Home monitoring for infants at risk of the sudden infant death syndrome

Tudehope, David I. & Cleghorn, Geoffrey (1984) Home monitoring for infants at risk of the sudden infant death syndrome. Australian Paediatric Journal, 20(2), pp. 137-140.

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Abstract

This study evaluates the effectiveness and social implications of home monitoring of 31 infants at risk of sudden infant death syndrome (SIDS). Thirteen siblings of children dying of SIDS, nine near miss SIDS infants and nine preterm infants with apnoea persisting beyond 40 weeks post conceptual age were monitored from a mean age of 15 days to a mean of 10 months. Chest movement detection monitors were used in 27 and thoracic impedance monitors in four. Genuine apnoeic episodes were reported by 21 families, and 13 infants required resuscitation. Apnoeic episodes occurred in all nine preterm infants but in only five (38%) of the siblings of SIDS (P<0.05). Troublesome false alarms were a major problem occurring with 61% of the infants and were more common with the preterm infants than the siblings of SIDS. All but two couples stated that the monitor decreased anxiety and improved their quality of life. Most parents accepted that the social restrictions imposed by the monitor were part of the caring process but four couples were highly resentful of the changes imposed on their lifestyle.

The monitors used were far from ideal with malfunction occurring in 17, necessitating replacement in six, repair in six and cessation of monitoring in three. The parents became ingenious in modifying the monitors to their own individual requirements

Although none of these 31 ‘at risk’ infants died the study sample was far too small to conclude whether home monitoring prevented any cases of SIDS.

Impact and interest:

3 citations in Scopus
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9 citations in Web of Science®

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ID Code: 90927
Item Type: Journal Article
Refereed: Yes
Keywords: cardiovascular system, central nervous system, clinical article, diagnosis, home monitoring, human, infant, monitoring, newborn, newborn apnea, prematurity, prevention, respiratory system, sudden infant death syndrome, therapy, Apnea, Female, Home Nursing, Infant, Newborn, Infant, Premature, Male, Monitoring, Physiologic, Parents, Risk, Sudden Infant Death
DOI: 10.1111/j.1440-1754.1984.tb00062.x
ISSN: 0004-993X
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Exercise & Nutrition Sciences
Deposited On: 02 Dec 2015 05:12
Last Modified: 02 Dec 2015 05:12

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