- No good EBM studies available for utility of home monitoring in preventing
death in infants with ALTE's.
- However, per the current consensus policies, all infants with ALTE
discharged home with home monitors.3,4,5
- Steinschneider et al showed that event recording resulted in a significant
by decreasing the duration of monitoring and by reducing the number
of unnecessary diagnostic studies.7
- Daniels et al showed abnormal polysomnagraphy predicted ALTE's in
58% of patients
who were discharged with home monitors.2
- Cote et al showed that events during the initial investigation period
predicted the likelihood of events occurring at home. They also showed
that most events occurred during the first month of monitoring.1
A, Hum C, Brouillette RT, Themens M. Frequency and timing of recurrent
events in infants using home cardiorespiratory monitors. Journal
of Pediatrics, 1998; 312:783-98.
H, Naulaers G, Devlieger H. Polysomnography and home documented monitoring
of cardiorespiratory pattern. Archives of Disease in Childhood,
NA, Roloff DW. Protocols for the Diagnosis & Management of Apnea
in Infants and Children. University of Michigan Apnea Program.
Association of Apnea Professionals Consensus Statement of Infantile
Apnea and Home Monitoring Fourth Edition. 1998.
Institute of Health. Consensus statement on infantile apnea and home
monitoring. Pediatrics, 1987; 79:292-9.
CF, Samuels MP, Noyes JP, Hewertson J, Hartman H, Holder A, Southall
DP. Home event recordings of oxygenation, breathing movements, and
heart rate and rhythm in infants with recurrent life-threatening events.
Journal of Pediatrics, 1993; 123:693-701.
A, Santos V, Freed G. Cost implications of event recording in Apnea/bradycardia
home monitoring: A theoretical analysis. Pediatrics, 1995;