Skip to main content
Log in

Home monitors for infants: use, misuse, and “over-the-counter” use

  • Neonatology
  • Published:
European Journal of Pediatrics Aims and scope Submit manuscript

Abstract

The prevalence of “over-the-counter” monitors, was surveyed in infants referred to five Belgian paediatric centres between September 1987 and March 1988 for evaluation of their risk for sudden infant death (SID). Questionnaires were collected from 1625 families. Of the infants, 8.9% were already being monitored at home. For 78.1% of the infants no medical advice had been solicited, and for 21.9%, a paediatrician or a general practitioner had advised home monitoring without previous evaluation. Forty of 824 infants referred with no history of SID, and no history of apparent life-threatening event (ALTE), were monitored (4.8%). Monitoring was started for 3.8% (5 out of 130) of the infants who had lost a cousin or an uncle to SID, and for 22.2% (69 of 310) of the younger siblings of a SID victim. Of the 341 infants who had presented with an ALTE, monitoring was started in 32 (9.4%). The infants were monitored with respiratory monitors only, and in 86% of the monitors, the alarm delay had been regulated unnecessarily low.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

Abbreviations

ALTE:

apparent life threatening event

SID:

sudden infant death

References

  1. Cain LP, Kelly DH, Shannon DC (1980) Parent's perceptions of the psychological and social impact of home monitoring. Pediatrics 66:37–39

    Google Scholar 

  2. Consensus statement (1987) National institutes of health consensus development conference on infantile apnea and home monitoring, September 29 to October 1 (1986) Pediatrics 79:292–299

    Google Scholar 

  3. Davidson Ward SL, Keens TG, Chan LS, Chipps BE, Carson SH, Deming DD, Krishna V, MacDonald HM, Martin GI, Meredith KS, Merritt TA, Nickerson BG, Stoddard RA, van der Hal AL (1986) Sudden infant death syndrome in infants evaluated by apnea programs in California. Pediatrics 77:451–455

    Google Scholar 

  4. Desmarez C, Blum D, Montauk L, Kahn A (1987) Impact of home monitoring for sudden infant death syndrome on family life. Eur J Pediatr 146:159–161

    Google Scholar 

  5. Guilleminault C, Ariagno R, Korobkin R, Nagel L, Baldwin R, Coons S, Owen M (1979) Mixed and obstructive sleep apnea and near miss for sudden infant death syndrome II. Comparison of near miss and normal control infants by age. Pediatrics 64:862–891

    Google Scholar 

  6. Kahn A, Verstraeten F, Blum D (1984) Preliminary report on neurodevelopmental screening in children previously at risk for sudden infant death syndrome. J Pediatr 105:666–668

    Google Scholar 

  7. Kahn A, Blum D, Hoffman A, Hamoir M, Moulin D, Spehl M, Montauk L (1985) Obstructive sleep apnea induced by a parapharyngeal cystic hygroma in an infant. Sleep 8:363–366

    Google Scholar 

  8. Kahn A, Montauk L, Blum D (1987) Diagnostic categories in infants referred for an acute event suggesting near-miss SIDS. Eur J Pediatr 146:458–460

    Google Scholar 

  9. Katcher ML, Shapiro MM, Guist C (1986) Severe injury and death associated with home infant cardiorespiratory monitors. Pediatrics 78:775–779

    Google Scholar 

  10. Kelly DH, Shannon DC, O'Connell K (1978) Care of infants with near-miss sudden infant death syndrome. Pediatrics 61:511–514

    Google Scholar 

  11. Lewak N (1975) Sudden infant death syndrome in a hospitalized infant on an apnea monitor. Pediatrics 56:296–298

    Google Scholar 

  12. McElroy E, Steinschneider A, Weinstein S (1986) Emotional and health impact of home monitoring on mothers: a controlled prospective study. Pediatrics 78:780–786

    Google Scholar 

  13. Monod N, Plouin, P, Sternberg B, Peirano P, Pajot N, Flores R, Linnett S, Kastler B, Scavone C, Guidasci S (1986) Are polygraphic and cardiopneumographic respiratory patterns useful tools for predicting the risk for sudden infant death syndrome? Biol Neonate 50:147–153

    Google Scholar 

  14. Nelson NM (1978) But who shall monitor the monitor? Pediatrics 61:663–665

    Google Scholar 

  15. Oren J, Kelly D, Shannon DC (1986) Identification of a high-risk group for sudden infant death syndrome among infants who were resuscitated for sleep apnea. Pediatrics 77:495–499

    Google Scholar 

  16. Peterson DR, Chinn NM, Fisher LD (1980) The sudden infant death syndrome: repetitions in families. J Pediatr 97:263–267

    Google Scholar 

  17. Peterson DR, Sabotta EE, Daling JR (1986) Infant mortality among subsequent siblings of infants who died of sudden infant death syndrome. J. Pediatr 108:911–914

    Google Scholar 

  18. Task force on prolonged infantile apnea (1985) American Academy of Pediatrics. Prolonged infantile apnea: 1985. Pediatrics 76: 129–131

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Kahn, A., Blum, D., Rebuffat, E. et al. Home monitors for infants: use, misuse, and “over-the-counter” use. Eur J Pediatr 149, 356–358 (1990). https://doi.org/10.1007/BF02171567

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02171567

Key words

Navigation