Trends in the Incidence of Sudden Unexpected Infant Death in the Newborn: 1995-2014

被引:39
作者
Bass, Joel L. [1 ]
Gartley, Tina [1 ]
Lyczkowski, David A. [1 ]
Kleinman, Ronald [2 ]
机构
[1] Newton Wellesley Hosp, Dept Pediat, 2014 Washington St, Newton, MA 02462 USA
[2] Massachusetts Gen Hosp, Dept Pediat, Boston, MA 02114 USA
关键词
COLLAPSE; INTERVENTIONS; PACIFIER; EVENTS; RISK; SIDS;
D O I
10.1016/j.jpeds.2017.12.045
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Objective To evaluate the epidemiology of sudden unexpected infant death (SUID) over a 20-year period in the US, to assess the potential frequency of sudden unexpected postnatal collapse in the early days of life, and to determine if SUID rates in the neonatal period (0-27 days) have changed in parallel with rates in the postneonatal periods, including the percentages attributed to codes that include accidental suffocation. Study design Data from the US Centers for Disease Control and Prevention Linked Birth/Infant Death Records for 1995-2014 were analyzed for the first hour, day. week, and month of life. A comparison of neonatal and postneonatal data related to SUID, including accidental suffocation, was carried out. Results Death records for 1995-2014 indicate that, although SUID rates in the postneonatal period have declined subsequent to the 1992 American Academy of Pediatrics sleep position policy change. newborn SUIDs have failed to decrease, and the percentage of SUIDs attributed to unsafe sleep conditions has increased significantly in both periods; 29.2% of the neonatal cases occurred within the first 6 days of life. Conclusions The frequency of SUIDs during the neonatal period warrants ongoing attention to all circumstances contributing to this category of deaths. The development of a standardized definition of sudden unexpected postnatal collapse and a national registry of these events is recommended. Ongoing research on the effects of early neonatal practices on postneonatal SUID should also be encouraged.
引用
收藏
页码:104 / 108
页数:5
相关论文
共 38 条
[1]  
[Anonymous], GUID EV CRIT FAC SEE
[2]   Hypoxic and Hypercapnic Events in Young Infants During Bed-sharing [J].
Baddock, Sally A. ;
Galland, Barbara C. ;
Bolton, David P. G. ;
Williams, Sheila M. ;
Taylor, Barry J. .
PEDIATRICS, 2012, 130 (02) :237-244
[3]   Unintended Consequences of Current Breastfeeding Initiatives [J].
Bass, Joel L. ;
Gartley, Tina ;
Kleinman, Ronald .
JAMA PEDIATRICS, 2016, 170 (10) :923-924
[4]   Unexpected collapse in apparently healthy newborns - a prospective national study of a missing cohort of neonatal deaths and near-death events [J].
Becher, Julie-Clare ;
Bhushan, Shetty S. ;
Lyon, Andrew J. .
ARCHIVES OF DISEASE IN CHILDHOOD-FETAL AND NEONATAL EDITION, 2012, 97 (01) :F30-F34
[5]   Bed-Sharing in the Absence of Hazardous Circumstances: Is There a Risk of Sudden Infant Death Syndrome? An Analysis from Two Case-Control Studies Conducted in the UK [J].
Blair, Peter S. ;
Sidebotham, Peter ;
Pease, Anna ;
Fleming, Peter J. .
PLOS ONE, 2014, 9 (09)
[6]   Bed sharing when parents do not smoke: is there a risk of SIDS? An individual level analysis of five major case-control studies [J].
Carpenter, Robert ;
McGarvey, Cliona ;
Mitchell, Edwin A. ;
Tappin, David M. ;
Vennemann, Mechtild M. ;
Smuk, Melanie ;
Carpenter, James R. .
BMJ OPEN, 2013, 3 (05)
[7]   Factors Associated With Choice of Infant Sleep Position [J].
Colson, Eve R. ;
Geller, Nicole L. ;
Heeren, Timothy ;
Corwin, Michael J. .
PEDIATRICS, 2017, 140 (03)
[8]  
Eunice Kennedy Shriver National Institute of Child Health and Human Development, KNOWN RISK FACT SIDS
[9]   Safe Sleep and Skin-to-Skin Care in the Neonatal Period for Healthy Term Newborns [J].
Feldman-Winter, Lori ;
Goldsmith, Jay P. .
PEDIATRICS, 2016, 138 (03)
[10]  
Goldsmith J.P., 2013, AAP News, V34, P22, DOI [10.1542/aapnews.20133411-22, DOI 10.1542/AAPNEWS.20133411-22, DOI 10.1542/AAPNEWS20133411-22]