Document Detail


Car seat or car bed for very low birth weight infants at discharge home.
MedLine Citation:
PMID:  17307533     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To compare the incidence of apnea, bradycardia, or desaturation in a car seat with that in a car bed for preterm very low birth weight (< or = 1500 g) infants. STUDY DESIGN: Infants were studied for 120 minutes in a car seat and in a car bed. Apnea (> 20 seconds), bradycardia (heart rate < 80/min for > 5 seconds), desaturation (SpO2 < 88% for > 10 seconds), and absent nasal flow were monitored. RESULTS: We assessed 151 infants (median birth weight, 1120 g [range, 437 to 3105]; median birth gestational age, 29 weeks [24 to 34]) in both devices. Twenty-three infants (15%) had > or = 1 event in the car seat compared with 29 (19%) in the car bed (P = .4). Time to first event was similar in the car seat and car bed (mean, 54 to 55 minutes). In logistic regression analyses, bronchopulmonary dysplasia was a significant predictor for a car seat event and a lower gestational age at birth was a risk factor for a car bed event. CONCLUSIONS: We found no evidence that an event is less likely in a car bed than in a car seat. Whichever device is used, very low birth weight infants require observation during travel.
Authors:
Walid A Salhab; Asif Khattak; Jon E Tyson; Sharon Crandell; Jan Sumner; Beverly Goodman; Linda Fisher; Karen Robinson
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  The Journal of pediatrics     Volume:  150     ISSN:  1097-6833     ISO Abbreviation:  J. Pediatr.     Publication Date:  2007 Mar 
Date Detail:
Created Date:  2007-02-19     Completed Date:  2007-03-27     Revised Date:  2007-12-13    
Medline Journal Info:
Nlm Unique ID:  0375410     Medline TA:  J Pediatr     Country:  United States    
Other Details:
Languages:  eng     Pagination:  224-8     Citation Subset:  AIM; IM    
Affiliation:
Department of Pediatrics, University of Texas, Southwestern Medical Center, Dallas, Texas, USA. walid.salhab@UTsouthwestern.edu
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MeSH Terms
Descriptor/Qualifier:
Accidents, Traffic / prevention & control
Automobile Driving
Beds*
Consumer Product Safety*
Female
Humans
Infant Equipment*
Infant, Newborn
Infant, Very Low Birth Weight*
Male
Patient Discharge
Probability
Risk Assessment
Sampling Studies
Statistics, Nonparametric
Comments/Corrections
Comment In:
J Pediatr. 2007 Mar;150(3):215-6   [PMID:  17307529 ]
J Pediatr. 2007 Nov;151(5):e20-1   [PMID:  17961679 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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