Document Detail

Use of a fan during sleep and the risk of sudden infant death syndrome.
MedLine Citation:
PMID:  18838649     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To examine the relation between room ventilation during sleep and risk of sudden infant death syndrome (SIDS). DESIGN: Population-based case-control study. SETTING: Eleven California counties. PARTICIPANTS: Mothers of 185 infants with a confirmed SIDS diagnosis and 312 randomly selected infants matched on county of residence, maternal race/ethnicity, and age. Intervention Fan use and open window during sleep. Main Outcome Measure Risk of SIDS. RESULTS: Fan use during sleep was associated with a 72% reduction in SIDS risk (adjusted odds ratio [AOR], 0.28; 95% confidence interval [CI], 0.10-0.77). The reduction in SIDS risk seemed more pronounced in adverse sleep environments. For example, fan use in warmer room temperatures was associated with a greater reduction in SIDS risk (AOR, 0.06; 95% CI, 0.01-0.52) compared with cooler room temperatures (0.77; 0.22-2.73). Similarly, the reduction associated with fan use was greater in infants placed in the prone or side sleep position (AOR, 0.14; 95% CI, 0.03-0.55) vs supine (0.84; 0.21-3.39). Fan use was associated with a greater reduction in SIDS risk in infants who shared a bed with an individual other than their parents (AOR, 0.15; 95% CI, 0.01-1.85) vs with a parent (0.40; 0.03-4.68). Finally, fan use was associated with reduced SIDS risk in infants not using pacifiers (AOR, 0.22; 95% CI, 0.07-0.69) but not in pacifier users (1.99; 0.16-24.4). Some differences in the effect of fan use on SIDS risk did not reach statistical significance. CONCLUSION: Fan use may be an effective intervention for further decreasing SIDS risk in infants in adverse sleep environments.
Kimberly Coleman-Phox; Roxana Odouli; De-Kun Li
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Archives of pediatrics & adolescent medicine     Volume:  162     ISSN:  1538-3628     ISO Abbreviation:  Arch Pediatr Adolesc Med     Publication Date:  2008 Oct 
Date Detail:
Created Date:  2008-10-07     Completed Date:  2008-11-04     Revised Date:  2009-05-06    
Medline Journal Info:
Nlm Unique ID:  9422751     Medline TA:  Arch Pediatr Adolesc Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  963-8     Citation Subset:  AIM; IM    
Division of Research, Kaiser Permanente Northern California, Oakland, CA 94612, USA.
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MeSH Terms
Air Movements
Case-Control Studies
Confidence Intervals
Environmental Pollution / prevention & control
Infant, Newborn
Multicenter Studies as Topic
Odds Ratio
Posture / physiology
Reference Values
Risk Assessment
Sensitivity and Specificity
Sleep / physiology*
Sudden Infant Death / epidemiology*,  prevention & control*
Ventilation / methods*
Grant Support
Comment In:
Arch Pediatr Adolesc Med. 2009 May;163(5):490; author reply 490-1   [PMID:  19414701 ]

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

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