Author:
Waite Alison J,Coombs Robert C,McKenzie Angela,Daman-Willems Charlotte,Cohen Marta C,Campbell Michael J,Carpenter Robert G
Abstract
ObjectiveTo report mortality in babies enrolled on a community-based programme, Care of Next Infant Plus (CONI PLUS), which primarily supports parents anxious because of previous sudden unexpected death in infancy (SUDI) in their extended family or following an apparent life threatening event (ALTE) in their baby.DesignProspective observational study from 1996 to 2010 in the UK.ResultsOf 6487 babies enrolled, 37 died (5.7 per 1000). There were 2789 (43.0%) SUDI related babies of whom, six died suddenly and unexpectedly (2.15 per 1000). Four babies were sharing a sofa at night or a bed with parent(s) who smoked or had consumed alcohol. Of the 1882 (29.0%) babies enrolled following an ALTE, five died suddenly and unexpectedly (2.66 per 1000): four unexplained and one due to infection. None occurred while sharing a sleep surface, and at least three died during the day. The remaining 1816 (28%) babies were enrolled for other reasons. Seven died suddenly and unexpectedly (3.85 per 1000), two were unexplained and none associated with bed sharing.ConclusionsThe number of SUDI deaths in babies enrolled on CONI PLUS is higher than expected from UK averages. Deaths in babies enrolled because of family history of SUDI were mostly associated with inappropriate sharing of a sleep surface at night and mostly outside the peak age range for sudden infant death. The opposite is true for those enrolled following an ALTE. The number of deaths is small but findings suggest a different mechanism for death in these two groups.
Subject
Pediatrics, Perinatology and Child Health
Reference27 articles.
1. CONI: confirmation of continuing relevance after 20 years;Waite;Community Pract,2011
2. Working Together to Safeguard Children. A guide to interagency working to safeguard and promote the welfare of children, March 2013. https://www.gov.uk/government/publications/working-together-to-safeguard-children (accessed 24 Mar 2014).
3. Pyschological aspects of the sudden infant death syndrome (“cot death”);Bluglass;J Child Pysch Psychiat,1981
4. Sudden infant death syndrome and other causes of infant mortality. Diagnosis, mechanisms and risk of recurrence in siblings;Hunt;Am J Respir Crit Care Med,2001
5. Population-based recurrence risk of sudden infant death syndrome compared with other infant and fetal deaths;Oyen;Am J Epidemiol,1996
Cited by
5 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献