[The diagnosis of sleep apnea--possibility for the prevention of SID?].
Groups of children with a statistically enhanced risk for SIDS: siblings of SIDS-victims and other full-term and preterm infants with anamnestic signs for an enhanced risk of SIDS and a control group of healthy infants without anamnestic signs of risk were polysomnographically investigated in the first year of life. The mean apnoea duration (MA-value estimated by frequency and length of apnoeas greater than or equal to 3s) in the sleep states active and quiet sleep was calculated. During active sleep there is a significant inverse correlation between MA and postnatal age in the full-term and preterm SIDS-risk infants but not in the controls and siblings of SIDS-victims. In all age groups there are some children in the full-term and preterm infants with extremely enhanced MA-values. For 6 age groups of the first year of life the 90% percentile of the MA-value was calculated separately in the sleep states active and quiet sleep to select infants with an abnormal breathing pattern. This limit could be a help for the decision on therapy.
Scholle
S
S
Universitäts-Kinderklinik, Jena.
Glaser
S
S
Zwacka
G
G
Scheidt
B
B
D004568:Electrodiagnosis / Q000379:methods*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn / Q000502:physiology; D007234:Infant, Premature / Q000502:physiology; D012119:Respiration; D012891:Sleep Apnea Syndromes / Q000175:diagnosis*; D013398:Sudden Infant Death / Q000517:prevention & control*
Diagnostik von Schlafapnoen--Möglichkeit zur SIDS-Prävention?