TY - JOUR
PY - 2007//
TI - Car seat test for preterm infants: comparison with polysomnography
JO - Archives of disease in childhood: fetal and neonatal edition
A1 - Campbell, Angela J.
A1 - Purdie, Gordon L.
A1 - Sheppard, Deidre
A1 - Russell, Letitia
A1 - Elder, Dawn E.
SP - F468
EP - 72
VL - 92
IS - 6
N2 - OBJECTIVES: To monitor preterm infants in a cot and a car seat and compare an observed car seat trial with polysomnography (PSG). DESIGN: Non-randomised controlled trial. SETTING: Regional neonatal unit. PATIENTS: Preterm infants before discharge. INTERVENTIONS: Nap PSG respiratory and sleep variables were measured including gastro-oesophageal pH. Nurse observations included respiratory distress, apnoea measured by apnoea alarm, oxygen saturation and heart rate. Infants were studied supine in a cot and then in a car seat. Nursing observations were compared with PSG during the car seat trial only. Criteria for failure of the PSG and observed tests were predefined. MAIN OUTCOME MEASURES: Difference in respiratory instability between cot and car seat. Concurrence regarding failure of the car seat trial between nurse-observed data and PSG. RESULTS: 20 infants (median gestation 33 weeks (range 28-35 weeks; median postmenstrual age (PMA) at study 36.5 weeks (range 35-38 weeks)) were studied. There were sufficient car seat data on 18 infants for comparison. There were fewer central apnoeas and arousals in the cot than the car seat (p = 0.047 and p = 0.024, respectively). Airway obstruction was not more common in the car seat. Younger PMA at time of study predicted failure in both car seat (p = 0.022) and cot (p = 0.022). The nurse-observed test had low sensitivity for predicting PSG failure but more accurately predicted airway obstruction on PSG. CONCLUSIONS: Immature infants exhibit respiratory instability in cots and car seats. A car seat test does not accurately detect all adverse events during sleep in the seat. Language: en
LA - en
SN - 1359-2998
UR - http://dx.doi.org/10.1136/adc.2006.109488
ID - ref1
ER -