TY  - JOUR
PY  - 2016//
TI  - Is the infant car seat challenge useful? A pilot study in a simulated moving vehicle
JO  - Archives of disease in childhood: fetal and neonatal edition
A1  - Arya, Renu
A1  - Williams, Georgina
A1  - Kilonback, Anna
A1  - Toward, Martin
A1  - Griffin, Michael
A1  - Blair, Peter S.
A1  - Fleming, Peter
SP  - F136
EP  - F141
VL  - 102
IS  - 2
N2  - BACKGROUND AND OBJECTIVE: The American Academy of Pediatrics recommends that preterm infants complete a predischarge 'car seat challenge' observation for cardiorespiratory compromise while in a car seat. This static challenge does not consider the more upright position in a car or the vibration of the seat when the car is moving. This pilot study was designed to assess the cardiorespiratory effects of vibration, mimicking the effect of being in a moving car, on preterm and term infants. <br><br>METHODS: A simulator was designed to reproduce vertical vibration similar to that in a rear-facing car seat at 30 mph. 19 healthy newborn term and 21 preterm infants, ready for hospital discharge, underwent cardiorespiratory measurements while lying flat in a cot (baseline), static in the seat (30°), simulator (40°) and during motion (vibration 40°). <br><br>RESULTS: Median test age was 13 days (range 1-65 days) and median weight was 2.5 kg (IQR: 2.1-3.1 kg).Compared with baseline observations, only the total number of desaturations was significantly increased when infants were placed at 30° (p=0.03). At 40°, or with vibration, respiratory and heart rates increased and oxygen saturation decreased significantly. Profound desaturations <85% significantly increased during motion, regardless of gestational age. <br><br>CONCLUSIONS: This is the first study to assess the effect of motion on infants seated in a car safety seat. Term and preterm infants showed significant signs of potentially adverse cardiorespiratory effects in the upright position at 40°, particularly with simulated motion, not identified in the standard challenge. A larger study is required to investigate the significance of these results.<br><br>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.<p />  <p>Language: en</p>
LA  - en
SN  - 1359-2998
UR  - http://dx.doi.org/10.1136/archdischild-2016-310730
ID  - ref1
ER  -