Diagnostic Evaluation and Home Monitor Use in Late Preterm to Term Infants With Apnea, Bradycardia, and Desaturations.

TitleDiagnostic Evaluation and Home Monitor Use in Late Preterm to Term Infants With Apnea, Bradycardia, and Desaturations.
Publication TypeJournal Article
Year of Publication2016
AuthorsVeit L, Amberson M, Freiberger C, Montenegro B, Mukhopadhyay S, Rhein LM
JournalClin Pediatr (Phila)
Volume55
Issue13
Pagination1210-1218
Date Published2016 Nov
ISSN1938-2707
KeywordsAdult, Apnea, Boston, Bradycardia, Female, Gestational Age, Humans, Infant, Extremely Low Birth Weight, Infant, Newborn, Infant, Premature, Infant, Premature, Diseases, Intensive Care Units, Neonatal, Length of Stay, Male, Monitoring, Physiologic, Oxygen, Retrospective Studies
Abstract

Apnea, bradycardia, and oxygen desaturation events are a common in neonatal intensive care units, with relevant literature to date largely focusing on very low birth weight and extremely low birth weight infants. We conducted a retrospective review of infants born at ≥34 weeks gestational age at 2 tertiary neonatal intensive care units in Boston, MA, between January 2009 and December 2013. Our objectives included (1) describing the diagnostic evaluations performed in late preterm to term infants with discharge-delaying apnea, bradycardia, or oxygen desaturation events and (2) identifying variables associated with home monitor use. Of the 741 eligible infants identified, diagnostic evaluations were variable and infrequent with blood culture, blood glucose, and head ultrasound performed most commonly. The likelihood of home monitor use was greater in infants with either a prolonged inpatient stay or greater gestational age at birth.

DOI10.1177/0009922816635808
Alternate JournalClin Pediatr (Phila)
PubMed ID26957524