Detection of apnoea/bradycardia events at home may facilitate earlier detection of a possible apparent life threatening event (ALTE) and therefore prevent progression to cardiac arrest. However, there is no evidence that home apnoea monitoring reduces risk of SIDS.[124]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
[125]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
[126]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
The American Academy of Pediatrics Committee on the Fetus and Newborn does not recommend routine prescription of home apnoea monitoring for SIDS prevention, but acknowledges that it may be warranted for higher-risk infants: for example, premature infants with a high risk for persisting or recurrent apnoea/bradycardia, infants with a history of ALTE, and infants with home dependence on technology (i.e., tracheostomy, home continuous positive airway pressure).[3]Moon RY, Carlin RF, Hand I, et al. Sleep-related infant deaths: updated 2022 recommendations for reducing infant deaths in the sleep environment. Pediatrics. 2022 Jul 1;150(1):e2022057990.
https://www.doi.org/10.1542/peds.2022-057990
http://www.ncbi.nlm.nih.gov/pubmed/35726558?tool=bestpractice.com
[127]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://www.ncbi.nlm.nih.gov/pubmed/12671135?tool=bestpractice.com
Despite lack of evidence regarding risk reduction, the potential benefits of home monitoring on quality of life by providing reassurance can be highlighted.[128]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
[129]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