Kahn A, Sottiaux M, Appelboom-Fondu J, Blum D, Rebuffat E, Levitt J
Pediatric Sleep and Development Unit, University Children's Hospital, Brussels, Belgium.
Pediatrics. 1989 May;83(5):668-73.
The outcomes of 26 children who had an apparent life-threatening event during sleep and who were monitored at home were evaluated. In a preliminary study that was first reported when the children had a mean age of 2.7 years, only minor behavioral difficulties were seen. The children of this earlier study were characterized by more aggressive behavior, which was tentatively related to parental anxiety. The same children were retested at a mean age of 7 years (range 6 to 10 years), together with sex-, age-, and social class-matched control children. No significant differences were found in their clinical daytime and nighttime behavior or in IQ tests, although in some of the psychodevelopmental tests minor signs of anxiety were revealed. In conclusion, infants with an apparent life-threatening event who underwent continued cardiopulmonary home monitoring develop normally during preadolescence. A prolonged follow-up of the children during adolescence is needed to evaluate later school performance.
对26名在睡眠中发生明显危及生命事件并在家中接受监测的儿童的结局进行了评估。在一项初步研究中，首次报告时这些儿童的平均年龄为2.7岁，仅发现有轻微的行为困难。这项早期研究中的儿童表现出更具攻击性的行为，这初步与父母焦虑有关。这些儿童在平均年龄7岁（范围6至10岁）时再次接受测试，同时还有性别、年龄和社会阶层匹配的对照儿童。在他们的临床白天和夜间行为或智商测试中未发现显著差异，尽管在一些心理发育测试中发现了轻微的焦虑迹象。总之，经历持续心肺家庭监测的明显危及生命事件的婴儿在青春期前发育正常。需要对这些儿童在青春期进行长期随访以评估其后期的学业表现。
