Cost implications of event recordings in apnea/bradycardia home monitoring : a theoretical analysis.
To evaluate the financial impact of incorporating event recordings as an integral component of home apnea/bradycardia monitoring.
This theoretical analysis examines the cost of home monitoring when medical decisions are based on an evaluation of the cardiorespiratory waveforms surrounding each apnea/bradycardia monitor alarm (documented monitoring) compared to those based on parental observations.
Data for both approaches were obtained from 155 infants referred within the first 10 days of life, because a sibling died of sudden infant death syndrome.
All were followed on an impedance type apnea/bradycardia monitor with an attached event recorder.
The monitor settings were 20 seconds for apnea and 80 beats per minute (bpm) for bradycardia.
Parents were taught how to use the equipment, resuscitative techniques, and to complete an alarm log.
The clinical protocol provided for home monitoring until there were no « episodes » (prolonged apnea or prolonged bradycardia) for 16 consecutive weeks.
A polysomnogram would be obtained if an « episode » occurred.
Mots-clés Pascal : Apnée, Nouveau né, Prévention, Bradycardie, Analyse coût, Economie santé, Parent, Mort subite, Monitorage, Enregistrement, Homme, Appareil respiratoire pathologie, Appareil circulatoire pathologie, Cardiopathie, Trouble rythme cardiaque, Trouble excitabilité
Mots-clés Pascal anglais : Apnea, Newborn, Prevention, Bradycardia, Cost analysis, Health economy, Parent, Sudden death, Monitoring, Recording, Human, Respiratory disease, Cardiovascular disease, Heart disease, Arrhythmia, Excitability disorder
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0210303
Code Inist : 002B30A03B. Création : 09/06/1995.