Duration of Home Monitoring for Infants Discharged with Apnea of Prematurity

Tauman, Riva; Sivan, Yakov

doi:10.1159/000014266

Cited by 9 publications

(8 citation statements)

References 16 publications

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“…The mean GA of the study population at birth was 28.8 wk, and the mean birthweight was 1.2 kg. AOP ceased at 40–44 weeks GA in 80% of the neonates, and this study found no clear correlation between the degree of prematurity and the age at the last apnoeic event 20 …”

Section: Commentcontrasting

confidence: 76%

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The epidemiology of apnoea of prematurity

Pergolizzi

Fort

Miller

et al. 2022

Clinical Pharmacy Therapeu

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Apnoea of prematurity (AOP) does not have a precise definition, but is generally applied when a premature infant displays cessation of respiration for 20 or more seconds or less than 20 s if accompanied by cyanosis, pale colour of the skin or bradycardia (<100 beats per minute). 1 Another term that is occasionally used is apnoea and bradycardia of prematurity (ABP). We use the abbreviation AOP here for both terms. This is defined as cessation of breathing for ≥20 s accompanied by bradycardia, defined as <100 beats per minute. AOP occurs with preterm delivery, generally in an inverse relationship with gestational age (GA). Preterm birth, defined as delivery at age less than 37 weeks' gestation, is a global phenomenon with an incidence between 5% and 18% across 184 countries. 2 Approximately 15 million infants per year are born prematurely according to the World Health Organization (WHO), 3 representing a substantial

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Section: Commentcontrasting

confidence: 76%

“…AOP ceased at 40-44 weeks GA in 80% of the neonates, and this study found no clear correlation between the degree of prematurity and the age at the last apnoeic event. 20…”

Section: Gestational Agementioning

confidence: 99%

The epidemiology of apnoea of prematurity

Pergolizzi

Fort

Miller

et al. 2022

Clinical Pharmacy Therapeu

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“…Once the alarm sounds to alert the parents to a possible AOP episode, tactile stimulation may be required, and the cardiorespiratory monitor will record the event in an electronic log [14]. While the monitors record each AOP event electronically, parents must also manually document details, such as visible signs of distress or color change [7,15]. This reliance on manual logging and interpretation can cause undue stress and excess mental burden for parents [15].…”

Section: Search Resultsmentioning

confidence: 99%

Apnea of Prematurity in the Southern U.S.: The Role of Remote Patient Monitoring Once Discharged to Home

Emily

2023

Int J Pediatr Res

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Background: Apnea of prematurity is one of the most common challenges in preterm infants, contributing to the U.S.'s high infant mortality rate. There is a growing need for alignment of remote patient monitoring techniques and athome care for infants diagnosed with apnea of prematurity, especially in the South where accessibility to health services is lacking. Methods:A comprehensive literature review of journal articles and research studies published between 2018 and 2023 was conducted through searching reputable databases including PubMed, Google Scholar, Scopus, New England Journal of Medicine, and ScienceDirect. All articles were assessed for relevance and English language. The analysis adhered to a robust set of inclusion criteria to establish credibility, validity, reliability, and transferability.Results: This analysis revealed health care accessibility challenges associated with living in the South, which contribute to excess infant deaths above the national average. It also revealed that standardized guidelines for apnea of prematurity management through at-home cardiorespiratory monitors are lacking, and the scarcity of clinical and emotional support post-discharge causes parental worry and unnecessary visits to the hospital. Because of the current requirement for meeting with providers in person, excess clinic visits also occur. Additional strategies to improve accessibility and coordination of care are greatly needed. Conclusion:The further integration of remote patient monitoring into the home setting for infants diagnosed with apnea of prematurity is recommended to reduce costly hospital visits, increase accessibility of care, diminish parental stress, and increase parental emotional support. Future research should investigate how the incorporation of a trained clinical care team into the interpretation of cardiorespiratory monitors provides benefits to infants and their families.

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“…Tauman and Sivan (11) in their study concluded that there was an association between neonatal apnea and prematurity. The same observation was reported by Malviya et al (12) .…”

Section: Discussionmentioning

confidence: 98%

Epidemiology of Neonatal Apnea in Sharqia Governorate, Egypt

Allah¹

2023

The Egyptian Journal of Hospital Medicine

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Background: Apnea is defined as the cessation of airflow. Apnea is pathologic when absent air flow is prolonged (usually 20 seconds or more) or accompanied with bradycardia. Objective: The aim of the current study is to describe the epidemiological characteristics of neonatal apnea and its association with other diseases. Patients and methods: A descriptive study was conducted on 100 neonates admitted at Neonatal Intensive Care Unit (NICU) of Zagazig University Hospital. Participants were admitted at NICU between June 2021 and June of 2022. Study variables were age, sex, weight and primary disease group. Results: Regarding the associations between neonatal apnea and primary disease, it was found that 60% of the studied cases were premature. Hypoxic-ischemic encephalopathy was observed in 16% of the included neonates, and respiratory distress in 60% of them. Gastrooesophageal reflux disease and neonatal sepsis were observed in 2% and 4% of the studied cases, respectively. Conclusion: Our results show high association between neonatal apnea and prematurity and respiratory distress, and to lesser extent to hypoxic-ischemic encephalopathy and gastro-oesophageal reflux disease and neonatal sepsis.

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Duration of Home Monitoring for Infants Discharged with Apnea of Prematurity

Cited by 9 publications

References 16 publications

The epidemiology of apnoea of prematurity

The epidemiology of apnoea of prematurity

Apnea of Prematurity in the Southern U.S.: The Role of Remote Patient Monitoring Once Discharged to Home

Epidemiology of Neonatal Apnea in Sharqia Governorate, Egypt

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