PEDIATRICS Vol. 83 No. 5 May 1989, pp. 668-673
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Long-Term Development of Children Monitored as Infants for an Apparent Life-Threatening Event During Sleep: A 10-Year Follow-up Study

A. Kahn MD1, M. Sottiaux BP1, J. Appelboom-Fondu MD1, D. Blum MD1, E. Rebuffat MD1, and J. Levitt MD1

1 The Pediatric Sleep and Development Unit and the Pedopsychiatry Unit, University Children's Hospital, Brussels

The outcomes of 26 children who had an apparent life-threatening event during sleep and who were monitored at home were evaluated. In a preliminary study that was first reported when the children had a mean age of 2.7 years, only minor behavioral difficulties were seen. The children of this earlier study were characterized by more aggressive behavior, which was tentatively related to parental anxiety. The same children were retested at a mean age of 7 years (range 6 to 10 years), together with sex-, age-, and social class-matched control children. No significant differences were found in their clinical daytime and nighttime behavior or in IQ tests, although in some of the psychodevelopmental tests minor signs of anxiety were revealed. In conclusion, infants with an apparent life-threatening event who underwent continued cardiopulmonary home monitoring develop normally during preadolescence. A prolonged follow-up of the children during adolescence is needed to evaluate later school performance.

Key Words: sleep • sudden infant death syndrome • stress • apparent life-threatening event • infant • intelligence quotient

Submitted on August 5, 1987
Accepted on June 10, 1988




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