Impact of Infant-Polysomnography Studies on Discharge Management and Outcomes: A 5 Year Experience from a Tertiary Care Unit

Abstract

Objective To evaluate the impact of infant-polysomnography studies performed in the NICU on management and outcomes. Study design Retrospective study to collect demographics and data on infant-polysomnography studies between Jan 2010 to Dec 2014. Results 110 premature neonates had polysomnography study performed at 36.9 ± 2.5 weeks post menstrual age. Almost all the studies were read as abnormal and 95% of the studied infants were discharged home on a cardiorespiratory monitor. 20% of the subjects had apnea >20 s, 18% had apnea of 15–20 s and 50% of infants had apnea of 10–15 s. 24.5% infants were discharged home on caffeine, 28% on metoclopramide and 24% on antacids. There were 11 readmissions for apparent life threatening events with no until 6 month-corrected age. There was no association between polysomnography results and readmission. There was a decline in polysomnography studies performed each year. Conclusion Cardiorespiratory monitoring, medications and polysomnography studies do not predict outcomes.

The Effects of Fear and Knowledge of COVID-19 on Preventive Practice Among Pregnant Women Who Attend Antenatal Care in Northwest Ethiopia, 2020: Institution-Based Cross-Sectional Study

“…The novel coronavirus disease (COVID-19) pandemic has infected over one million individuals with almost 50,000 deaths worldwide as of December 18, 2020. 1 COVID-19 disease is a global health threat and public health emergency of international concern. 2 Accurate and up-to-date information regarding prevention and control methods is essential.…”

“…13 There are shreds of evidence that show a reduction in the contact rate of a pregnant woman with a health care provider significantly associated with perinatal death. 1,14 Another evidence shows that the majority of the complications of pregnancy can be averted due to counselling based on schedules of antenatal care. 15 Overall, 41.3% of the visitors had high knowledge.…”

Apnea of Prematurity: An Update

“…86 Criteria for NICU discharge include maturity of cardiorespiratory function, but there are no clear definitions on what constitutes maturity or how it should be assessed. 87 In 2011 to 2012, the American Academy of Sleep Medicine published practice parameters for the respiratory and nonrespiratory indications for PSG in children. 84,88 It was noted that a PSG is indicated when congenital central alveolar hypoventilation syndrome, hypoventilation due to a neuromuscular disorders, or chest wall deformities are suspected, as well as in selected cases of primary sleep apnea of infancy.…”

“…91 Osman et al performed a retrospective study of PSGs performed in a tertiary center NICU to assess their impact on management and outcomes. 87 A total of 110 infants were studied at an average age of 36.9 AE 2.5 weeks PMA. Results were abnormal in 95%, and the majority of infants was discharged home on a cardiorespiratory monitor.…”