Factors Associated With Sudden Unexpected Postnatal Collapse.

IF 6.2 2区医学 Q1 PEDIATRICS

Pediatrics Pub Date : 2024-11-01 DOI:10.1542/peds.2024-067043F

Jeffrey D Colvin, Esther Shaw, Matt Hall, Rachel Y Moon

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引用次数: 0

Abstract

Background: Sudden unexpected postnatal collapse (SUPC) is a category of sudden unexpected infant death (SUID), limited to previously well infants born at ≥34 weeks' gestation who die suddenly and unexpectedly at ≤6 days of age. We compared SUPC risk factors to SUID at older ages.

Methods: We conducted a retrospective cross-sectional study of 2010-2020 SUID deaths in the National Fatality Review Case Reporting System, excluding SUPC occurring in the birth hospital. Our main outcome was age at death: ≤6 days (SUPC) versus occurring from 7 days old but not having reached their first birthday. We performed multivariable logistic regression using stepwise selection.

Results: Of 6051 SUID deaths, 98 (1.6%) were SUPC. The median SUPC age was 4 days. A higher percentage of SUPC deaths occurred with surface sharing (73.5% versus 59.6%; odds ratio, 2.74 [1.59-4.73]). Infants who died of SUPC had higher odds of a mother ≥40 years (adjusted odds ratio [aOR], 13.1 [95% confidence interval [CI], 3.3-51.4]), being the first live birth (aOR, 4.0 [95% CI, 2.4-6.9]), being swaddled (aOR, 2.7 [95% CI, 1.7-4.1]), and of dying after their caregiver fell asleep while feeding (aOR, 2.6 [95% CI, 1.6-4.4]).

Conclusions: Common SUID risk factors, including surface sharing and prone position, were present in SUPC deaths. However, compared with SUID at older ages, SUPC was associated with older and primiparous mothers, swaddling, and the caregiver falling asleep while feeding the infant. Clinicians should reinforce all American Academy of Pediatrics' safe sleep recommendations and provide guidance regarding situations when parents may fall asleep during a feeding.

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与产后猝死有关的因素

背景：产后意外猝死（SUPC）是婴儿意外猝死（SUID）的一个类别，仅限于妊娠≥34周时出生但之前状况良好的婴儿在出生后≤6天时突然意外死亡。我们将 SUPC 的风险因素与较大年龄的 SUID 进行了比较：我们对国家死亡评审病例报告系统（National Fatality Review Case Reporting System）中 2010-2020 年的 SUID 死亡病例进行了一项回顾性横断面研究，其中不包括在分娩医院发生的 SUPC。我们的主要结果是死亡时的年龄：≤6 天（SUPC）与出生 7 天但未满一周岁。我们采用逐步选择法进行了多变量逻辑回归：在 6051 例 SUID 死亡病例中，98 例（1.6%）为 SUPC。SUPC的中位年龄为4天。表面共用导致的 SUPC 死亡比例较高（73.5% 对 59.6%；几率比 2.74 [1.59-4.73]）。死于 SUPC 的婴儿的母亲年龄≥40 岁（调整赔率比 [aOR]，13.1 [95% 置信区间 [CI]，3.3-51.4]）、首次活产（aOR，4.结论：结论：SUPC死亡病例中存在常见的SUID风险因素，包括共用体表和俯卧位。然而，与年龄较大的 SUID 相比，SUPC 与年龄较大的初产母亲、襁褓和护理人员在喂养婴儿时睡着有关。临床医生应加强美国儿科学会的所有安全睡眠建议，并就父母可能在喂养婴儿时睡着的情况提供指导。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pediatrics 医学-小儿科

CiteScore

12.80

自引率

5.00%

发文量

791

审稿时长

2-3 weeks

期刊介绍： The Pediatrics® journal is the official flagship journal of the American Academy of Pediatrics (AAP). It is widely cited in the field of pediatric medicine and is recognized as the leading journal in the field. The journal publishes original research and evidence-based articles, which provide authoritative information to help readers stay up-to-date with the latest developments in pediatric medicine. The content is peer-reviewed and undergoes rigorous evaluation to ensure its quality and reliability. Pediatrics also serves as a valuable resource for conducting new research studies and supporting education and training activities in the field of pediatrics. It aims to enhance the quality of pediatric outpatient and inpatient care by disseminating valuable knowledge and insights. As of 2023, Pediatrics has an impressive Journal Impact Factor (IF) Score of 8.0. The IF is a measure of a journal's influence and importance in the scientific community, with higher scores indicating a greater impact. This score reflects the significance and reach of the research published in Pediatrics, further establishing its prominence in the field of pediatric medicine.