...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Pediatrics: Official Publication of the American Academy of Pediatrics >Risk factor changes for sudden infant death syndrome after initiation of back-to-sleep campaign
【24h】

Risk factor changes for sudden infant death syndrome after initiation of back-to-sleep campaign

机译：开始回睡运动后婴儿猝死综合征的危险因素变化

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

OBJECTIVE: To test the hypothesis that the profile of sudden infant death syndrome (SIDS) changed after the Back-to-Sleep (BTS) campaign initiation, document prevalence and patterns of multiple risks, and determine the age profile of risk factors. METHODS: The San Diego SIDS/Sudden Unexplained Death in Childhood Research Project recorded risk factors for 568 SIDS deaths from 1991 to 2008 based upon standardized death scene investigations and autopsies. Risks were divided into intrinsic (eg, male gender) and extrinsic (eg, prone sleep). RESULTS: Between 1991-1993 and 1996-2008, the percentage of SIDS infants found prone decreased from 84.0% to 48.5% (P < .001), bed-sharing increased from 19.2% to 37.9% (P < .001), especially among infants <2 months (29.0% vs 63.8%), prematurity rate increased from 20.0% to 29.0% (P = .05), whereas symptoms of upper respiratory tract infection decreased from 46.6% to 24.8% (P < .001). Ninety-nine percent of SIDS infants had at least 1 risk factor, 57% had at least 2 extrinsic and 1 intrinsic risk factor, and only 5% had no extrinsic risk. The average number of risks per SIDS infant did not change after initiation of the BTS campaign. CONCLUSIONS: SIDS infants in the BTS era show more variation in risk factors. There was a consistently high prevalence of both intrinsic and especially extrinsic risks both before and during the Back-to-Sleep era. Risk reduction campaigns emphasizing the importance of avoiding multiple and simultaneous SIDS risks are essential to prevent SIDS, including among infants who may already be vulnerable.
机译：目的：为了检验以下假设的假设：婴儿猝死综合征（SIDS）在背睡（BTS）运动开始后发生了变化，记录了患病率和多种风险的模式，并确定了危险因素的年龄分布。方法：根据标准化的死亡现场调查和尸检，圣地亚哥小岛屿发展中国家/儿童猝死原因不明研究项目记录了1991年至2008年568名小岛屿发展中国家死亡的危险因素。风险分为内在风险（例如男性）和外在风险（例如俯卧）。结果：在1991-1993年至1996-2008年间，发现的SIDS婴儿俯卧比例从84.0％下降至48.5％（P <.001），床位共享从19.2％上升至37.9％（P <.001），特别是在两个月以下的婴儿中（29.0％比63.8％），早产率从20.0％增加到29.0％（P = .05），而上呼吸道感染的症状从46.6％下降到24.8％（P <.001）。有99％的SIDS婴儿至少有1个危险因素，57％的婴儿至少有2个外部危险因素和1个内在的危险因素，只有5％的婴儿没有外部危险。开展BTS运动后，每个SIDS婴儿的平均风险数没有变化。结论：BTS时代的SIDS婴儿在危险因素上表现出更多的差异。在回到睡眠时代之前和期间，内在风险尤其是外在风险的发生率一直很高。减少风险运动强调了避免多重和同时发生的小岛屿发展中国家风险的重要性，对于预防小岛屿发展中国家，包括可能已经脆弱的婴儿，都至关重要。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号