| Head covering and the risk for SIDS: findings from the New Zealand and German SIDS case-control studies. | |
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MedLine Citation:
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PMID: 18519451 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVES: The aim of this investigation was to identify risk factors for being found with the head covered in sudden infant death syndrome cases and determine whether head covering was likely to be an agonal event or potentially part of the causal pathway in some cases. By using the data from 2 sudden infant death syndrome case-control studies, consistency of the findings could be assessed. METHODS: Two case-control studies were assessed: (1) the New Zealand Cot Death Study (1987-1990, 393 sudden infant death syndrome cases) and (2) a German SIDS case-control study (1998-2001, 333 sudden infant death syndrome cases). RESULTS: The proportion of sudden infant death syndrome cases in which infants were found with their head covered was 15.6% in the New Zealand study and 28.1% in the German study. Being found with head covering was associated with older infant age. In both studies, being found with head covering was associated with being very sweaty when found. Head covering was also associated with the incidence and severity of thymic petechiae in both studies. Both the position in which the child was placed to sleep and the position in which the child was found were not associated with head covering. CONCLUSIONS: The finding that sudden infant death syndrome cases in which infants were found with their heads covered were often very sweaty suggests that head covering was not an agonal event and that it preceded the death and may have been causally related to the death. Infants who were found with their head covered were older, which probably reflects motor development. |
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Authors:
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Edwin A Mitchell; John M D Thompson; David M O Becroft; Thomas Bajanowski; Bernd Brinkmann; Arusha Happe; Gerhard Jorch; Peter S Blair; Cristina Sauerland; Mechtild M Vennemann |
Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Pediatrics Volume: 121 ISSN: 1098-4275 ISO Abbreviation: Pediatrics Publication Date: 2008 Jun |
Date Detail:
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Created Date: 2008-06-03 Completed Date: 2008-08-11 Revised Date: 2008-10-21 |
Medline Journal Info:
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Nlm Unique ID: 0376422 Medline TA: Pediatrics Country: United States |
Other Details:
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Languages: eng Pagination: e1478-83 Citation Subset: AIM; IM |
Affiliation:
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University of Auckland, Department of Paediatrics, Private Bag 92019, Auckland, New Zealand. e.mitchell@auckland.ac.nz |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Bedding and Linens Case-Control Studies Germany Head Humans Infant Infant, Newborn New Zealand Risk Factors Sudden Infant Death / epidemiology*, etiology* |
| Comments/Corrections | |
Comment In:
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Pediatrics. 2008 Oct;122(4):909; author reply 909
[PMID:
18829823
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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