PEDIATRICS Vol. 69 No. 6 June 1982, pp. 785-792
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Respiratory Behavior in Near-Miss Sudden Infant Death Syndrome

Joan E. Hodgman MD1, Toke Hoppenbrouwers PhD1, Susan Geidel RN, MS1, Anthony Hadeed MD1, Maurice B. Sterman PhD1, Ronald Harper PhD1, and Dennis McGinty PhD1

1 Newborn Division of the Los Angeles County-University of Southern California Medical Center; Department of Pediatrics, University of Southern California School of Medicine; Sepulveda Veterans Hospital, Departments of Anatomy and Psychiatry; and Brain Research Institute, University of California, Los Angeles

Seventeen infants with unexplained prolonged apnea that has been designated near-miss sudden infant death syndrome were monitored for sleep and cardiorespiratory variables during a 12-hour, all-night recording session. Infants were matched for gestational age, sex, and age at recording with control infants. Respiratory variables studied included respiratory rate, respiratory variability, apnea duration, apnea density, and periodic breathing. No statistically significant differences were found in sleep state or respiratory variables between near-miss and control infants. Eight infants (47%) had no recurrence of prolonged apnea, whereas three (17.6%) had recurrent apneic episodes for six weeks to eight months following the original episode. No clinical or polygraphic finding predicted which infant would exhibit recurrent apnea. None of the infants was monitored at home. All infants were developing normally when examined at 1 to 2 years of age.

Submitted on March 3, 1981
Accepted on November 5, 1981




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