Classification of sleep-related sudden unexpected death in infancy: A national survey

被引:5
作者
Garstang, Joanna [1 ]
Cohen, Marta [2 ]
Mitchell, Edwin A. [3 ]
Sidebotham, Peter [4 ]
机构
[1] Univ Birmingham, Allens Croft Childrens Ctr, Birmingham Community Healthcare NHS Trust, Birmingham, W Midlands, England
[2] Sheffield Childrens Hosp NHS Trust, Sheffield, S Yorkshire, England
[3] Univ Auckland, Dept Paediat Child & Youth Hlth, Auckland, New Zealand
[4] Warwick Med Sch, Coventry, W Midlands, England
关键词
accidental asphyxia; cause of death; child death review; sudden infant death syndrome; sudden unexpected death in infancy;
D O I
10.1111/apa.15472
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Aim: To identify how British Child Death Overview Panels (CDOPs) and paediatric pathologists classify cause of death for sleep-related Sudden Unexpected Death in Infancy (SUDI). To determine compliance with national requirements for SUDI investigation. Methods: Electronic survey of CDOPs and pathologists using three vignettes of SUDI cases illustrating: accidental asphyxia, typical Sudden Infant Death Syndrome (SIDS) and SIDS with co-sleeping. Results: Thirty-eight (41%) of 92 CDOPs returned questionnaires, and 32 were complete. Thirteen (14%) of 90 pathologists returned complete questionnaires. Thirty-one (97%) CDOPs and 7 (53%) pathologists agreed with the cause of death in the accidental asphyxia case; 24 (75%) CDOPs and 9 (69%) pathologists in the typical SIDS case; and 11 (34%) CDOPs and 1 (8%) pathologist in the co-sleeping SIDS case. Pathologists used the terms SUDI or unascertained as the cause of death for the accidental asphyxia case (46%) and the co-sleeping SIDS case (77%). These terms were used by CDOPs for the typical SIDS case (25%) and the co-sleeping SIDS case (41%). Seventeen (46%) CDOPs reported compliance with guidelines for investigation in more than 75% of cases. Conclusion: There is wide variation in classification of deaths, with only limited agreement between CDOPs and pathologists. The terms SIDS and accidental asphyxia are underused, even in typical cases.
引用
收藏
页码:869 / 874
页数:6
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