Major epidemiological changes in sudden infant death syndrome: a 20-year population-based study in the UK

作者: Peter S Blair , Peter Sidebotham , P Jeremy Berry , Margaret Evans , Peter J Fleming

DOI: 10.1016/S0140-6736(06)67968-3

关键词: Poison controlSudden infant death syndromeInjury preventionPopulationInfant mortalityPublic healthPediatricsDemographyEpidemiologyMortality rateMedicine

摘要: Summary Background Results of case-control studies in the past 5 years suggest that epidemiology sudden infant death syndrome (SIDS) has changed since 1991 UK Back to Sleep campaign. The campaign's advice parents put babies on their back sleep led a fall rates. We used longitudinal dataset assess these potential changes. Methods Population-based data from home visits have been collected for 369 consecutive unexpected deaths (300 SIDS and 69 explained deaths) Avon over 20 (1984–2003). Data obtained between 1993 1996 1300 controls with chosen "reference" before interview comparison. Findings Over years, proportion children who died while co-sleeping parents, risen 12% 50% (p Interpretation Factors contribute importance years. Although reasons rise when parent sleeps sofa are still unclear, we strongly recommend avoid this sleeping environment. Most now occur deprived families. To better understand contributory factors plan preventive measures need control similarly families, particularly, environments.

参考文章(25)
Fern R Hauck, Cathryn Merrick Moore, Stanislaw M Herman, Mark Donovan, Edmund Donoghue, Robert H Kirschner, Solomon Iyasu, Marian Willinger, Sleep Environment and the Risk of Sudden Infant Death Syndrome in an Urban Population: The Chicago Infant Mortality Study Pediatrics. ,vol. 111, pp. 1207- 1214 ,(2003)
Voc Orreffo, Peter J Fleming, RE Gilbert, E Hall, PJ Berry, DG White, PP James, PT Rudd, Combined effect of infection and heavy wrapping on the risk of sudden infant death Archives of Disease in Childhood. ,vol. 67, pp. 272- 277 ,(1992)
PJ Fleming, PJ Berry, C Bacon, Psp Blair, Sudden Unexpected Death in Infancy. The CESDI SUDI Studies 1993-1996 The Stationary Office, London. ,(2000)
C McGarvey, M McDonnell, A Chong, M O’Regan, T. Matthews, Factors relating to the infant's last sleep environment in sudden infant death syndrome in the Republic of Ireland Archives of Disease in Childhood. ,vol. 88, pp. 1058- 1064 ,(2003) , 10.1136/ADC.88.12.1058
R Gilbert, P Rudd, P J Berry, P J Fleming, E Hall, D G White, V O Oreffo, P James, J A Evans, Combined effect of infection and heavy wrapping on the risk of sudden unexpected infant death. Archives of Disease in Childhood. ,vol. 67, pp. 171- 177 ,(1992) , 10.1136/ADC.67.2.171
P J Fleming, R Gilbert, Y Azaz, P J Berry, P T Rudd, A Stewart, E Hall, Interaction between bedding and sleeping position in the sudden infant death syndrome: a population based case-control study. BMJ. ,vol. 301, pp. 85- 89 ,(1990) , 10.1136/BMJ.301.6743.85
P. S Blair, P. J Fleming, I. J Smith, M. W. Platt, J. Young, P. Nadin, P J Berry, J. Golding, the CESDI SUDI research group, E. Mitchell, Babies sleeping with parents: case-control study of factors influencing the risk of the sudden infant death syndrome BMJ. ,vol. 319, pp. 1457- 1461 ,(1999) , 10.1136/BMJ.319.7223.1457
Peter J Fleming, Peter S Blair, Peter D Sidebotham, Tracy Hayler, Investigating sudden unexpected deaths in infancy and childhood and caring for bereaved families: an integrated multiagency approach BMJ. ,vol. 328, pp. 331- 334 ,(2004) , 10.1136/BMJ.328.7435.331