PMID- 17429904
OWN - NLM
STAT- MEDLINE
DCOM- 20070515
LR  - 20190823
IS  - 0803-5253 (Print)
IS  - 0803-5253 (Linking)
VI  - 96
IP  - 2
DP  - 2007 Feb
TI  - Cardiorespiratory events recorded on home monitors: the effect of prematurity on 
      later serious events.
PG  - 195-8
AB  - OBJECTIVE: To describe severe alarms on home-documented monitoring in infants 
      born prematurely. METHODS: In infants born at a post-menstrual age (PMA) less 
      than 35 weeks, a polysomnography was performed before discharge. A heart rate 
      less than 50 beats per minute (bpm) for more than 3 seconds or an apnea lasting 
      for more than 15 seconds with a heart rate less than 60 bpm were defined as 
      abnormal. These babies were given cardiorespiratory home monitoring with memory. 
      Serious alarms on the home monitor were defined as heart rate less than 50 bpm 
      for more than 3 seconds. RESULTS: Of 1058 infants, 96 infants needed 
      cardiorespiratory home monitoring. Sixty-one infants showed alarms at home. The 
      mean post-conceptional age (PCA) when alarms stopped was 46 weeks. Seventeen 
      patients had serious alarms above the PCA of 50 weeks. There was a significant 
      negative correlation (r = -0.46 and p = 0.0002 by Spearman's rank correlation) 
      between the PMA at birth and the PCA at which the last alarm was noted 
      CONCLUSION: Prematurely born infants with an abnormal polysomnography at 
      discharge are at high risk for developing acute events at home. A younger PMA at 
      birth correlates with a higher risk of alarms at a later PCA.
FAU - Naulaers, G
AU  - Naulaers G
AD  - Department of Paediatrics, University Hospital Leuven, Belgium. 
      gunnar.naulaers@uz.kuleuven.ac.be
FAU - Daniels, H
AU  - Daniels H
FAU - Allegaert, K
AU  - Allegaert K
FAU - Rayyan, M
AU  - Rayyan M
FAU - Debeer, A
AU  - Debeer A
FAU - Devlieger, H
AU  - Devlieger H
LA  - eng
PT  - Journal Article
PL  - Norway
TA  - Acta Paediatr
JT  - Acta paediatrica (Oslo, Norway : 1992)
JID - 9205968
SB  - IM
MH  - Age Factors
MH  - Apnea/diagnosis/*etiology
MH  - Bradycardia/diagnosis/*etiology
MH  - Follow-Up Studies
MH  - *Home Care Services
MH  - Humans
MH  - Infant
MH  - Infant, Newborn
MH  - Infant, Premature
MH  - Infant, Premature, Diseases/*physiopathology
MH  - *Monitoring, Ambulatory
MH  - *Polysomnography
MH  - Predictive Value of Tests
MH  - Retrospective Studies
EDAT- 2007/04/13 09:00
MHDA- 2007/05/16 09:00
CRDT- 2007/04/13 09:00
PHST- 2007/04/13 09:00 [pubmed]
PHST- 2007/05/16 09:00 [medline]
PHST- 2007/04/13 09:00 [entrez]
AID - 10.1111/j.1651-2227.2007.00019.x [doi]
PST - ppublish
SO  - Acta Paediatr. 2007 Feb;96(2):195-8. doi: 10.1111/j.1651-2227.2007.00019.x.