Are the risk factors for SIDS different for preterm and term infants?
Background: Mortality from SIDS has declined since the recommendation that infants are not placed prone to sleep. SIDS mortality is higher in infants born preterm than those born at term. Aim: To determine if risk factors for SIDS are any different for preterm and term infants. Methods: Mortality da...
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| Veröffentlicht in: | Archives of disease in childhood 2006-02, Vol.91 (2), p.107-111 |
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| creator | Thompson, J M D Mitchell, E A |
| description | Background: Mortality from SIDS has declined since the recommendation that infants are not placed prone to sleep. SIDS mortality is higher in infants born preterm than those born at term. Aim: To determine if risk factors for SIDS are any different for preterm and term infants. Methods: Mortality data over time were used to determine whether the reduction in SIDS mortality rates had occurred equally in term and preterm infants. Data from two New Zealand studies (a case-control study and a case-cohort study) were used to determine if any differences existed in risk factors for SIDS between term and preterm infants before and after the SIDS prevention campaign. Results: SIDS mortality appears to have decreased by similar proportions in term and preterm infants. Risk factors for SIDS were similar in preterm and term infants, except for parity where there was a significant interaction. Increasing parity was a risk factor for SIDS in term infants but not preterm infants. Conclusion: SIDS rates have decreased at comparable rates in term and preterm infants, but preterm birth still remains a risk factor for SIDS. The magnitude of the odds ratios associated with modifiable risk factors were similar for both groups. There may however be a difference in risk associated with parity between term and preterm infants. The messages for risk factors for SIDS are applicable to mothers of preterm as well as term infants. |
| doi_str_mv | 10.1136/adc.2004.071167 |
| format | Article |
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SIDS mortality is higher in infants born preterm than those born at term. Aim: To determine if risk factors for SIDS are any different for preterm and term infants. Methods: Mortality data over time were used to determine whether the reduction in SIDS mortality rates had occurred equally in term and preterm infants. Data from two New Zealand studies (a case-control study and a case-cohort study) were used to determine if any differences existed in risk factors for SIDS between term and preterm infants before and after the SIDS prevention campaign. Results: SIDS mortality appears to have decreased by similar proportions in term and preterm infants. Risk factors for SIDS were similar in preterm and term infants, except for parity where there was a significant interaction. Increasing parity was a risk factor for SIDS in term infants but not preterm infants. Conclusion: SIDS rates have decreased at comparable rates in term and preterm infants, but preterm birth still remains a risk factor for SIDS. The magnitude of the odds ratios associated with modifiable risk factors were similar for both groups. There may however be a difference in risk associated with parity between term and preterm infants. The messages for risk factors for SIDS are applicable to mothers of preterm as well as term infants.</description><identifier>ISSN: 0003-9888</identifier><identifier>EISSN: 1468-2044</identifier><identifier>DOI: 10.1136/adc.2004.071167</identifier><identifier>PMID: 15871984</identifier><identifier>CODEN: ADCHAK</identifier><language>eng</language><publisher>London: BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health</publisher><subject>Age ; Alcohol ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Babies ; Biological and medical sciences ; Birth weight ; Breastfeeding & lactation ; Caffeine ; Case-Control Studies ; Emergency and intensive care: neonates and children. Prematurity. Sudden death ; Ethnicity ; Female ; Gender ; General aspects ; Gestational Age ; Health aspects ; Health risk assessment ; Humans ; Infant ; Infant Care - methods ; Infant, Newborn ; Infant, Premature ; Infants ; Infants (Premature) ; Intensive care medicine ; Logistics ; Marital status ; Medical sciences ; Miscellaneous ; Mortality ; Multivariate analysis ; New Zealand - epidemiology ; Obstetrics ; Original ; Parity ; Posture ; Pregnancy ; Premature birth ; Premature Infants ; Prenatal care ; preterm ; Prevention ; Prevention and actions ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Risk Factors ; SIDS ; Sleep ; Sleep positions ; Sociodemographics ; Socioeconomic factors ; Studies ; Sudden Infant Death - epidemiology ; Sudden Infant Death - etiology ; Sudden Infant Death - prevention & control ; Sudden infant death syndrome ; Term Birth ; Urinary tract diseases ; Urinary tract infections ; Urogenital system ; Variables ; Young Children</subject><ispartof>Archives of disease in childhood, 2006-02, Vol.91 (2), p.107-111</ispartof><rights>Copyright 2006 Archives of Disease in Childhood</rights><rights>2006 INIST-CNRS</rights><rights>Copyright: 2006 Copyright 2006 Archives of Disease in Childhood</rights><rights>Copyright ©2006 BMJ Publishing Group & Royal College of Paediatrics and Child Health</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b591t-687df996701fa25e08716b1c3050924fe5da15044259eb9a2542b2118872bd5d3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttp://adc.bmj.com/content/91/2/107.full.pdf$$EPDF$$P50$$Gbmj$$H</linktopdf><linktohtml>$$Uhttp://adc.bmj.com/content/91/2/107.full$$EHTML$$P50$$Gbmj$$H</linktohtml><link.rule.ids>114,115,230,314,723,776,780,881,3183,23550,27901,27902,53766,53768,77343,77374</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=17426613$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15871984$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Thompson, J M D</creatorcontrib><creatorcontrib>Mitchell, E A</creatorcontrib><creatorcontrib>New Zealand Cot Death Study Group</creatorcontrib><title>Are the risk factors for SIDS different for preterm and term infants?</title><title>Archives of disease in childhood</title><addtitle>Arch Dis Child</addtitle><description>Background: Mortality from SIDS has declined since the recommendation that infants are not placed prone to sleep. SIDS mortality is higher in infants born preterm than those born at term. Aim: To determine if risk factors for SIDS are any different for preterm and term infants. Methods: Mortality data over time were used to determine whether the reduction in SIDS mortality rates had occurred equally in term and preterm infants. Data from two New Zealand studies (a case-control study and a case-cohort study) were used to determine if any differences existed in risk factors for SIDS between term and preterm infants before and after the SIDS prevention campaign. Results: SIDS mortality appears to have decreased by similar proportions in term and preterm infants. Risk factors for SIDS were similar in preterm and term infants, except for parity where there was a significant interaction. Increasing parity was a risk factor for SIDS in term infants but not preterm infants. Conclusion: SIDS rates have decreased at comparable rates in term and preterm infants, but preterm birth still remains a risk factor for SIDS. The magnitude of the odds ratios associated with modifiable risk factors were similar for both groups. There may however be a difference in risk associated with parity between term and preterm infants. The messages for risk factors for SIDS are applicable to mothers of preterm as well as term infants.</description><subject>Age</subject><subject>Alcohol</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Babies</subject><subject>Biological and medical sciences</subject><subject>Birth weight</subject><subject>Breastfeeding & lactation</subject><subject>Caffeine</subject><subject>Case-Control Studies</subject><subject>Emergency and intensive care: neonates and children. Prematurity. Sudden death</subject><subject>Ethnicity</subject><subject>Female</subject><subject>Gender</subject><subject>General aspects</subject><subject>Gestational Age</subject><subject>Health aspects</subject><subject>Health risk assessment</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant Care - methods</subject><subject>Infant, Newborn</subject><subject>Infant, Premature</subject><subject>Infants</subject><subject>Infants (Premature)</subject><subject>Intensive care medicine</subject><subject>Logistics</subject><subject>Marital status</subject><subject>Medical sciences</subject><subject>Miscellaneous</subject><subject>Mortality</subject><subject>Multivariate analysis</subject><subject>New Zealand - epidemiology</subject><subject>Obstetrics</subject><subject>Original</subject><subject>Parity</subject><subject>Posture</subject><subject>Pregnancy</subject><subject>Premature birth</subject><subject>Premature Infants</subject><subject>Prenatal care</subject><subject>preterm</subject><subject>Prevention</subject><subject>Prevention and actions</subject><subject>Public health. Hygiene</subject><subject>Public health. 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SIDS mortality is higher in infants born preterm than those born at term. Aim: To determine if risk factors for SIDS are any different for preterm and term infants. Methods: Mortality data over time were used to determine whether the reduction in SIDS mortality rates had occurred equally in term and preterm infants. Data from two New Zealand studies (a case-control study and a case-cohort study) were used to determine if any differences existed in risk factors for SIDS between term and preterm infants before and after the SIDS prevention campaign. Results: SIDS mortality appears to have decreased by similar proportions in term and preterm infants. Risk factors for SIDS were similar in preterm and term infants, except for parity where there was a significant interaction. Increasing parity was a risk factor for SIDS in term infants but not preterm infants. Conclusion: SIDS rates have decreased at comparable rates in term and preterm infants, but preterm birth still remains a risk factor for SIDS. The magnitude of the odds ratios associated with modifiable risk factors were similar for both groups. There may however be a difference in risk associated with parity between term and preterm infants. The messages for risk factors for SIDS are applicable to mothers of preterm as well as term infants.</abstract><cop>London</cop><pub>BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health</pub><pmid>15871984</pmid><doi>10.1136/adc.2004.071167</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Age Alcohol Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Babies Biological and medical sciences Birth weight Breastfeeding & lactation Caffeine Case-Control Studies Emergency and intensive care: neonates and children. Prematurity. Sudden death Ethnicity Female Gender General aspects Gestational Age Health aspects Health risk assessment Humans Infant Infant Care - methods Infant, Newborn Infant, Premature Infants Infants (Premature) Intensive care medicine Logistics Marital status Medical sciences Miscellaneous Mortality Multivariate analysis New Zealand - epidemiology Obstetrics Original Parity Posture Pregnancy Premature birth Premature Infants Prenatal care preterm Prevention Prevention and actions Public health. Hygiene Public health. Hygiene-occupational medicine Risk Factors SIDS Sleep Sleep positions Sociodemographics Socioeconomic factors Studies Sudden Infant Death - epidemiology Sudden Infant Death - etiology Sudden Infant Death - prevention & control Sudden infant death syndrome Term Birth Urinary tract diseases Urinary tract infections Urogenital system Variables Young Children |
| title | Are the risk factors for SIDS different for preterm and term infants? |
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