title: Diagnostic Evaluation and Home Monitor Use in Late Preterm to Term Infants With Apnea, Bradycardia, and Desaturations.
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.
authors.affiliation: Boston Children's Hospital, Boston, MA, USA.
authors.forename: Lauren
authors.initials: L
authors.lastname: Veit
authors.affiliation: Boston University School of Medicine, Boston, MA, USA.
authors.forename: Michael
authors.initials: M
authors.lastname: Amberson
authors.affiliation: Boston College, Chestnut Hill, MA, USA.
authors.forename: Christina
authors.initials: C
authors.lastname: Freiberger
authors.affiliation: Boston Children's Hospital, Boston, MA, USA.
authors.forename: Brian
authors.initials: B
authors.lastname: Montenegro
authors.affiliation: Children's Hospital of Philadelphia, Philadelphia, PA, USA.
authors.forename: Sagori
authors.initials: S
authors.lastname: Mukhopadhyay
authors.affiliation: Boston Children's Hospital, Boston, MA, USA Lawrence.rhein@childrens.harvard.edu.
authors.forename: Lawrence M
authors.initials: LM
authors.lastname: Rhein
mesh_terms: D000328:Adult; D001049:Apnea / Q000175:diagnosis*; D001900:Boston; D001919:Bradycardia / Q000175:diagnosis*; D005260:Female; D005865:Gestational Age; D006801:Humans; D052577:Infant, Extremely Low Birth Weight; D007231:Infant, Newborn; D007234:Infant, Premature; D007235:Infant, Premature, Diseases; D007363:Intensive Care Units, Neonatal; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D008991:Monitoring, Physiologic / Q000379:methods*; D010100:Oxygen / Q000097:blood*; D012189:Retrospective Studies
chemical_list: D010100:Oxygen
keywords: apnea; diagnostic; home monitor; length of stay; pneumogram