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Effect of Home Monitoring on a High-Risk Population


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.

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  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

    CAS  Article  Google Scholar 

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

    CAS  Article  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

    CAS  Article  Google Scholar 

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

    CAS  Article  Google Scholar 

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Freed, G., Meny, R., Glomb, W. et al. Effect of Home Monitoring on a High-Risk Population. J Perinatol 22, 165–167 (2002).

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