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March 2002, Volume 22, Number 2, Pages 165-167

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Commentary

Effect of Home Monitoring on a High-Risk Population

Gary E Freed DO1, Robert Meny MD2, William Brendle Glomb MD3 and Joseph R Hageman MD4

1Apnea Center and Sleep Laboratory, Emory University School of Medicine, Atlanta, GA, USA

2Maryland Sleep Disorders Center, Towson, MD, USA

3Sleep, Pediatric Apnea and Respiratory Control, Division of Pediatric Pulmonology, Children's Hospital of Austin, Austin, TX, USA

4Inpatient Pediatrics and Apnea, Evanston Hospital, Northwestern University Medical School, Evanston and Chicago, Il, USA

Correspondence to: Gary R. Freed, DO, Emory University School of Medicine, Atlanta, GA, USA

Abstract

A large cohort of infants (8,998) at high risk for sudden and unexpected death was followed with home cardiorespiratory monitoring over a five-year period. These infants included premature infants (23-36 weeks post-conceptual age), SIDS siblings, and infants who experienced an Apparent Life-Threatening Event. The overall SIDS rate in this high-risk population was 0.55/1,000, a rate significantly less than the 0.85 deaths/1,000 reported in the "general population" of Georgia over this same time period. In addition, we report our experience with using home monitors as a diagnostic tool, as well as how monitors can actually be cost-effective.

Editorial opinions, and lay press summaries of the CHIME study (JAMA, May 2, 2001) imply that home cardiorespirtory monitors are of little value. Despite the fact that the study never made this claim, many clinicians are now referring to this study as evidence that home monitoring is ineffective and not needed.

This article disputes those misconceptions about home cardiorespiratory monitors based on our experience with a large high-risk population of infants. Journal of Perinatology (2002) 22, 165-167 DOI: 10.1038/sj/jp/7210662

March 2002, Volume 22, Number 2, Pages 165-167

Table of contents    Previous  Abstract  Next   Full text  PDF