Document Detail


Incomplete arousal processes in infants who were victims of sudden death.
MedLine Citation:
PMID:  12917226     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Infants who became victims of sudden infant death syndrome (SIDS) aroused less from sleep than control infants. This study was conducted to determine the characteristics of arousal from sleep of infants who eventually died of SIDS. Sixteen infants were monitored some days or weeks before they died of SIDS. Their polygraphic sleep recordings were compared with those of matched control infants. Arousals were scored as subcortical activation (incomplete arousals) or cortical arousal (complete arousals). Cortical arousals were significantly less frequent in the victims who would succumb to SIDS in the future than in the control infants during both REM and non-REM sleep (p = 0.039). The frequency (p = 0.017) and duration (p = 0.005) of subcortical activation were significantly greater in the infants who died of SIDS than in the control infants during REM sleep. Compared with the control infants, the infants who later died of SIDS had more frequent subcortical activation in the first part of the night, between 9:00 P.M. and 12:00 A.M. (p = 0.038), and fewer cortical arousals during the latter part of the night, between 3:00 and 6:00 A.M. (p = 0.011). The present data are suggestive of incomplete arousal processes in infants who eventually died at a time they were presumed to have been asleep.
Authors:
Ineko Kato; Patricia Franco; Jose Groswasser; Sonia Scaillet; Igor Kelmanson; Hajime Togari; Andre Kahn
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Publication Detail:
Type:  Journal Article     Date:  2003-08-13
Journal Detail:
Title:  American journal of respiratory and critical care medicine     Volume:  168     ISSN:  1073-449X     ISO Abbreviation:  Am. J. Respir. Crit. Care Med.     Publication Date:  2003 Dec 
Date Detail:
Created Date:  2003-12-03     Completed Date:  2004-01-08     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9421642     Medline TA:  Am J Respir Crit Care Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1298-303     Citation Subset:  AIM; IM    
Affiliation:
Department of Pediatrics, Nagoya City University Medical School, Japan.
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MeSH Terms
Descriptor/Qualifier:
Autonomic Nervous System / physiopathology*
Cerebral Cortex / physiopathology*
Female
Humans
Infant
Male
Polysomnography
Severity of Illness Index
Sleep Arousal Disorders / complications*,  physiopathology*
Sleep, REM / physiology
Sudden Infant Death / etiology*
Time Factors
Comments/Corrections
Comment In:
Am J Respir Crit Care Med. 2003 Dec 1;168(11):1262-3   [PMID:  14644917 ]

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


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