Event Recordings of High Risk Infants on Apnea Monitors

本项目的目的是继续对协作式家庭婴儿监测评估进行具体分析 研究(CHINE)，继续进行全国婴儿睡眠姿势研究(NISP)，并作为FBR的资源 来自CHINE和NISP的公共使用数据集，这些数据集是在前一次授予期间开发的。这个 CHINE研究招募了五个大学临床站点的近1100名婴儿。CHIME数据集包括RAW和 分析了90万小时(300 GB)家庭监护记录中的生理波形；700个通宵 多导睡眠图；超过记录阈值的21 000次心肺事件；超过常规警报阈值的6000次事件；超过极端阈值的600次事件。特别是，对CHIME数据的拟议分析将评估预测极端心肺事件的因素和生理过程，包括早期先兆因素、发育模式、发病和康复的短期特征。该研究始于1992年，是对48个相邻州的8个月大婴儿的夜间照顾者进行的年度电话调查，以评估婴儿护理实践和AAP关于婴儿睡眠姿势的建议的传播情况。 NISP研究的继续将评估婴儿睡眠实践的趋势和“重返睡眠”的传播 建议，以及影响这些趋势的因素。努力提高农村居民收入比例。 已完成呼叫中的少数族裔，同时使用当前列表样本。此外，我们还将补充NISP 使用替代方法进行调查，旨在阐明少数群体不遵守规定的风险因素。 最后，将建立一个基础设施，以便利公众获取CHINE和NISP数据集。这个 公共获取服务将包括：(1)维护一个网站，提供有关可用数据的信息和如何 (2)处理有关数据的询问，并维持一个跟踪请求进展情况的数据库；(3)就便利交付所需的数据，即全部或部分数据库，提供咨询；(4)以光盘格式提供数据，并提供数据使用的适当文件；(5)就超出基线支持范围的数据库的使用提供服务咨询费。

The purpose of this project is to continue specific analyses of the Collaborative Home Infant Monitoring Evaluation Study (CHIME), to continue to conduct the National Infant Sleep Position Study (NISP), and to serve as a resource fbr public use datasets from CHIME and NISP, which were developed during the previous grant award period. The CHIME study enrolled almost 1100 infants at five university-based clinical sites. The CHIME dataset includes raw and analyzed physiological waveforms from 900,000 hours (300GB) of home monitoring records; 700 overnight polysomnograms; 21,000 cardiorespiratory events exceeding recording thresholds; 6000 events exceeding conventional alarm thresholds; and 600 events exceeding extreme thresholds. In particular, the proposed analyses of the CHIME data wilt assess the factors and physiological processes that predict extreme cardiorespiratory events to include early antecedents, developmental patterns, mad hnmediate characteristics of onset and recovery. The NISP study, begun in 1992, is an annual telephone survey of nighttime caregivers of infants < 8 months of age in the 48 coterminous states to assess infant care practices and dissemination of the AAP recommendation regarding infant sleep position, Continuation of the NISP study will evaluate trends in infant sleep practices and dissemination of the "Back to Sleep" recommendation, and the factors that influence these trends. Efforts will be made to increase the proportion of minorities in the completed calls, while using the current list sample. Furthermore, we will complement the NISP survey with alternative methodologies designed to illuminate risk factors for non-compliance in minority groups. Finally, an infrastructure will be put in place to facilitate public access to both the CHIME and NISP datasets. The public access service will include: (1) maintaining a website that provide information on the available data and how to obtain it; (2) processing queries regarding the data and maintaining a database that tracks the progress of the requests; (3) providing consultation on the data needed to facilitate the delivery, i.e all or part of the database; (4) providing the data in CD ROM format with appropriate documentation for use of the data; (5) providing fee for service consultation on the use of the database beyond the baseline support.