在家发现呼吸暂停或心动过缓事件有助于提前发现可能的明显威胁生命事件 (ALTE),从而阻止其进展为心脏停搏。 然而,尚无证据表明家庭呼吸暂停监测可降低 SIDS 风险。[121]Ward SL, Keens TG, Chan LS, et al. Sudden infant death syndrome in infants evaluated by apnea programs in California. Pediatrics. 1986 Apr;77(4):451-8.http://www.ncbi.nlm.nih.gov/pubmed/3960613?tool=bestpractice.com[122]Monod N, Plouin P, Sternberg B, et al. Are polygraphic and cardiopneumographic respiratory patterns useful tools for predicting the risk of sudden infant death syndrome? A 10-year study. Biol Neonate. 1986;50(3):147-53.http://www.ncbi.nlm.nih.gov/pubmed/3768450?tool=bestpractice.com[123]Strehle EM, Gray WK, Gopisetti S, et al. Can home monitoring reduce mortality in infants at increased risk of sudden infant death syndrome? A systematic review. Acta Paediatr. 2012 Jan;101(1):8-13.http://www.ncbi.nlm.nih.gov/pubmed/21910748?tool=bestpractice.com
美国儿科学会胎儿与新生儿委员会 (The American Academy of Pediatrics Committee on the Fetus and Newborn) 并不推荐进行常规的家庭呼吸暂停监测来预防 SIDS,但承认更高风险的婴儿可能需要这种方法:例如持续性或复发性呼吸暂停/心动过缓风险较高的早产儿、有 ALTE 既往史的婴儿以及需要在家使用该医疗技术(即气管造口术、家用连续气道正压呼吸机)的婴儿。[3]Task Force on Sudden Infant Death Syndrome. Policy statement - SIDS and other sleep-related infant deaths: updated 2016 recommendations for a safe infant sleeping environment. Pediatrics. 2016 Nov;138(5):e20162938.http://pediatrics.aappublications.org/content/138/5/e20162938http://www.ncbi.nlm.nih.gov/pubmed/27940804?tool=bestpractice.com[124]Committee on Fetus and Newborn, American Academy of Pediatrics. Apnea, sudden infant death syndrome, and home monitoring. Pediatrics. 2003 Apr;111(4 Pt 1):914-7.http://pediatrics.aappublications.org/content/111/4/914.fullhttp://www.ncbi.nlm.nih.gov/pubmed/12671135?tool=bestpractice.com
尽管缺乏减少风险的相关证据,但家庭监测可使父母放心,因而对生活质量有潜在益处。[125]Sivan Y, Kornecki A, Baharav A, et al. Home monitoring for infants at high risk for the sudden infant death syndrome. Isr J Med Sci. 1997 Jan;33(1):45-9.http://www.ncbi.nlm.nih.gov/pubmed/9203517?tool=bestpractice.com[126]Light MJ, Sheridan MS. Home monitoring in Hawaii: the first 1,000 patients. Hawaii Med J. 1989 Aug;48(8):304-10.http://www.ncbi.nlm.nih.gov/pubmed/2793451?tool=bestpractice.com