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Heimüberwachung („home monitoring“) von Kindern und Jugendlichen: Vorschläge für die praktische Anwendung

Konsensusempfehlungen

Home monitoring of children and adolescents: suggestions for the practical application

Consensus recommendations

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Zusammenfassung

Umfangreiche ambulante Betreuungsstrukturen, immer leistungsfähigere Technik und nicht zuletzt das Bedürfnis von Eltern, auch chronisch kranke Kinder im häuslichen Milieu betreuen zu wollen, stellt an Heimüberwachungssysteme höhere Anforderungen.

Schwierigkeiten bereiten Indikationsstellung, Dauer der Anwendung sowie die Auswahl der jeweils benötigten Geräte.

Die vorliegende Leitlinie zur Heimüberwachung von Kindern und Jugendlichen wurde im Sinne von formal bewerteten („evidence level“) Aussagen der wissenschaftlichen Literatur entwickelt und in einem Konsensusverfahren beraten und verabschiedet (S2).

In einer zusammenfassenden Bewertung werden Empfehlungen gegeben, bei welchen Krankheitsbildern eine Monitoranwendung sinnvoll erscheint. Es wird Stellung bezogen zu den Fragen: welche Parameter sollten überwacht werden, Überwachungsdauer, technische Anforderungen an die Geräte und Begleitumstände der Heimüberwachung.

Abstract

Comprehensive ambulatory care structures, more efficient technology as well as the parents’ willingness to take care of chronically ill children at home, requires higher standards of home monitoring systems.

Some difficulties are caused by medical indications, the period of the application and the type of apparatus used in each case.

Based on formally assessed evidence (evidence level), the presented guidelines for“Home monitoring of children and adolescents” were developed by reviewing the scientific literature and approved by a consensus procedure (S2). In a concluding assessment, recommendations are given outlining which application of monitoring disease patterns appears appropriate. Statements will be given on which parameters should be monitored, the time of monitoring, the technical requirements of the apparatus and the attendant circumstances of home monitoring.

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Literatur

  1. Aziz K, Vickar DB, Sauve RS et al (1995) Province-based study of neurologic disability of children weighing 500 through 1249 grams at birth in relation to neonatal cerebral ultrasound findings. Pediatrics 95(6):837–844

    PubMed  CAS  Google Scholar 

  2. Bauchner H, Zuckerman B, McClain M et al (1988) Risk of sudden infant death syndrome among infants with in utero exposure to cocaine. J Pediatr 113(5):831–834

    Article  PubMed  CAS  Google Scholar 

  3. Beal S (1989) Sudden infant death syndrome in twins. Pediatrics 84(6):1038–1044

    PubMed  CAS  Google Scholar 

  4. Bigger HR, Silvestri JM, Shott S, Weese-Mayer DE (1998) Influence of increased survival in very low birth weight, low birth weight and normal birth weight infants on the incidence of sudden infant death syndrome in the United States: 1985–1991. J Pediatr 133(1):73–78

    Article  PubMed  CAS  Google Scholar 

  5. Blair PS, Fleming PJ, Bensley D et al (1996) Smoking and the sudden infant death syndrome: results from 1993–5 case-control study for confidential inquiry into stillbirths and deaths in infancy. Confidential Enquiry into Stillbirths and Deaths Regional Coordinators and Researchers. BMJ 313(7051):195–198

    PubMed  CAS  Google Scholar 

  6. Brooks JG (1992) Apparent life-threatening events and apnea of infancy. Clin Perinatol 19(4):809–838

    PubMed  CAS  Google Scholar 

  7. Brouillette RT, Tsirigotis D, Leimanis A et al (2000) Computerised audiovisual event recording for infant apnoea and bradycardia. Med Biol Eng Comput 38(5):477–482

    Article  PubMed  CAS  Google Scholar 

  8. Byard RW, Krous HF (2003) Sudden infant death syndrome: overview and update. Pediatr Dev Pathol 6(2):112–127

    Article  PubMed  Google Scholar 

  9. Casaulta C, Nelle M, Nuoffer JM, Pfammatter JPVSSM (2007) SID, SID-Geschwister und ALTE: Empfohlene Abklärungen und Indikationen für das Säuglingsmonitoring. Paediatrica 18(1)

  10. Cochrane DD, Adderley R, White CP et al (1990) Apnea in patients with myelomeningocele. Pediatr Neurosurg 16(4–5):232–239

    Google Scholar 

  11. Committee on Fetus and Newborn, American Academy of Pediatrics (2003) Apnea, sudden infant death syndrome and home monitoring. Pediatrics 111(4 Pt 1):914–917

    Article  Google Scholar 

  12. D’Andrea LA, Rosen CL, Haddad GG (1993) Severe hypoxemia in children with upper airway obstruction during sleep does not lead to significant changes in heart rate. Pediatr Pulmonol 16(6):362–369

    Article  Google Scholar 

  13. Desmarez C, Blum D, Montauk L, Kahn A (1987) Impact of home monitoring for sudden infant death syndrome on family life. A controlled study. Eur J Pediatr 146(2):159–161

    Article  PubMed  CAS  Google Scholar 

  14. Di Fiore JM (2004) Neonatal cardiorespiratory monitoring techniques. Semin Neonatol 9(3):195–203

    Article  Google Scholar 

  15. Dollfus C, Patetta M, Siegel E, Cross AW (1990) Infant mortality: a practical approach to the analysis of the leading causes of death and risk factors. Pediatrics 86(2):176–183

    PubMed  CAS  Google Scholar 

  16. Erler T (2008) Monitoring of newborns and infants under ambulatory and clinical conditions – indications from a medical perspective and technical requirements. Eur Resp Dis 28–32

  17. Erler T, Beyer U, Jorch G (2007) Plötzlicher Säuglingstod (SID=sudden infant death). Pädiatrieup2date 4(2):355–370

    Google Scholar 

  18. Erler T, Peters A (2006) Electronic home monitoring of infants – a recurring topic. a new home monitor for infants with signal linking. Somnologie 10:1–7

    Article  Google Scholar 

  19. Findeisen M, Vennemann M, Brinkmann B et al (2004) German study on sudden infant death (GeSID): design, epidemiological and pathological profile. Int J Legal Med 118(3):163–169

    Article  PubMed  CAS  Google Scholar 

  20. Freed GE, Meny R, Glomb WB, Hageman JR (2002) Effect of home monitoring on a high-risk population. J Perinatol 22(2):165–167

    Article  PubMed  Google Scholar 

  21. Gray PH, Rogers Y (1994) Are infants with bronchopulmonary dysplasia at risk for sudden infant death syndrome? Pediatrics 93(5):774–777

    PubMed  CAS  Google Scholar 

  22. Gregoire MC, Lefebvre F, Glorieux J (1998) Health and developmental outcomes at 18 months in very preterm infants with bronchopulmonary dysplasia. Pediatrics 101(5):856–860

    Article  PubMed  CAS  Google Scholar 

  23. Grether JK, Schulman J (1989) Sudden infant death syndrome and birth weight. J Pediatr 114(4 Pt 1):561–567

    Article  PubMed  CAS  Google Scholar 

  24. Guntheroth WG, Lohmann R, Spiers PS (1990) Risk of sudden infant death syndrome in subsequent siblings. J Pediatr 116(4):520–524

    Article  PubMed  CAS  Google Scholar 

  25. Hall KL, Zalman B (2005) Evaluation and management of apparent life-threatening events in children. Am Fam Physician 71(12):2301–2308

    PubMed  Google Scholar 

  26. Hoppenbrouwers T, Hodgman JE, Ramanathan A, Dorey F (2008) Extreme and conventional cardiorespiratory events and epidemiologic risk factors for SIDS. J Pediatr 152(5):636–641

    Article  PubMed  Google Scholar 

  27. Irgens LM, Skjaerven R, Peterson DR (1984) Prospective assessment of recurrence risk in sudden infant death syndrome siblings. J Pediatr 104(3):349–351

    Article  PubMed  CAS  Google Scholar 

  28. Jones RA, Lukeman D (1982) Apnoea of immaturity. 2. Mortality and handicap. Arch Dis Child 57(10):766–768

    Article  PubMed  CAS  Google Scholar 

  29. Kahn A (2004) Recommended clinical evaluation of infants with an apparent life-threatening event. Consensus document of the European Society for the Study and Prevention of Infant Death, 2003. Eur J Pediatr 163(2):108–115

    Article  PubMed  Google Scholar 

  30. Kahn A, Montauk L, Blum D (1987) Diagnostic categories in infants referred for an acute event suggesting near-miss SIDS. Eur J Pediatr 146(5):458–460

    Article  PubMed  CAS  Google Scholar 

  31. Kandall SR, Gaines J, Habel L et al (1993) Relationship of maternal substance abuse to subsequent sudden infant death syndrome in offspring. J Pediatr 123(1):120–126

    Article  PubMed  CAS  Google Scholar 

  32. Krämer G, Wieser HG, Tuxhorn I, Schulze-Bonhage A (2007) Plötzlicher, unerwarteter Tod bei Epilepsie (SUDEP) Aktueller Wissensstand und Konsequenzen für die Information von Patienten und Angehörigen. Aktuel Neurol 34:162–165

    Article  Google Scholar 

  33. Little GA, Ballard RA, Brooks JG (1987) National institutes of health consensus development conference on infantile apnea and home monitoring, Sept 29 to Oct 1, 1986. Pediatrics 79(2):292–299

    Google Scholar 

  34. Little GA, Brooks JG (1994) Accepting the unthinkable. Pediatrics 94(5):748–749

    PubMed  CAS  Google Scholar 

  35. Marlow N, Hunt LP, Chiswick ML (1988) Clinical factors associated with adverse outcome for babies weighing 2000 g or less at birth. Arch Dis Child 63(10 Spec No):1131–1136

    Article  PubMed  CAS  Google Scholar 

  36. McElroy E, Steinschneider A, Weinstein S (1986) Emotional and health impact of home monitoring on mothers: a controlled prospective study. Pediatrics 78(5):780–786

    PubMed  CAS  Google Scholar 

  37. Moyer-Mileur LJ, Nielson DW, Pfeffer KD et al (1996) Eliminating sleep-associated hypoxemia improves growth in infants with bronchopulmonary dysplasia. Pediatrics 98(4 Pt 1):779–783

    PubMed  CAS  Google Scholar 

  38. Nathanson I, O’Donnell J, Commins MF (1989) Cardiorespiratory patterns during alarms in infants using apnea/bradycardia monitors. Am J Dis Child 143(4):476–480

    PubMed  CAS  Google Scholar 

  39. Obladen M, Maier R (2006) Neugeborenenintensivmedizin: Evidenz und Erfahrung, 7. Aufl. Springer

  40. Oyen N, Irgens LM, Skjaerven R et al (1994) Secular trends of sudden infant death syndrome in Norway 1967–1988: application of a method of case identification to Norwegian registry data. Paediatr Perinat Epidemiol 8(3):263–281

    Article  PubMed  CAS  Google Scholar 

  41. Perfect Sychowski S, Dodd E, Thomas P et al (2001) Home apnea monitor use in preterm infants discharged from newborn intensive care units. J Pediatr 139(2):245–248

    Article  Google Scholar 

  42. Poets CF, Meny RG, Chobanian MR, Bonofiglo RE (1999) Gasping and other cardiorespiratory patterns during sudden infant deaths. Pediatr Res 45(3):350–354

    Article  PubMed  CAS  Google Scholar 

  43. Poets CF, Samuels MP, Noyes JP et al (1993) Home event recordings of oxygenation, breathing movements and heart rate and rhythm in infants with recurrent life-threatening events. J Pediatr 123(5):693–701

    Article  PubMed  CAS  Google Scholar 

  44. Ramanathan R, Corwin MJ, Hunt CE et al (2001) Cardiorespiratory events recorded on home monitors: Comparison of healthy infants with those at increased risk for SIDS. JAMA 285(17):2199–2207

    Article  PubMed  CAS  Google Scholar 

  45. Samuels MP, Stebbens VA, Poets CF, Southall DP (1993) Deaths on infant ‚apnoea‘ monitors. Matern Child Health J 18:262–266

    Google Scholar 

  46. Shoemaker M, Ellis M, Meadows S, Gannons M (2004) Clinical inquiries. Should home apnea monitoring be recommended to prevent SIDS? J Fam Pract 53(5):418–419

    PubMed  Google Scholar 

  47. Silvestri JM, Lister G, Corwin MJ et al (2005) Factors that influence use of a home cardiorespiratory monitor for infants: the collaborative home infant monitoring evaluation. Arch Pediatr Adolesc Med 159(1):18–24

    Article  PubMed  Google Scholar 

  48. Southall DP, Samuels MP, Talbert DG (1990) Recurrent cyanotic episodes with severe arterial hypoxaemia and intrapulmonary shunting: a mechanism for sudden death. Arch Dis Child 65(9):953–961

    Article  PubMed  CAS  Google Scholar 

  49. Steinschneider A (1972) Prolonged apnea and the sudden infant death syndrome: clinical and laboratory observations. Pediatrics 50(4):646–654

    PubMed  CAS  Google Scholar 

  50. Steinschneider A, Santos V (1991) Parental reports of apnea and bradycardia: temporal characteristics and accuracy. Pediatrics 88(6):1100–1105

    PubMed  CAS  Google Scholar 

  51. Steinschneider A, Santos V, Freed G (1995) Cost implications of event recordings in apnea/bradycardia home monitoring: a theoretical analysis. Pediatrics 95(3):378–380

    PubMed  CAS  Google Scholar 

  52. Warburton D, Stark AR, Taeusch HW (1977) Apnea monitor failure in infants with upper airway obstruction. Pediatrics 60(5):742–744

    PubMed  CAS  Google Scholar 

  53. Ward SL, Bautista D, Chan L et al (1990) Sudden infant death syndrome in infants of substance-abusing mothers. J Pediatr 117(6):876–881

    Article  PubMed  CAS  Google Scholar 

  54. Weese-Mayer DE, Morrow AS, Conway LP et al (1990) Assessing clinical significance of apnea exceeding fifteen seconds with event recording. J Pediatr 117(4):568–574

    Article  PubMed  CAS  Google Scholar 

  55. Wennergren G, Milerad J, Lagercrantz H et al (1987) The epidemiology of sudden infant death syndrome and attacks of lifelessness in Sweden. Acta Paediatr Scand 76(6):898–906

    Article  PubMed  CAS  Google Scholar 

  56. Werthammer J, Brown ER, Neff RK, Taeusch HW Jr (1982) Sudden infant death syndrome in infants with bronchopulmonary dysplasia. Pediatrics 69(3):301–304

    PubMed  CAS  Google Scholar 

  57. Williams AJ, Williams MA, Walker CA, Bush PG (1981) The Robin anomalad (Pierre Robin syndrome) – a follow up study. Arch Dis Child 56(9):663–668

    Article  PubMed  CAS  Google Scholar 

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Interessenkonflikt

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Authors and Affiliations

  1. Carl-Thiem-Klinikum Cottbus, Klinik für Kinder- und Jugendmedizin, Lehrkrankenhaus des Universitätsklinikums Charitè zu Berlin, Thiemstr. 111, 03048, Cottbus, Deutschland

    T. Erler & L. Wessel

  2. Universitätsklinikum Magdeburg A.ö.R., Magdeburg, Deutschland

    U. Beyer & G. Jorch

  3. Klinik Josefinum Augsburg, Augsburg, Deutschland

    B. Hoch

  4. Klinikum Ernst-von-Bergmann Potsdam, Akademisches Lehrkrankenhaus der Charité - Universitätsmedizin Berlin, Berlin, Deutschland

    K. Klementz

  5. Klinik für Kinder- und Jugendmedizin Lindenhof-Berlin, Akademisches Lehrkrankenhaus der Charité - Universitätsmedizin Berlin, Berlin, Deutschland

    A. Kramer

  6. Zentrum für Angewandte Prävention, Dresden, Deutschland

    E. Paditz

  7. Klinik für Neonatologie und neonatologische Intensivmedizin, Universitätsklinikum Tübingen, Tübingen, Deutschland

    C.F. Poets

  8. Kinderklinik Krankenhaus Porz am Rhein, Akademisches Lehrkrankenhaus der Universität zu Köln, Köln, Deutschland

    A. Wiater

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  1. T. Erler
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Additional information

In Kooperation: Arbeitsgruppe Pädiatrie der Deutschen Gesellschaft für Schlafforschung und Schlafmedizin (DGSM)

Deutsche Gesellschaft für Neonatologie und Pädiatrische Intensivmedizin (DGNPI)

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Erler, T., Beyer, U., Hoch, B. et al. Heimüberwachung („home monitoring“) von Kindern und Jugendlichen: Vorschläge für die praktische Anwendung. Somnologie 13, 182–188 (2009). https://doi.org/10.1007/s11818-009-0429-1

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  • DOI: https://doi.org/10.1007/s11818-009-0429-1

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