AI Article Synopsis

  • Home cardiorespiratory monitoring (HM) is used for high-risk infants to prevent Sudden Infant Death Syndrome (SIDS), particularly those with a family history, previous life-threatening events, or apnea due to prematurity.
  • Between 1998 and 1999, a study tracked 24 infants using HM, with 20 identified as at-risk for SIDS—35% were siblings of SIDS victims, 50% had prior apparent life-threatening events, and 15% had apnea issues after being born prematurely.
  • Over the monitoring period of about 5.85 months, no SIDS deaths or significant ALTE incidents occurred, with most families reporting positive experiences and reassurance from the monitoring, despite one case of early discontinuation

Article Abstract

Home cardiorespiratory monitoring (HM) is an accepted practice in infants at high risk for Sudden Infant Death Syndrome (SIDS) as those with the following conditions: 1) Siblings of SIDS; 2) Apparent Life Threatening Events (ALTE); 3) Apneas of prematurity. From 1998 the Division of Neanotology of the Policlinico of Modena has followed prospectively infants at high risk for SIDS, in collaboration with the General Health Service. To support the clinical trial 10 apnea monitors were provided by the General Health Service and managed from the Department of Neonatology. During 18 months 24 infants have been followed by HM, and among then 20 were at risk of SIDS (11 female and 9 male): 7 were siblings of SIDS (35%); 10 had previous episodes of ALTE (50%); 3 were born prematurely and had persistent apneas before discharge (15%). The mean period of HM was 5.85 months. None of the infants died for SIDS or had episodes of ALTE that required resuscitation measures. In only one case parents stopped earlier than recommended, but personal interview to parents showed that all the others families gained benefits and reassurance from HM.

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