Abstract
Although an average rate of noncompliance of 54% has been reported in conjunction with other pediatric therapies, noncompliance has not previously been associated with infant home monitoring. We studied 24 consecutive infants placed on home apnea monitors because of near-miss sudden infant death (SIDS) episodes, subsequent siblings of SIDS victims, and apneic preterm infants at The New York Hospital-Cornell Medical Center. In 8 cases(33%) noncompliance was noted. The monitor was prematurely terminated in 5 cases, and was continued in use in 3 cases despite medical advice to the contrary. A semi-structured interview was administered to the parents of all 24 monitored infants. Discriminant analysis was performed to determine what variables were connected with noncompliance in this population. Socioeconomic status, severity of preceding illness, or diagnosis were not predictors of noncompliance. Noncompliance in home monitoring programs may be more significant than previously recognized. Clearer guidelines for both the use of the monitor and the physician's responsibility when noncompliance is an issue need to be established. Pediatric and psychiatric collaboration is crucial in order to deliver optimal care to these vulnerable infants and their families.
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Sherman, M., Fornari, V. & Krauss, A. NONCOMPLIANCE IN AN INFANT HOME MONITORING PROGRAM. Pediatr Res 18 (Suppl 4), 113 (1984). https://doi.org/10.1203/00006450-198404001-00123
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DOI: https://doi.org/10.1203/00006450-198404001-00123
