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Sudden infant death syndrome in infants evaluated by apnea programs in California

S L Ward, T G Keens, L S Chan

    Pediatrics
    |April 1, 1986
    PubMed

    Insights

    Home apnea monitoring for infants at risk of SIDS has unproven benefits. A study found SIDS rates were similar whether or not home monitoring was recommended, with some deaths linked to monitoring issues.

    Area of Science:

    • Pediatrics
    • Neonatal Care
    • Public Health

    Background:

    • Home apnea/bradycardia monitoring is common for infants at risk of Sudden Infant Death Syndrome (SIDS).
    • The proven efficacy and benefits of home monitoring for these infants remain uncertain.
    • Previous evaluations by infant apnea programs have not definitively established monitoring's impact.

    Purpose of the Study:

    • To investigate the Sudden Infant Death Syndrome (SIDS) rate among infants evaluated by infant apnea programs.
    • To identify risk factors associated with SIDS and other causes of death in monitored infants.
    • To assess the effectiveness and outcomes of home apnea monitoring recommendations.

    Main Methods:

    • A survey was conducted among 31 infant apnea programs and 10 home monitor vendors in California.
    • Data were collected on 26 infant deaths, including causes and circumstances.
    • Statistical analysis compared risk factors and monitoring recommendations for 3,406 infants over 5 years.

    Main Results:

    • Of 26 infant deaths, 13 (50%) were attributed to SIDS.
    • Abnormal sleep studies did not predict mortality.
    • Fifteen infants died despite a recommendation for home monitoring; seven deaths involved monitoring errors or noncompliance.
    • Four deaths were due to nonaccidental trauma.

    Conclusions:

    • Home apnea monitoring for infants at risk of SIDS has not demonstrated proven benefits.
    • Monitoring recommendations were more frequent for term infants, SIDS siblings, and those seen at referral centers.
    • Infants recommended for monitoring faced the same SIDS risk as those not monitored.

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