A reexamination of the risk factors for the sudden infant death syndrome.
Ambulatory Pediatrics Association. Annual meeting. Seattle WA USA, 1994/05/05.
To determine which risk factors are specific for the sudden infant death syndrome (SIDS) rather than characteristic of postneonatal deaths in general.
The live births and infant death cohorts of the 1988 National Maternal and Infant Health Survey.
Information on live births, deaths from SIDS, and postneonatal deaths from other causes was abstracted from the National Maternal and Infant Health Survey.
To account for oversampling of certain populations, the data were weighted to reflect national counts.
Risk factors were defined as black race, birth weight less than 1500 gm, birth weight less than 2500 gm, gestational age at birth less than 37 weeks, 5-minute Apgar score less than 7, male gender, more than two previous pregnancies, maternal age less than 20 years, maternal education level less than 12 years, multiple births, and maternal smoking during pregnancy.
Odds ratios (ORs) and 95% confidence intervals (Cls) were calculated to compare the SIDS with the live births cohort, infants who died of other causes with the live births cohort, and SIDS with non-SIDS deaths.
Among characteristics generally thought to be risk factors, only maternal smoking during pregnancy was independently associated with SIDS.
Data from this nationally representative sample indicate that if women refrained from smoking while pregnant, up to 30% of SIDS might be prevented.
Mots-clés Pascal : Mort subite, Nourrisson, Homme, Mortalité, Epidémiologie, Etats Unis, Amérique du Nord, Amérique, Facteur risque, Etude cohorte, Tabagisme, Mère, Gestation
Mots-clés Pascal anglais : Sudden death, Infant, Human, Mortality, Epidemiology, United States, North America, America, Risk factor, Cohort study, Tobacco smoking, Mother, Pregnancy
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0404595
Code Inist : 002B11D. Création : 01/03/1996.