Document Detail

Studying sudden and unexpected infant deaths in a time of changing death certification and investigation practices: evaluating sleep-related risk factors for infant death in new york city.
MedLine Citation:
PMID:  20177757     Owner:  NLM     Status:  In-Data-Review    
We describe an approach for quantifying and characterizing the extent to which sudden and unexpected infant deaths (SUIDs) result from unsafe sleep environments (e.g., prone position, bedsharing, soft bedding); and present data on sleep-related infant deaths in NYC. Using a combination of vital statistics and medical examiner data, including autopsy and death scene investigation findings, we analyzed any death due to accidental threat to breathing (ATB) (ICD-10 W75 & W84), and deaths of undetermined intent (UND) (Y10-Y34) between 2000 and 2003 in NYC for the presence of sleep-related factors (SRF). Homicide deaths were excluded as were SIDS, since in NYC SIDS is not a certification option if environmental factors were possibly contributors to the death. All 19 ATB and 69 (75%) UND had SRFs as per the OCME investigation. Black infants and infants born to teen mothers had higher SRF death rates for both ATB and UND deaths. Bedsharing was the most common SRF (53%-ATB; 72%-UND deaths); the majority of non-bedsharing infants were found in the prone position (60%-ATB; 78%-UND deaths). We found a high prevalence of SRFs among ATB and UND deaths. This is the first local study to illustrate the importance of knowing how SUIDs are certified in order to ascertain the prevalence of infant deaths with SRFs. Advancing the research requires clarity on the criteria used by local medical examiners to categorize SUIDs. This will help jurisdictions interpret their infant mortality statistics, which in turn will improve education and prevention efforts.
Lindsay Senter; Judith Sackoff; Kristen Landi; Lorraine Boyd
Related Documents :
15497227 - The dead donor rule: lessons from linguistics?
10560307 - Avalanche deaths in the united states: a 45-year analysis.
25424407 - Socioeconomic status affects oral and manual exploration across the first year.
12547377 - Peritraumatic dissociation and ptsd severity: do event-related fears about death and co...
12837867 - Morbidity patterns among low-income wheezing infants.
24709457 - Iugr and infections.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Maternal and child health journal     Volume:  15     ISSN:  1573-6628     ISO Abbreviation:  Matern Child Health J     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-01-25     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9715672     Medline TA:  Matern Child Health J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  242-8     Citation Subset:  IM    
New York City Department of Health and Mental Hygiene, Bureau of Maternal, Infant and Reproductive Health, 2 Lafayette Street, 18th Floor, 34-A, New York, NY, 10007, USA,
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

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

Previous Document:  Socioeconomic disparities in ectopic pregnancy: predictors of adverse outcomes from Illinois hospita...
Next Document:  T-helper 1, T-helper 2, and T-regulatory cytokines gene polymorphisms in irritable bowel syndrome.