Document Detail

Sudden infant death and home monitors.
MedLine Citation:
PMID:  3177297     Owner:  NLM     Status:  MEDLINE    
During a two-year period, ten infants died suddenly and unexpectedly with a home cardiorespiratory monitor available. We investigated the compliance with appropriate monitoring technique as well as the medical and demographic factors associated with these deaths (90% were due to sudden infant death syndrome). At least six and probably eight of these ten families were noncompliant with appropriate monitoring technique. The main comparison group consisted of 211 patients for whom care with home cardiorespiratory monitors was initiated and continued. Bronchopulmonary dysplasia and severe, apparent life-threatening events were significantly increased in the subjects, as were the following characteristics: black race; lack of private medical insurance; unmarried mother; maternal age of less than 25 years; cigarette smoking by mother during pregnancy; and low Apgar scores. These diagnostic and demographic factors may be useful in predicting the infant at highest risk for sudden and unexpected death when a home monitor is prescribed. Noncompliance with proper monitoring technique patients; methods of educating parents of infants at high risk of sudden infant death syndrome with the necessity for compliance need to be developed.
R G Meny; L Blackmon; D Fleischmann; R Gutberlet; E Naumburg
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of diseases of children (1960)     Volume:  142     ISSN:  0002-922X     ISO Abbreviation:  Am. J. Dis. Child.     Publication Date:  1988 Oct 
Date Detail:
Created Date:  1988-11-02     Completed Date:  1988-11-02     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370471     Medline TA:  Am J Dis Child     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1037-40     Citation Subset:  AIM; IM    
Department of Pediatrics, University of Maryland School of Medicine, Baltimore.
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MeSH Terms
Bronchopulmonary Dysplasia / complications
Cooperative Behavior
Home Care Services
Infant, Newborn
Monitoring, Physiologic*
Socioeconomic Factors
Sudden Infant Death / etiology,  pathology,  prevention & control*

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