Factors that influence use of a home cardiorespiratory monitor for infants: the collaborative home infant monitoring evaluation.
Arch Pediatr Adolesc Med
; 159(1): 18-24, 2005 Jan.
Article
em En
| MEDLINE
| ID: mdl-15630053
ABSTRACT
BACKGROUND:
As part of the Collaborative Home Infant Monitoring Evaluation, a home monitor was developed to record breathing, heart rate, other physiologic variables, and the time the monitor was used.OBJECTIVE:
To determine the frequency of monitor use, factors that influence use, and validity of a model developed to predict use.DESIGN:
We developed a model to predict monitor use using multiple linear regression analysis; we then tested the validity of this model to predict adherence for the first week of monitoring and for the subsequent 4-week period (weeks 2-5).SETTING:
Clinical research centers in Chicago, Ill; Cleveland, Ohio; Honolulu, Hawaii; Los Angeles, Calif; and Toledo, Ohio. Patients Preterm infants, infants younger than 1 month with a history of autopsy-confirmed sudden infant death syndrome in a sibling, and infants with an idiopathic apparent life-threatening event were divided into 2 cohorts based on enrollment date. Main Outcome Measure Mean hours of monitor use per week.RESULTS:
In cohort 1, the variables available before monitoring were only weakly associated with total hours of monitor use in weeks 2 to 5 (total model r(2) = 0.08). However, when hours of monitor use in week 1 were included as a variable to predict monitor use in weeks 2 to 5, the r(2) increased to 0.64 for hours of monitor use per week.CONCLUSIONS:
Our data show that monitor use in the first week was the most important variable for predicting subsequent monitor use. The study suggests that a major focus of home monitoring should be adherence in the first week, although it remains to be tested whether this adherence can be altered.
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Base de dados:
MEDLINE
Assunto principal:
Síndromes da Apneia do Sono
/
Morte Súbita do Lactente
/
Cooperação do Paciente
/
Assistência Domiciliar
/
Monitorização Fisiológica
Idioma:
En
Ano de publicação:
2005
Tipo de documento:
Article