Abstract
Home monitoring did not interfere in the developmental status of a group of term infants at risk for SIDS. Eleven infants (BW 3.50±0.80kg) were managed on home monitors due to the presence of specific risk factors (near miss, sibling of SIDS apnea). Evaluation included ventilatory response studies to CO2 with a computerized CO2 waveform analyzer. Five infants had abnormal (13.7±4 mm/kg/min/mmHg BTPS) and six normal (36.3±15.8 mm/kg/min/mmHg BTPS) responses (P 0.05).
Follow up examinations occurred at 6 months postnatal age with the Bayley Scales of Infant Development. All infants had normal MDI and PDI. Comparing the groups with normal and abnormal ventilatory responses, we noted similar MDI (119±12 vs. 124±14), PDI (115±10 vs. 110±18), and absolute MDI-PDI differences (16±11 vs. 14±8). No correlations could be demonstrated between slope and any of the developmental factors.
Home monitoring allows for the normal development of high risk infants. Abnormalities demonstrated early in the control of ventilation did not affect outcome in these infants.
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Mondestin, H., Marotta, F., Fort, M. et al. FOLLOW-UP OF TERM INFANTS AT RISK FOR SIDS. Pediatr Res 18 (Suppl 4), 110 (1984). https://doi.org/10.1203/00006450-198404001-00100
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DOI: https://doi.org/10.1203/00006450-198404001-00100