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Effective method for screening for respiratory inhibition after crying in infants.
MedLine Citation:
PMID:  20626637     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Background:  In order to establish an effective screening method for respiratory inhibition after crying (RIAC), we prospectively studied the correlations between infant RIAC and perinatal factors. Methods:  We monitored infants (n = 141) born from May through July 2009 with polygraphy and evaluated the presence of RIAC and respiratory pause that occurred when feeding was initiated immediately after crying with a decrease in oxygen saturation (SpO(2) ) to <60%. The infants were screened for increased echogenicity, a cyst in the ganglionic eminence (GE), or a subependymal cyst by cranial ultrasound. Furthermore, we evaluated the correlations between RIAC and perinatal factors. Results:  Eleven infants displayed RIAC and 31 experienced respiratory pause during feeding with a decrease in SpO(2) to <60%. There were no significant correlations between RIAC and perinatal factors. Forty infants had ultrasound abnormalities (increased echogenicity in the GE, 26; cyst in the GE, nine; and subependymal cyst, seven). Sensitivity, specificity, and efficiency of abnormal cranial ultrasound findings for RIAC were 1.00, 0.777, and 0.794, respectively. The odds ratio, sensitivity, specificity, and efficiency of the combination of abnormal cranial ultrasound findings and respiratory pause during feeding with a decrease in SpO(2) to <60% and RIAC were 35.9 (P < 0.001), 0.727, 0.931, and 0.915, respectively. Conclusion:  The combination of abnormal cranial ultrasound findings and respiratory pause during feeding with a decrease in SpO(2) appears to be an effective method of screening for RIAC.
Authors:
Hideki Minowa; Koichiro Hirayama; Yuka Bando; Hajime Yasuhara; Ayako Ohgitani
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Pediatrics international : official journal of the Japan Pediatric Society     Volume:  53     ISSN:  1442-200X     ISO Abbreviation:  Pediatr Int     Publication Date:  2011 Apr 
Date Detail:
Created Date:  2011-04-19     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100886002     Medline TA:  Pediatr Int     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  187-91     Citation Subset:  IM    
Copyright Information:
© 2011 The Authors.Pediatrics International © 2011 Japan Pediatric Society.
Affiliation:
Department of Neonatal Intensive Care Unit, Nara Prefectural Hospital, Nara Department of Pediatrics, Graduate School of Medicine, Gifu University, Gifu, Japan.
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