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Apnea and periodic breathing in healthy full-term infants, 12-18 months of age
D H Kelly1, L Riordan, M J Smith
1Pediatric Pulmonology Unit, Massachusetts General Hospital, Boston 02114.
Insights
Home pneumograms are used for infants, but standards for those over 12 months were lacking. This study establishes normal pneumogram values for healthy infants aged 12-18 months, aiding in home monitoring assessments.
Area of Science:
- Pediatrics
- Neonatal Monitoring
- Respiratory Physiology
Background:
- Home monitoring, including pneumograms, is common for infants.
- Established pneumogram standards exist for infants under 12 months.
- Normative data for infants older than 12 months is currently lacking.
Purpose of the Study:
- To establish normative pneumogram values for healthy infants aged 12-18 months.
- To provide reference standards for home monitoring in this age group.
Main Methods:
- Recorded standard pneumograms on 88 full-term healthy infants (12-18 months).
- Analyzed respiratory rate, heart rate, apnea density, longest apnea, periodic breathing, and bradycardia over 12 hours.
- Compared data between sexes and age subgroups (12-14.9 months vs. 15.0-18.0 months).
Main Results:
- No significant differences were found in any measured parameter between sexes or age subgroups.
- Combined data from all infants to determine population norms.
- Established reference ranges for key cardiorespiratory parameters in 12-18 month olds.
Conclusions:
- The study successfully defined normal pneumogram values for healthy infants aged 12-18 months.
- These findings provide essential reference standards for clinical use and home monitoring.
- Age and sex do not significantly impact pneumogram parameters in this older infant population.
Abstract:
Many children older than 12 months of age are now on home monitors. Home pneumograms performed on normal infants have established standards, and have been used to evaluate infants during their first year. However, no standards have been described for infants older than 12 months. We, therefore, recorded the standard pneumogram on 88 full-term healthy infants who were 12-18 months of age. We analyzed the recordings for average respiratory and heart rates, apnea (greater than or equal to 6 seconds) density, longest apnea, periodic breathing, and bradycardia for 12 hours. We compared the values in males vs. females and in infants 12-14.9 months vs. 15.0-18.0 months of age. Since there was no difference in any parameter measured in any group, we combined the values to determine the normal values for this population.
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