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Sudden Unexpected Infant Death in Auckland: a retrospective case review.
MedLine Citation:
PMID:  21332785     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Aim:  To review autopsy reports of all SUDI deaths in the Auckland region, New Zealand, from October 2000 to December 2009. Methods:  Information on all SUDI cases from 2000 to 2009 was extracted from autopsy and police reports from the National Forensic Pathology Service at Auckland Hospital. Results:  Of the 332 post mortems in this period, 221 were classified as SUDI. Of these, 83% were Māori or Pacific infants. The median age at death was 11 weeks and 11% occurred in 7-28 day olds. At the time of death, 64% overall were bedsharing; this was more common in 7-28 day olds (92%). Bedsharing infants were significantly younger at death than non-bedsharing infants (p=0.008). Where sleep position was known, 57% were placed in a non-supine at the last sleep. There was no evidence of diagnostic shift and the prevalence of bedsharing did not change over the decade. Conclusions:  Bedsharing was associated with a high proportion of SUDI cases, especially in the youngest infants, and non-supine sleep positions were common. There is a need to enhance SUDI prevention messages and consider innovative ways of promoting safe sleeping environment and supine sleep position in Māori and Pacific communities.
Authors:
B Lynne Hutchison; Charlotte Rea; Alistair W Stewart; Timothy D Koelmeyer; David C Tipene-Leach; Edwin A Mitchell
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-2-18
Journal Detail:
Title:  Acta paediatrica (Oslo, Norway : 1992)     Volume:  -     ISSN:  1651-2227     ISO Abbreviation:  -     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-2-21     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9205968     Medline TA:  Acta Paediatr     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Acta Paediatrica © 2011 Foundation Acta Paediatrica.
Affiliation:
Department of Paediatrics, The University of Auckland, Auckland, New ZealandThe University of Auckland, Auckland, New ZealandPopulation Health, The University of Auckland, Auckland, New ZealandNational Forensic Pathology Service, Auckland District Health Board, Auckland, New ZealandHeretaunga Health, Hastings, New ZealandDepartment of Paediatrics, The University of Auckland, New Zealand.
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