Effect of home monitoring on a high-risk population
| Autor: | William Brendle Glomb, Robert G. Meny, Gary E. Freed, Joseph R Hageman |
|---|---|
| Rok vydání: | 2002 |
| Předmět: |
Male
medicine.medical_specialty Pediatrics Home Nursing Population Unexpected death Risk Assessment Sensitivity and Specificity Sleep Apnea Syndromes Risk Factors medicine Humans education Monitoring Physiologic education.field_of_study Equipment Safety business.industry Infant Newborn Obstetrics and Gynecology Infant Cardiorespiratory fitness Survival Analysis Large cohort Pediatrics Perinatology and Child Health Emergency medicine Female business Sudden Infant Death |
| Zdroj: | Journal of perinatology : official journal of the California Perinatal Association. 22(2) |
| ISSN: | 0743-8346 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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