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A clinical comparison of SIDS and explained sudden infant deaths: how healthy and how normal?

OBJECTIVES To compare the clinical characteristics associated with sudden infant death syndrome (SIDS) and explained sudden unexpected deaths in infancy (SUDI). DESIGN Three year population based, case control study with parental interviews for each death and four age matched controls. SETTING Five... Full description

Journal Title: Archives of disease in childhood 2000, Vol.82 (2), p.98-106
Main Author: Platt, Martin Ward
Other Authors: Blair, Peter S , Fleming, Peter J , Smith, Iain J , Cole, Tim J , Leach, Charlotte E A , Berry, P J , Golding, Jean
Format: Electronic Article Electronic Article
Language: English
Subjects:
Quelle: Alma/SFX Local Collection
Publisher: London: BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health
ID: ISSN: 0003-9888
Link: http://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1266385
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recordid: cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_1718219
title: A clinical comparison of SIDS and explained sudden infant deaths: how healthy and how normal?
format: Article
creator:
  • Platt, Martin Ward
  • Blair, Peter S
  • Fleming, Peter J
  • Smith, Iain J
  • Cole, Tim J
  • Leach, Charlotte E A
  • Berry, P J
  • Golding, Jean
subjects:
  • Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
  • Babies
  • Baby Check
  • Biological and medical sciences
  • Community Child Health
  • Community Child Health, Public Health, and Epidemiology
  • Emergency and intensive care: neonates and children. Prematurity. Sudden death
  • Epidemiology
  • Families & family life
  • Family medical history
  • Hospitals
  • Intensive care medicine
  • Medical personnel
  • Medical sciences
  • Multiple births
  • Parents & parenting
  • Public Health
  • Questionnaires
  • Recall
  • SIDS
  • signs of illness in infants
  • Stillbirth
  • Studies
  • Sudden infant death syndrome
  • sudden unexpected death in infancy
ispartof: Archives of disease in childhood, 2000, Vol.82 (2), p.98-106
description: OBJECTIVES To compare the clinical characteristics associated with sudden infant death syndrome (SIDS) and explained sudden unexpected deaths in infancy (SUDI). DESIGN Three year population based, case control study with parental interviews for each death and four age matched controls. SETTING Five regions in England (population, > 17 million; live births, > 470 000). SUBJECTS SIDS: 325 infants; explained SUDI: 72 infants; controls: 1588 infants. RESULTS In the univariate analysis, all the clinical features and health markers at birth, after discharge from hospital, during life, and shortly before death, significant among the infants with SIDS were in the same direction among the infants who died of explained SUDI. In the multivariate analysis, at least one apparent life threatening event had been experienced by more of the infants who died than in controls (SIDS: 12% v 3% controls; odds ratio (OR) = 2.55; 95% confidence interval (CI), 1.02 to 6.41; explained SUDI: 15% v 4% controls; OR = 16.81; 95% CI, 2.52 to 112.30). Using a retrospective illness scoring system based on “Baby Check”, both index groups showed significant markers of illness in the last 24 hours (SIDS: 22%v 8% controls; OR = 4.17; 95% CI, 1.88 to 9.24; explained SUDI: 49% v 8% controls; OR = 31.20; 95% CI, 6.93 to 140.5). CONCLUSIONS The clinical characteristics of SIDS and explained SUDI are similar. Baby Check might help identify seriously ill babies at risk of sudden death, particularly in high risk infants. Key messages There are clinical features and health markers characterising increased vulnerability of infants who die suddenly and unexpectedly that are evident at birth, during life, and just before death These features, important among the infants with sudden infant death syndrome, are in the same direction among the explained sudden unexpected deaths Clinical features common to both groups of explained and unexplained deaths after controlling for possible confounders included a higher prevalence of an apparent life threatening event and ill health in the 24 hours before death “Baby Check” might help identify seriously ill babies at risk of sudden death, particularly in high risk infants
language: eng
source: Alma/SFX Local Collection
identifier: ISSN: 0003-9888
fulltext: fulltext
issn:
  • 0003-9888
  • 1468-2044
url: Link


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titleA clinical comparison of SIDS and explained sudden infant deaths: how healthy and how normal?
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creatorPlatt, Martin Ward ; Blair, Peter S ; Fleming, Peter J ; Smith, Iain J ; Cole, Tim J ; Leach, Charlotte E A ; Berry, P J ; Golding, Jean
creatorcontribPlatt, Martin Ward ; Blair, Peter S ; Fleming, Peter J ; Smith, Iain J ; Cole, Tim J ; Leach, Charlotte E A ; Berry, P J ; Golding, Jean
descriptionOBJECTIVES To compare the clinical characteristics associated with sudden infant death syndrome (SIDS) and explained sudden unexpected deaths in infancy (SUDI). DESIGN Three year population based, case control study with parental interviews for each death and four age matched controls. SETTING Five regions in England (population, > 17 million; live births, > 470 000). SUBJECTS SIDS: 325 infants; explained SUDI: 72 infants; controls: 1588 infants. RESULTS In the univariate analysis, all the clinical features and health markers at birth, after discharge from hospital, during life, and shortly before death, significant among the infants with SIDS were in the same direction among the infants who died of explained SUDI. In the multivariate analysis, at least one apparent life threatening event had been experienced by more of the infants who died than in controls (SIDS: 12% v 3% controls; odds ratio (OR) = 2.55; 95% confidence interval (CI), 1.02 to 6.41; explained SUDI: 15% v 4% controls; OR = 16.81; 95% CI, 2.52 to 112.30). Using a retrospective illness scoring system based on “Baby Check”, both index groups showed significant markers of illness in the last 24 hours (SIDS: 22%v 8% controls; OR = 4.17; 95% CI, 1.88 to 9.24; explained SUDI: 49% v 8% controls; OR = 31.20; 95% CI, 6.93 to 140.5). CONCLUSIONS The clinical characteristics of SIDS and explained SUDI are similar. Baby Check might help identify seriously ill babies at risk of sudden death, particularly in high risk infants. Key messages There are clinical features and health markers characterising increased vulnerability of infants who die suddenly and unexpectedly that are evident at birth, during life, and just before death These features, important among the infants with sudden infant death syndrome, are in the same direction among the explained sudden unexpected deaths Clinical features common to both groups of explained and unexplained deaths after controlling for possible confounders included a higher prevalence of an apparent life threatening event and ill health in the 24 hours before death “Baby Check” might help identify seriously ill babies at risk of sudden death, particularly in high risk infants
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subjectAnesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Babies ; Baby Check ; Biological and medical sciences ; Community Child Health ; Community Child Health, Public Health, and Epidemiology ; Emergency and intensive care: neonates and children. Prematurity. Sudden death ; Epidemiology ; Families & family life ; Family medical history ; Hospitals ; Intensive care medicine ; Medical personnel ; Medical sciences ; Multiple births ; Parents & parenting ; Public Health ; Questionnaires ; Recall ; SIDS ; signs of illness in infants ; Stillbirth ; Studies ; Sudden infant death syndrome ; sudden unexpected death in infancy
ispartofArchives of disease in childhood, 2000, Vol.82 (2), p.98-106
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6Berry, P J
7Golding, Jean
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descriptionOBJECTIVES To compare the clinical characteristics associated with sudden infant death syndrome (SIDS) and explained sudden unexpected deaths in infancy (SUDI). DESIGN Three year population based, case control study with parental interviews for each death and four age matched controls. SETTING Five regions in England (population, > 17 million; live births, > 470 000). SUBJECTS SIDS: 325 infants; explained SUDI: 72 infants; controls: 1588 infants. RESULTS In the univariate analysis, all the clinical features and health markers at birth, after discharge from hospital, during life, and shortly before death, significant among the infants with SIDS were in the same direction among the infants who died of explained SUDI. In the multivariate analysis, at least one apparent life threatening event had been experienced by more of the infants who died than in controls (SIDS: 12% v 3% controls; odds ratio (OR) = 2.55; 95% confidence interval (CI), 1.02 to 6.41; explained SUDI: 15% v 4% controls; OR = 16.81; 95% CI, 2.52 to 112.30). Using a retrospective illness scoring system based on “Baby Check”, both index groups showed significant markers of illness in the last 24 hours (SIDS: 22%v 8% controls; OR = 4.17; 95% CI, 1.88 to 9.24; explained SUDI: 49% v 8% controls; OR = 31.20; 95% CI, 6.93 to 140.5). CONCLUSIONS The clinical characteristics of SIDS and explained SUDI are similar. Baby Check might help identify seriously ill babies at risk of sudden death, particularly in high risk infants. Key messages There are clinical features and health markers characterising increased vulnerability of infants who die suddenly and unexpectedly that are evident at birth, during life, and just before death These features, important among the infants with sudden infant death syndrome, are in the same direction among the explained sudden unexpected deaths Clinical features common to both groups of explained and unexplained deaths after controlling for possible confounders included a higher prevalence of an apparent life threatening event and ill health in the 24 hours before death “Baby Check” might help identify seriously ill babies at risk of sudden death, particularly in high risk infants
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9Family medical history
10Hospitals
11Intensive care medicine
12Medical personnel
13Medical sciences
14Multiple births
15Parents & parenting
16Public Health
17Questionnaires
18Recall
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titleA clinical comparison of SIDS and explained sudden infant deaths: how healthy and how normal?
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abstractOBJECTIVES To compare the clinical characteristics associated with sudden infant death syndrome (SIDS) and explained sudden unexpected deaths in infancy (SUDI). DESIGN Three year population based, case control study with parental interviews for each death and four age matched controls. SETTING Five regions in England (population, > 17 million; live births, > 470 000). SUBJECTS SIDS: 325 infants; explained SUDI: 72 infants; controls: 1588 infants. RESULTS In the univariate analysis, all the clinical features and health markers at birth, after discharge from hospital, during life, and shortly before death, significant among the infants with SIDS were in the same direction among the infants who died of explained SUDI. In the multivariate analysis, at least one apparent life threatening event had been experienced by more of the infants who died than in controls (SIDS: 12% v 3% controls; odds ratio (OR) = 2.55; 95% confidence interval (CI), 1.02 to 6.41; explained SUDI: 15% v 4% controls; OR = 16.81; 95% CI, 2.52 to 112.30). Using a retrospective illness scoring system based on “Baby Check”, both index groups showed significant markers of illness in the last 24 hours (SIDS: 22%v 8% controls; OR = 4.17; 95% CI, 1.88 to 9.24; explained SUDI: 49% v 8% controls; OR = 31.20; 95% CI, 6.93 to 140.5). CONCLUSIONS The clinical characteristics of SIDS and explained SUDI are similar. Baby Check might help identify seriously ill babies at risk of sudden death, particularly in high risk infants. Key messages There are clinical features and health markers characterising increased vulnerability of infants who die suddenly and unexpectedly that are evident at birth, during life, and just before death These features, important among the infants with sudden infant death syndrome, are in the same direction among the explained sudden unexpected deaths Clinical features common to both groups of explained and unexplained deaths after controlling for possible confounders included a higher prevalence of an apparent life threatening event and ill health in the 24 hours before death “Baby Check” might help identify seriously ill babies at risk of sudden death, particularly in high risk infants
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