Observational studyAmerican journal of perinatology2013
Monitoring apnea of prematurity: validity of nursing documentation and bedside cardiorespiratory monitor.
Observational study in American journal of perinatology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Apnea of prematurity and caffeine pharmacokinetics: potential impact on hospital discharge.Journal of perinatology : official journal of the California Perinatal Association · 2016Trial
- Personalization of Caffeine Therapy for Apnea of Prematurity: A Potential Role for Sensor Technologies?Sensors (Basel, Switzerland) · 2026Review
- Definitions and monitoring methods for apnea in preterm infants: a scoping review.Pediatric research · 2026Article
- Pharmacological treatment for apnoea of prematurity-the need for an individualised approach.Frontiers in pediatrics · 2025Review
- Development and Comparative Performance of Physiologic Monitoring Strategies in the Emergency Department.JAMA network open · 2022Article
- Immature control of breathing and apnea of prematurity: the known and unknown.Journal of perinatology : official journal of the California Perinatal Association · 2021Review
- Cardiorespiratory Events Following the Second Routine Immunization in Preterm Infants: Risk Assessment and Monitoring Recommendations.Vaccines · 2021Article
- Continuous vital sign analysis for predicting and preventing neonatal diseases in the twenty-first century: big data to the forefront.Pediatric research · 2020Review
- Pre-discharge Cardiorespiratory Monitoring in Preterm Infants. the CORE Study.Frontiers in pediatrics · 2020Article
- Oxygen Saturation in Infants With Retinopathy of Prematurity-Reply.JAMA ophthalmology · 2019Article
- Commentary on "Oxygen desaturations in the early neonatal period predict development of bronchopulmonary dysplasia" by Fairchild et al.Pediatric research · 2019Article
- Apnea, bradycardia and desaturation spells in premature infants: impact of a protocol for the duration of 'spell-free' observation on interprovider variability and readmission rates.Journal of perinatology : official journal of the California Perinatal Association · 2018Article
- Clinical associations of immature breathing in preterm infants: part 1-central apnea.Pediatric research · 2016Article
- Unbound unconjugated hyperbilirubinemia is associated with central apnea in premature infants.The Journal of pediatrics · 2015Article
Corrections and comments
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Authors and funding
2 authors.
Funding
Abstract
objectiveTo compare apnea events recorded by bedside cardiorespiratory monitor and nursing documentation with those detected by visual inspection of continuous electronic cardiorespiratory waveform.
methodsIn a prospective observational study, 20 nonventilated infants of 28 to 33 weeks' gestational age were monitored for apnea during the first 2 postnatal weeks. Apnea was defined as a respiratory pause > 20 seconds or > 15 seconds if associated with a heart rate < 80/min or oxygen saturation < 85%. True apnea was defined as one for which visual inspection of continuous electronic cardiorespiratory waveform on the central monitor verified apnea.
resultsThe number of apnea episodes recorded by nursing documentation and bedside monitors were 207 and 418, respectively. Only 7.7% of apnea events recorded by nursing documentation were confirmed as true apnea compared with 50.4% of apnea recorded by bedside monitors and the difference was statistically significant. Of true apnea (n = 211) episodes recorded on central monitors, 99% were recorded by bedside monitors but only 7.6% of apnea occurrences were recorded by nursing personnel.
conclusionsNursing documentation does not provide accurate monitoring of apnea. Although bedside monitors have better sensitivity and specificity than nursing documentation, future research should be directed to improve the specificity of bedside monitoring.
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