TY - JOUR
T1 - Cardiorespiratory events detected by home memory monitoring and one-year neurodevelopmental outcome
AU - Hunt, Carl E.
AU - Corwin, Michael J.
AU - Baird, Terry
AU - Tinsley, Larry R.
AU - Palmer, Paula
AU - Ramanathan, Rangasamy
AU - Crowell, David H.
AU - Schafer, Susan
AU - Martin, Richard J.
AU - Hufford, David
AU - Peucker, Mark
AU - Weese-Mayer, Debra E.
AU - Silvestri, Jean M.
AU - Neuman, Michael R.
AU - Cantey-Kiser, Jean
PY - 2004/10
Y1 - 2004/10
N2 - To determine if infants with cardiorespiratory events detected by home memory monitoring during early infancy have decreased neurodevelopmental performance. Infants (n = 256) enrolled in the Collaborative Home Infant Monitoring Evaluation also completed the Bayley Scales of Infant Development II at 92 weeks' postconceptional age. Infants were classified as having 0, 1 to 4, or 5+ cardiorespiratory events. Events were defined as apnea ≥20 seconds or heart rate <60 to 80 bpm or <50 to 60 bpm, for ≥5 to 15 seconds, depending on age. For term infants, having 0, 1 to 4, and 5+ cardiorespiratory events was associated with unadjusted mean Mental Developmental Index (MDI) values (±SD) of 103.6 (10.6), 104.2 (10.7), and 97.7 (10.9), respectively, and mean Psychomotor Developmental Index (PDI) values of 109.5 (16.6), 105.8 (16.5), and 100.2 (17.4). For preterm infants, having 0, 1 to 4, and 5+ cardiorespiratory events was associated with unadjusted mean MDI values of 100.4 (10.3), 96.8 (11.5), and 95.8 (10.6), respectively, and mean PDI values of 91.7 (19.2), 93.8 (15.5), and 94.4 (17.7). The adjusted difference in mean MDI scores with 5+ events compared with 0 events was 5.6 points lower in term infants (P =. 03) and 4.9 points lower in preterm infants (P =. 04). Having 5+ conventional events is associated with lower adjusted mean differences in MDI in term and preterm infants.
AB - To determine if infants with cardiorespiratory events detected by home memory monitoring during early infancy have decreased neurodevelopmental performance. Infants (n = 256) enrolled in the Collaborative Home Infant Monitoring Evaluation also completed the Bayley Scales of Infant Development II at 92 weeks' postconceptional age. Infants were classified as having 0, 1 to 4, or 5+ cardiorespiratory events. Events were defined as apnea ≥20 seconds or heart rate <60 to 80 bpm or <50 to 60 bpm, for ≥5 to 15 seconds, depending on age. For term infants, having 0, 1 to 4, and 5+ cardiorespiratory events was associated with unadjusted mean Mental Developmental Index (MDI) values (±SD) of 103.6 (10.6), 104.2 (10.7), and 97.7 (10.9), respectively, and mean Psychomotor Developmental Index (PDI) values of 109.5 (16.6), 105.8 (16.5), and 100.2 (17.4). For preterm infants, having 0, 1 to 4, and 5+ cardiorespiratory events was associated with unadjusted mean MDI values of 100.4 (10.3), 96.8 (11.5), and 95.8 (10.6), respectively, and mean PDI values of 91.7 (19.2), 93.8 (15.5), and 94.4 (17.7). The adjusted difference in mean MDI scores with 5+ events compared with 0 events was 5.6 points lower in term infants (P =. 03) and 4.9 points lower in preterm infants (P =. 04). Having 5+ conventional events is associated with lower adjusted mean differences in MDI in term and preterm infants.
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U2 - 10.1016/j.jpeds.2004.05.045
DO - 10.1016/j.jpeds.2004.05.045
M3 - Article
C2 - 15480368
AN - SCOPUS:5144230047
VL - 145
SP - 465
EP - 471
JO - Journal of Pediatrics
JF - Journal of Pediatrics
SN - 0022-3476
IS - 4
ER -