Open Access
CC BY 4.0 · Journal of Child Science 2019; 09(01): e50-e58
DOI: 10.1055/s-0039-1678669
Review Article
Georg Thieme Verlag KG Stuttgart · New York

Apnea of Prematurity: An Update

Alex Gileles-Hillel
1   Pediatric Pulmonology, Sleep and CF Unit, Department of Pediatrics, Hadassah-Hebrew University Medical Center & Faculty of Medicine, Jerusalem, Israel
,
Ira Erlichman
2   Neonatology Unit, Department of Pediatrics, Hadassah-Hebrew University Medical Center & Faculty of Medicine, Jerusalem, Israel
,
Joel Reiter
1   Pediatric Pulmonology, Sleep and CF Unit, Department of Pediatrics, Hadassah-Hebrew University Medical Center & Faculty of Medicine, Jerusalem, Israel
› Author Affiliations
Further Information

Publication History

29 December 2018

03 January 2019

Publication Date:
02 July 2019 (online)

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Abstract

Apnea of prematurity (AOP) affects the majority of infants born prematurely, before 34 weeks of gestational age. AOP is a common diagnosis in the neonatal intensive care unit and one of significant clinical importance, both immediate and long term, as it is associated with reduced survival and poorer respiratory and neurodevelopmental outcomes. In this review, we provide an up-to-date summary of recent advances in the understanding of the pathophysiology of AOP, as well as the clinical questions relevant to physicians and staff treating infants with AOP. Finally, we discuss monitoring and discharge decisions, as these are areas of significant uncertainty.