Methodology
Parental compliance with home cardiorespiratory monitoring
T Carbone, B M Ostfeld, D Gutter, T Hegyi
Division of
Neonatology, UMDNJ-Robert Wood Johnson Medical School, St Peter's
University Hospital, New Brunswick, NJ 08903, USA
Correspondence to: Dr T Carbone, The Valley Hospital, 223 North Van Dien Avenue, Ridgewood, NJ 07450, USA tcarbon{at}valleyhealth.com
Accepted 21
September 2000
AIMS
To evaluate parental
compliance with home cardiorespiratory monitoring of premature infants
with apnoea, siblings of infants who died of sudden infant death
syndrome (SIDS), and infants with an apparent life threatening event
(ALTE), during the first month of use.
METHODSA retrospective review of
the first month's recordings was conducted on 39 premature infants
with apnoea, 13 siblings of SIDS, and 16 infants with ALTE. All infants
were singletons. Recommendations during the study period (1992-1994)
were for daily use for 23 hours per day. Measurements were average
daily hours of use and consistency of use (daily or variable).
Gestational age, maternal age, and socioeconomic status as measured by
receipt of public assistance were also recorded.
RESULTSSiblings of SIDS were
monitored for fewer hours than were premature or ALTE infants. Only
54% of sibings of SIDS were monitored daily, compared to 87% of
premature infants and 93% of ALTEs. Within each diagnostic category
socioeconomic status did not affect average hours of monitoring.
Consistency of use was more evident in those with private insurance,
although the trend did not reach significance.
CONCLUSIONSParents of infants with
apnoea of prematurity or ALTE are highly compliant with
cardiorespiratory monitoring recommendations in the first month of
monitor usage. Siblings of SIDS are monitored for fewer hours and are
less likely to be monitored on a daily basis.
Keywords: cardiorespiratory monitoring; apnoea; prematurity; apparent life threatening event; SIDS
© 2001 by Archives of Disease in Childhood
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- HARVEY MARCOVITCH
Arch. Dis. Child. 2001 84: 0.[Extract] [Full Text] [PDF]
This article has been cited by other articles:
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Fu, L. Y., Moon, R. Y.
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