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Sudden infant death and home monitors
R G Meny1, L Blackmon, D Fleischmann
1Department of Pediatrics, University of Maryland School of Medicine, Baltimore.
American Journal of Diseases of Children (1960)
|October 1, 1988
Summary
Many infant deaths occurred despite home cardiorespiratory monitoring. Noncompliance with monitoring techniques and specific demographic factors increased risks for sudden infant death syndrome.
Area of Science:
- Pediatrics
- Public Health
Background:
- Home cardiorespiratory monitors are used for infants at risk.
- Sudden unexpected infant deaths occurred despite monitor availability.
Purpose of the Study:
- Investigate compliance with monitoring techniques.
- Identify medical and demographic factors linked to infant deaths.
Main Methods:
- Compared ten infants who died with 211 monitored infants.
- Analyzed compliance and associated risk factors.
Main Results:
- High noncompliance with monitoring techniques (60-80% of deaths).
- Increased risks associated with bronchopulmonary dysplasia, life-threatening events, black race, lack of insurance, unmarried mothers, young maternal age, smoking, and low Apgar scores.
Conclusions:
- Demographic and medical factors can predict high-risk infants for sudden death.
- Improved parent education on monitoring compliance is crucial for high-risk infants.