Document Detail


Pacifier use and sudden infant death syndrome: results from the CESDI/SUDI case control study. CESDI SUDI Research Team.
MedLine Citation:
PMID:  10490514     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: To investigate the relation between pacifier use and sudden infant death syndrome (SIDS). DESIGN: Three year population based, case control study with parental interviews for each death and four age matched controls. SETTING: Five regions in England (population > 17 million). SUBJECTS: 325 infants who had died from SIDS and 1300 control infants. RESULTS: Significantly fewer SIDS infants (40%) than controls (51%) used a pacifier for the last/reference sleep (univariate odds ratio (OR), 0.62; 95% confidence interval (CI), 0.46 to 0.83) and the difference increased when controlled for other factors (multivariate OR, 0.41; 95% CI, 0. 22 to 0.77). However, the proportion of infants who had ever used a pacifier for day (66% SIDS v 66% controls) or night sleeps (61% SIDS v 61% controls) was identical. The association of a risk for SIDS infants who routinely used a pacifier but did not do so for the last sleep became non-significant when controlled for socioeconomic status (bivariate OR, 1.39 (0.93 to 2.07)). CONCLUSIONS: Further epidemiological evidence and physiological studies are needed before pacifier use can be recommended as a measure to reduce the risk of SIDS.
Authors:
P J Fleming; P S Blair; K Pollard; M W Platt; C Leach; I Smith; P J Berry; J Golding
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Archives of disease in childhood     Volume:  81     ISSN:  1468-2044     ISO Abbreviation:  Arch. Dis. Child.     Publication Date:  1999 Aug 
Date Detail:
Created Date:  1999-10-18     Completed Date:  1999-10-18     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  0372434     Medline TA:  Arch Dis Child     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  112-6     Citation Subset:  AIM; IM    
Affiliation:
FSID Unit, Department of Child Health, Developmental Physiology, Royal Hospital for Children, St Michael's Hill, Bristol BS2 8BJ, UK. peter.fleming@bris.ac.uk
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MeSH Terms
Descriptor/Qualifier:
Breast Feeding
Case-Control Studies
Cause of Death
England / epidemiology
Humans
Infant
Infant Care*
Infant, Newborn
Odds Ratio
Posture / physiology
Risk Factors
Sleep
Social Class
Sudden Infant Death / etiology*
Comments/Corrections
Comment In:
Arch Dis Child. 2000 Mar;82(3):267   [PMID:  10722413 ]

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


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