Document Detail


Apparent life-threatening events and sudden infant death syndrome: comparison of risk factors.
MedLine Citation:
PMID:  18280841     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To compare the risk factors of 153 cases of apparent life-threatening event (ALTE) enrolled in the multicenter Collaborative Home Infant Monitoring Evaluation (CHIME) from 1994 to 1998 with the published risk factors for sudden infant death syndrome (SIDS). STUDY DESIGN: Trained CHIME interviewers gathered histories of infants with ALTE who met the criteria. The following risk factors were analyzed: male predominance, gestational age, low birth weight, very low birth weight, incidence of small for gestational age (SGA), age at the event, multiparity, maternal age, and smoking. Population-based SIDS studies with >100 deaths, focusing on 1 or more pertinent risk factors and carried out during the decade in which CHIME data were collected, were chosen for comparison. RESULTS: One of the 153 infants with ALTE in this study died during follow-up (0.6%). CHIME ALTE differed significantly from SIDS in 4 respects: fewer infants with low birth weight and SGA at birth, fewer teenage pregnancies, and a younger infant age at ALTE. CONCLUSIONS: Although a number of risk factors for ALTE are similar to those for SIDS, the differences warrant a separate focus on ALTE beyond that on SIDS.
Authors:
Nahid Esani; Joan E Hodgman; Nazanin Ehsani; Toke Hoppenbrouwers
Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't     Date:  2007-11-05
Journal Detail:
Title:  The Journal of pediatrics     Volume:  152     ISSN:  1097-6833     ISO Abbreviation:  J. Pediatr.     Publication Date:  2008 Mar 
Date Detail:
Created Date:  2008-02-18     Completed Date:  2008-03-18     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0375410     Medline TA:  J Pediatr     Country:  United States    
Other Details:
Languages:  eng     Pagination:  365-70     Citation Subset:  AIM; IM    
Affiliation:
University of Southern California, Division of Neonatal Medicine, LAC + USC Medical Center, Women's and Children's Hospital, and Children's Hospital Los Angeles, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
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MeSH Terms
Descriptor/Qualifier:
Apnea / diagnosis,  mortality*
Cause of Death*
Cohort Studies
Female
Humans
Infant
Infant Mortality / trends
Infant, Newborn
Infant, Small for Gestational Age*
Male
Maternal Age
Monitoring, Physiologic / methods*
Multicenter Studies as Topic
Parity
Pregnancy
Retrospective Studies
Risk Factors
Sensitivity and Specificity
Sex Factors
Sudden Infant Death / epidemiology,  etiology*
Comments/Corrections
Comment In:
J Pediatr. 2008 Mar;152(3):A2   [PMID:  18280823 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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