Effect of home monitoring on a high-risk population


Effect of home monitoring on a high-risk population

Play all audios:


ABSTRACT A large cohort of infants (8,998) at high risk for sudden and unexpected death was followed with home cardiorespiratory monitoring over a five-year period. These infants included


premature infants (23-36 weeks post-conceptual age), SIDS siblings, and infants who experienced an Apparent Life-Threatening Event. The overall SIDS rate in this high-risk population was


0.55/1,000, a rate significantly less than the 0.85 deaths/1,000 reported in the “general population” of Georgia over this same time period. In addition, we report our experience with using


home monitors as a diagnostic tool, as well as how monitors can actually be cost-effective. Editorial opinions, and lay press summaries of the CHIME study (JAMA, May 2, 2001) imply that home


cardiorespirtory monitors are of little value. Despite the fact that the study never made this claim, many clinicians are now referring to this study as evidence that home monitoring is


ineffective and not needed. This article disputes those misconceptions about home cardiorespiratory monitors based on our experience with a large high-risk population of infants. Access


through your institution Buy or subscribe This is a preview of subscription content, access via your institution ACCESS OPTIONS Access through your institution Subscribe to this journal


Receive 12 print issues and online access $259.00 per year only $21.58 per issue Learn more Buy this article * Purchase on SpringerLink * Instant access to full article PDF Buy now Prices


may be subject to local taxes which are calculated during checkout ADDITIONAL ACCESS OPTIONS: * Log in * Learn about institutional subscriptions * Read our FAQs * Contact customer support


REFERENCES * Ramanathan R, Corwin MJ, Hunt CE et al. Cardiorespiratoryevents recorded on home monitors: comparison of healthy infants with those at increased risk for SIDS _JAMA_ 2001 285:


2199 Article  CAS  Google Scholar  * Jobe A . What do home monitors contribute to the SIDS problem? (editorial) _JAMA_ 2001 285: 2244 Article  CAS  Google Scholar  * Malloy MH, Hoffman HJ .


Prematurity, sudden infant death syndrome and age of death _Pediatrics_ 1995 96: 464 CAS  PubMed  Google Scholar  * Beckwith JB . Sudden Infant Death Syndrome _Curr Probl Pediatr_ 1972 3: 3


Article  Google Scholar  * Guntheroth WG . The significance of pulmonary petechiae in crib death _Pediatrics_ 1973 52: 601 CAS  PubMed  Google Scholar  * Campbell CJ, Read DJ . Circulatory


and respiratory factors in the experimental production of lung petechiae and the possible significance in the sudden infant death syndrome _Pathology_ 1980 12: 181 Article  CAS  Google


Scholar  * Winn K . Similarities between lethal asphyxia in postnatal rats and the terminal episode in SIDS _Pediatr Pathol_ 1986 5: 325 Article  CAS  Google Scholar  Download references


AUTHOR INFORMATION AUTHORS AND AFFILIATIONS * Apnea Center and Sleep Laboratory, Emory University School of Medicine, Atlanta, GA, USA Gary E Freed DO * Maryland Sleep Disorders Center,


Towson, MD, USA Robert Meny MD * Division of Pediatric Pulmonology, Sleep, Pediatric Apnea and Respiratory Control, Children's Hospital of Austin, Austin, TX, USA William Brendle Glomb


MD * Inpatient Pediatrics and Apnea, Evanston Hospital, Northwestern University Medical School, Evanston Joseph R Hageman MD * Chicago, Il, USA Joseph R Hageman MD Authors * Gary E Freed DO


View author publications You can also search for this author inPubMed Google Scholar * Robert Meny MD View author publications You can also search for this author inPubMed Google Scholar *


William Brendle Glomb MD View author publications You can also search for this author inPubMed Google Scholar * Joseph R Hageman MD View author publications You can also search for this


author inPubMed Google Scholar RIGHTS AND PERMISSIONS Reprints and permissions ABOUT THIS ARTICLE CITE THIS ARTICLE Freed, G., Meny, R., Glomb, W. _et al._ Effect of Home Monitoring on a


High-Risk Population. _J Perinatol_ 22, 165–167 (2002). https://doi.org/10.1038/sj.jp.7210662 Download citation * Published: 27 February 2002 * Issue Date: 01 March 2002 * DOI:


https://doi.org/10.1038/sj.jp.7210662 SHARE THIS ARTICLE Anyone you share the following link with will be able to read this content: Get shareable link Sorry, a shareable link is not


currently available for this article. Copy to clipboard Provided by the Springer Nature SharedIt content-sharing initiative