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首页> 外文期刊>Pediatrics: Official Publication of the American Academy of Pediatrics >Birth weight- and gestational age-specific sudden infant death syndrome mortality: United States, 1991 versus 1995.
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Birth weight- and gestational age-specific sudden infant death syndrome mortality: United States, 1991 versus 1995.

机译：出生体重和胎龄的婴儿猝死综合症死亡率：美国，1991年至1995年。

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OBJECTIVE: To estimate the changes in birth weight- and gestational age-specific sudden infant death syndrome (SIDS) mortality rates since the publication of the sleep-positioning recommendations by the American Academy of Pediatrics Task Force on Infant Positioning and SIDS. METHODS: This is a historical cohort study using US vital statistic linked birth and infant death certificate files for the years 1991 and 1995. SIDS deaths were identified as any death attributed to International Classification of Diseases, Ninth Revision code 7980, occurring between the 28th and 365th days of life. RESULTS: There were 4871 deaths attributed to SIDS in 1991 for a postneonatal mortality rate of 1.2/1000 postneonatal survivors compared with 3114 deaths in 1995 for a rate of.8/1000. This represents a 33% drop in the postneonatal SIDS mortality from 1991 to 1995. Between 1991 and 1995, SIDS rates declined 38%, 38%, 35%, and 32% for birth weight groupings of 500 to 999 g, 1000 to 1499 g, 1500 to 2499 g, and >/=2500 g, respectively. There were no SIDS deaths attributed to infants weighing <500 g. The SIDS rates declined 27%, 21%, 40%, and 23% for gestational age groups of <29 weeks, 29 to 32 weeks, 33 to 36 weeks, and >/=37 weeks. The rate of decline did not differ significantly across birth weight- or gestational age-specific categories. There was a significant increase in the black:non-black postneonatal SIDS mortality ratio from 2.00 to 2.28, reflecting a smaller decline in birth weight- and gestational age-specific mortality for blacks than observed for the non-black population. CONCLUSION: Postneonatal SIDS mortality decreased significantly across all broad birth weight and gestational age categories. If the decline in the prevalence of prone positioning that has been reported since 1992 has occurred across all birth weight and gestational age, these data support the hypothesis that supine or side sleep positioning is effective in preterm/low birth weight infants as well as term infants.
机译：目的：评估自美国儿科学会关于婴儿定位和SIDS的睡眠定位建议发布以来，出生体重和特定于胎龄的婴儿猝死综合症（SIDS）死亡率的变化。方法：这是一项历史性队列研究，使用了1991年和1995年美国生命统计联系的出生和婴儿死亡证明文件。SIDS死亡被确定为归因于国际疾病分类的第9次修订版代码7980，发生在28日至28日之间。生活的第365天。结果：1991年，SIDS造成的死亡有4871例，新生儿后存活率为1.2 / 1000，1995年为3114例，死亡率为8/1000。这表示从1991年至1995年，新生儿的SIDS死亡率下降了33％。在1991年至1995年之间，出生体重500至999 g，1000至1499 g分组的SIDS比率分别下降了38％，38％，35％和32％。分别为1500至2499 g和> / = 2500 g。体重<500 g的婴儿没有SIDS死亡。 <29周，29至32周，33至36周和> / = 37周的胎龄组的SIDS发生率分别下降了27％，21％，40％和23％。下降速度在不同出生体重或特定胎龄类别之间没有显着差异。黑人：非黑人的新生儿SIDS死亡率从2.00显着增加到2.28，这反映了黑人的出生体重和特定于胎龄的死亡率下降的幅度小于非黑人人口。结论：在所有广泛的出生体重和胎龄类别中，新生儿SIDS死亡率均显着下降。如果自1992年以来报告的俯卧位发生率的下降在所有出生体重和胎龄中均发生，则这些数据支持以下假设：仰卧或侧睡定位对早产/低出生体重的婴儿以及足月儿有效。

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