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.
Your institute does not have access to this article
Subscribe to Journal
Get full journal access for 1 year
only $8.25 per issue
All prices are NET prices.
VAT will be added later in the checkout.
Tax calculation will be finalised during checkout.
Get time limited or full article access on ReadCube.
All prices are NET prices.
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
Jobe A . What do home monitors contribute to the SIDS problem? (editorial) JAMA 2001 285: 2244
Malloy MH, Hoffman HJ . Prematurity, sudden infant death syndrome and age of death Pediatrics 1995 96: 464
Beckwith JB . Sudden Infant Death Syndrome Curr Probl Pediatr 1972 3: 3
Guntheroth WG . The significance of pulmonary petechiae in crib death Pediatrics 1973 52: 601
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
Winn K . Similarities between lethal asphyxia in postnatal rats and the terminal episode in SIDS Pediatr Pathol 1986 5: 325
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
Heimüberwachung („home monitoring“) von Kindern und Jugendlichen: Vorschläge für die praktische Anwendung
Somnologie - Schlafforschung und Schlafmedizin (2009)