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Inter-hospital cardiorespiratory telemonitoring of newborns and infants.
  • +4
  • Cinzia Arzilli,
  • Monica Annunziata,
  • Carola Maria Ernst,
  • Marta Peruzzi,
  • Chiara Macucci,
  • Saverio Pochesci,
  • Niccolò Nassi
Cinzia Arzilli
University Hospital Meyer

Corresponding Author:[email protected]

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Monica Annunziata
University Hospital Meyer
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Carola Maria Ernst
University Hospital Meyer
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Marta Peruzzi
University Hospital Meyer
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Chiara Macucci
University of Florence
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Saverio Pochesci
University of Florence
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Niccolò Nassi
University Hospital Meyer
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Abstract

Cardiorespiratory monitoring is recommended for the assessment of symptomatic preterm newborns and infants with a clinical history of Apparent Life-Threatening Events (ALTE). Patients who experience cardiorespiratory events usually have to be moved to specialized centers to perform cardiorespiratory studies. To avoid the transfer of these patients to specialized centers, it has been created a network based on an interchange system where the recordings were uploaded in unspecialized centers (spokes) and downloaded by the Sleep Disorders Breathing (SDB) Center (hub) to be analyzed. From November 2008 to December 2020 cardiorespiratory recordings belonging to 422 patients were collected. This study shows that the inter-hospital network is an efficient system that allows accurate and safe management of infants at risk of apnoea, bradycardia, and hypoxemia also in unspecialized centers, avoiding unnecessary transfers of patients and over – hospitalizations.