male ; Medical sciences ; Monitoring, Physiologic ; Parents - psychology ; Risk ; Sleep Apnea Syndromes - diagnosis ; Sleep Apnea Syndromes - mortality ; Sudden Infant Death - epidemiology ; Sudden Infant Death - prevention & control ; Surveys and Questionnaires
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descriptionHome apnea/bradycardia monitoring is frequently used in the management of infants at increased risk for sudden infant death syndrome (SIDS). However, some infants have died despite evaluation by infant apnea programs, and the benefits of home monitoring remain unproven. To determine the SIDS rate and risk factors of infants evaluated by infant apnea programs, 31 apnea programs and ten home monitor vendors in California were surveyed. Eleven (35%) of the apnea programs and four (40%) of the vendors responded. Information was obtained on 26 infants who died. Thirteen (50%) deaths were due to SIDS. Abnormal sleep studies did not predict death. Fifteen infants died despite a recommendation for home monitoring. Seven deaths occurred in association with technical errors or noncompliance with monitoring. Four deaths were due to nonaccidental trauma. The apnea programs evaluated 3,406 infants during a 5-year period; 1,841 had monitoring recommended. Term infants with apnea, subsequent siblings of SIDS victims, and infants evaluated at referral centers were more likely to have monitoring recommended than premature infants with apnea or infants evaluated at nonreferral centers (P less than .0001). Infants who had monitoring recommended were at equal risk of dying of SIDS as those who did not.
subject
0Abridged Index Medicus
1Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
2Biological and medical sciences
3California
4Clinical death. Palliative care. Organ gift and preservation
5Cooperative Behavior
6Female
7Humans
8Infant
9Infant, Newborn
10Infant, Premature
11Male
12Medical sciences
13Monitoring, Physiologic
14Parents - psychology
15Risk
16Sleep Apnea Syndromes - diagnosis
17Sleep Apnea Syndromes - mortality
18Sudden Infant Death - epidemiology
19Sudden Infant Death - prevention & control
20Surveys and Questionnaires
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authorDAVIDSON WARD, S. L ; KEENS, T. G ; ALLEN MERRITT, T ; NICKERSON, B. G ; STODDARD, R. A ; VAN DER HAL, A. L ; CHAN, L. S ; CHIPPS, B. E ; CARSON, S. H ; DEMING, D. D ; KRISHNA, V ; MACDONALD, H. M ; MARTIN, G. I ; MEREDITH, K. S
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16Sleep Apnea Syndromes - diagnosis
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18Sudden Infant Death - epidemiology
19Sudden Infant Death - prevention & control
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6CHAN, L. S
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abstractHome apnea/bradycardia monitoring is frequently used in the management of infants at increased risk for sudden infant death syndrome (SIDS). However, some infants have died despite evaluation by infant apnea programs, and the benefits of home monitoring remain unproven. To determine the SIDS rate and risk factors of infants evaluated by infant apnea programs, 31 apnea programs and ten home monitor vendors in California were surveyed. Eleven (35%) of the apnea programs and four (40%) of the vendors responded. Information was obtained on 26 infants who died. Thirteen (50%) deaths were due to SIDS. Abnormal sleep studies did not predict death. Fifteen infants died despite a recommendation for home monitoring. Seven deaths occurred in association with technical errors or noncompliance with monitoring. Four deaths were due to nonaccidental trauma. The apnea programs evaluated 3,406 infants during a 5-year period; 1,841 had monitoring recommended. Term infants with apnea, subsequent siblings of SIDS victims, and infants evaluated at referral centers were more likely to have monitoring recommended than premature infants with apnea or infants evaluated at nonreferral centers (P less than .0001). Infants who had monitoring recommended were at equal risk of dying of SIDS as those who did not.
copElk Grove Village, IL
pubAmerican Academy of Pediatrics
pmid3960613
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