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首页> 外文期刊>Pediatrics: Official Publication of the American Academy of Pediatrics >Infant Deaths in Sitting Devices
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Infant Deaths in Sitting Devices

机译：坐在设备的婴儿死亡

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This study uses a nationwide data set to compare risk factors for sleep-related infant deaths occurring in sitting devices and in nonsitting devices. BACKGROUND AND OBJECTIVES:Annually, several hundred infant deaths occur in sitting devices (eg, car safety seats [CSSs] and strollers). Although American Academy of Pediatrics guidelines discourage routine sleeping in sitting devices, little is known about factors associated with deaths in sitting devices. Our objective was to describe factors associated with sleep-related infant deaths in sitting devices.METHODS:We analyzed 2004-2014 National Center for Fatality Review and Prevention data. The main outcome was sleep location (sitting device versus not). Setting, primary caregiver, supervisor at time of death, bed-sharing, and objects in the environment were compared by using chi(2) tests and multivariable logistic regression. Descriptive statistics of additional possible risk factors were reviewed.RESULTS:Of 11779 infant sleep-related deaths, 348 (3.0%) occurred in sitting devices. Of deaths in sitting devices, 62.9% were in CSSs, and in these cases, the CSS was used as directed in = 1 risk factor, and 54.9% had >= 2 risk factors. More than half (51.6%) of deaths in CSSs were at the child's home. Compared with other deaths, deaths in sitting devices had higher odds of occurring under the supervision of a child care provider (adjusted odds ratio 2.8; 95% confidence interval 1.5-5.2) or baby-sitter (adjusted odds ratio 2.0; 95% confidence interval 1.3-3.2) compared with a parent.CONCLUSIONS:There are higher odds of sleep-related infant death in sitting devices when a child care provider or baby-sitter is the primary supervisor. Using CSSs for sleep in nontraveling contexts may pose a risk to the infant.
机译：本研究采用全国范围的数据集，比较坐姿和沥青设备中发生的睡眠相关婴儿死亡的危险因素。背景和目标：每年，在坐姿（例如，汽车安全座椅[CSSS]和婴儿车）发生几百个婴儿死亡。虽然美国儿科学院指导指导令人沮丧的惯例睡眠装置，但关于坐着设备中死亡的因素几乎是众所周知的。我们的目标是描述与坐姿有关的睡眠相关婴儿死亡的因素。方法：我们分析了2004 - 2014年国家死亡审查和预防数据中心。主要结果是睡眠位置（坐姿与不影响）。通过使用Chi（2）测试和多变量的逻辑回归来比较死亡时间，死亡时期的主管，床分享和环境中的物体。审查了额外可能的风险因素的描述性统计。结果：11779个婴儿睡眠相关的死亡，348（3.0％）发生在坐姿。坐姿的死亡人数为62.9％，在CSSS中，在这些情况下，根据= 1危险因素的指示使用CSS，54.9％> = 2个风险因素。 CSSS中的一半以上（51.6％）在孩子的家中。与其他人死亡相比，死亡人数坐在设备有一个孩子服务提供者的监督下发生的几率较高（调整后的比值比2.8; 95％可信区间1.5-5.2）或保姆（调整后的比值比2.0; 95％的置信区间1.3-3.2）与父母进行比较：当儿童保健提供者或婴儿空间是主要主管时，坐姿有睡眠相关婴儿死亡的几率。在非暴图上下文中使用CSSS睡眠可能对婴儿构成风险。

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