Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Commentary
  • Published:

Effect of Home Monitoring on a High-Risk Population

Journal of Perinatology volume 22, pages 165–167 (2002)Cite this article

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.

This is a preview of subscription content, access via your institution

Access options

Buy this article

  • Purchase on Springer Link
  • Instant access to full article PDF
Buy now

Prices may be subject to local taxes which are calculated during checkout

References

  1. Ramanathan R, Corwin MJ, Hunt CE et al. Cardiorespiratoryevents recorded on home monitors: comparison of healthy infants with those at increased risk for SIDS JAMA 2001 285: 2199

    Article  CAS  Google Scholar 

  2. Jobe A . What do home monitors contribute to the SIDS problem? (editorial) JAMA 2001 285: 2244

    Article  CAS  Google Scholar 

  3. Malloy MH, Hoffman HJ . Prematurity, sudden infant death syndrome and age of death Pediatrics 1995 96: 464

    CAS  PubMed  Google Scholar 

  4. Beckwith JB . Sudden Infant Death Syndrome Curr Probl Pediatr 1972 3: 3

    Article  Google Scholar 

  5. Guntheroth WG . The significance of pulmonary petechiae in crib death Pediatrics 1973 52: 601

    CAS  PubMed  Google Scholar 

  6. Campbell CJ, Read DJ . Circulatory and respiratory factors in the experimental production of lung petechiae and the possible significance in the sudden infant death syndrome Pathology 1980 12: 181

    Article  CAS  Google Scholar 

  7. Winn K . Similarities between lethal asphyxia in postnatal rats and the terminal episode in SIDS Pediatr Pathol 1986 5: 325

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

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

    Gary E Freed DO

  2. Maryland Sleep Disorders Center, Towson, MD, USA

    Robert Meny MD

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

    William Brendle Glomb MD

  4. Inpatient Pediatrics and Apnea, Evanston Hospital, Northwestern University Medical School, Evanston

    Joseph R Hageman MD

  5. Chicago, Il, USA

    Joseph R Hageman MD

Authors
  1. Gary E Freed DO
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Robert Meny MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. William Brendle Glomb MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Joseph R Hageman MD
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Freed, G., Meny, R., Glomb, W. et al. Effect of Home Monitoring on a High-Risk Population. J Perinatol 22, 165–167 (2002). https://doi.org/10.1038/sj.jp.7210662

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/sj.jp.7210662

This article is cited by

Search

Advanced search

Quick links