Document Detail


Factors relating to the infant's last sleep environment in sudden infant death syndrome in the Republic of Ireland.
MedLine Citation:
PMID:  14670769     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIM: To identify risk factors for sudden infant death syndrome (SIDS) in the sleeping environment of Irish infants. METHODS: A five year population based case-control study with parental interviews conducted for each case and three controls matched for age, place of birth, and last sleep period. A total of 203 SIDS cases and 622 control infants born 1994-98 were studied. RESULTS: In a multivariate analysis, co-sleeping significantly increased the risk of SIDS both as a usual practice (adjusted OR 4.31; 95% CI 1.07 to 17.37) and during the last sleep period (adjusted OR 16.47; 95% CI 3.73 to 72.75). The associated risk was dependent on maternal smoking (OR 21.84; 95% CI 2.27 to 209.89), and was not significant for infants who were > or =20 weeks of age (OR 2.63; 95% CI 0.49 to 70.10) or placed back in their own cot/bed to sleep (OR 1.07; 95% CI 0.21 to 5.41). The use of pillows, duvets, and bedding with tog value > or =10 were not significant risk factors when adjusted for the effects of confounding variables, including maternal smoking and social disadvantage. However, the prone sleeping position remains a significant SIDS risk factor, and among infants using soothers, the absence of soother use during the last sleep period also significantly increased the SIDS risk (OR 5.83; CI 2.37 to 14.36). CONCLUSION: Co-sleeping should be avoided in infants who are <20 weeks of age, or whose mothers smoked during pregnancy. The prone position remains a factor in some SIDS deaths, and the relation between soother use and SIDS is a complex variable requiring further study.
Authors:
C McGarvey; M McDonnell; A Chong; M O'Regan; T Matthews
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Archives of disease in childhood     Volume:  88     ISSN:  1468-2044     ISO Abbreviation:  Arch. Dis. Child.     Publication Date:  2003 Dec 
Date Detail:
Created Date:  2003-12-12     Completed Date:  2004-01-13     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  0372434     Medline TA:  Arch Dis Child     Country:  England    
Other Details:
Languages:  eng     Pagination:  1058-64     Citation Subset:  AIM; IM    
Affiliation:
National Sudden Infant Death Register, The Children's Hospital, Temple Street, Dublin 1, Republic of Ireland. isidansr@tsch.ie
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MeSH Terms
Descriptor/Qualifier:
Beds
Case-Control Studies
Crowding
Humans
Infant
Infant Equipment / statistics & numerical data
Ireland / epidemiology
Multivariate Analysis
Pacifiers / statistics & numerical data
Prevalence
Prone Position
Risk Factors
Sleep*
Sudden Infant Death / epidemiology*
Comments/Corrections

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