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Clinical Pediatrics
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infant Home Apnea Monitoring

A Five-year Assessment

Thomas W. Rowland

Department of Pediatrics, Baystate Medical Center, 759 Chestnut Street, Springfield, MA 01199

Joseph H. Donnelly

Department of Pediatrics, Baystate Medical Center, 759 Chestnut Street, Springfield, MA 01199

John N. Landis

Department of Pediatrics, Baystate Medical Center, 759 Chestnut Street, Springfield, MA 01199

Marie E. Lemoine

Department of Pediatrics, Baystate Medical Center, 759 Chestnut Street, Springfield, MA 01199

David R. Sigelman

Department of Pediatrics, Baystate Medical Center, 759 Chestnut Street, Springfield, MA 01199

Cari J. Tanella

Department of Pediatrics, Baystate Medical Center, 759 Chestnut Street, Springfield, MA 01199

Home apnea/bradycardia monitoring is commonly utilized in the management of infants who have had apnea episodes. Little is established, however, regarding appropriate decision-making guidelines and efficacy. The 5-year experience of the Western Massachusetts Apnea Evaluation Program was reviewed to examine patient outcome and to identify prognostic clinical features. Significant recurrent sleep apnea occurred in 7 of 110 infants in the combined awake and asleep group, and in 2 of 45 siblings of babies dying of SIDS. Unclear histories, normal laboratory tests, and uncertain diagnoses made it impossible to identify features that would indicate infants at risk for recurrence of apnea. Our data indicate that home apnea monitoring lacks specificity but is probably effective in reducing morbidity and mortality. It currently appears to be the most optimal means of managing infantile apnea.

Clinical Pediatrics, Vol. 26, No. 8, 383-387 (1987)
DOI: 10.1177/000992288702600801
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