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An 8 year study of risk factors for SIDS: bed-sharing versus non-bed-sharing

McGarvey, C ; McDonnell, M ; Hamilton, K ; O’Regan, M ; Matthews, T

Archives of disease in childhood, 2006-04, Vol.91 (4), p.318-323 [Periódico revisado por pares]

London: BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health

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Título:
An 8 year study of risk factors for SIDS: bed-sharing versus non-bed-sharing
Autor: McGarvey, C ; McDonnell, M ; Hamilton, K ; O’Regan, M ; Matthews, T
Assuntos: adjusted odds ratio ; Adult ; AOR ; bed-sharing ; Bedding and Linens ; Beds - statistics & numerical data ; Biological and medical sciences ; birth weight ; Case-Control Studies ; Female ; General aspects ; Humans ; Infant ; Infant Care - methods ; Ireland - epidemiology ; maternal smoking ; Medical sciences ; Miscellaneous ; Original ; overheating ; Parent and child ; Parent-child relations ; Prevention and actions ; Prone Position ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Risk Factors ; SIDS ; Sleep ; Sleeping customs ; Sudden Infant Death - epidemiology ; Sudden Infant Death - etiology ; Sudden infant death syndrome ; Tobacco Smoke Pollution - adverse effects ; unadjusted odds ratio ; UOR
É parte de: Archives of disease in childhood, 2006-04, Vol.91 (4), p.318-323
Notas: ark:/67375/NVC-VSMJ1X7S-P
PMID:16243855
istex:67C58B9E2A16EBF685921E915E2C054564229F12
Correspondence to:  Cliona McGarvey  National Sudden Infant Death Register, George’s Hall, The Children’s University Hospital, Temple St, Dublin 1, Ireland; cliona.mcgarvey@tsch.ie
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Descrição: Background: It is unclear if it is safe for babies to bed share with adults. In Ireland 49% of sudden infant death syndrome (SIDS) cases occur when the infant is bed-sharing with an adult. Objective: To evaluate the effect of bed-sharing during the last sleep period on risk factors for SIDS in Irish infants. Design: An 8 year (1994–2001) population based case control study of 287 SIDS cases and 831 controls matched for date, place of birth, and sleep period. Odds ratios and 95% confidence intervals were calculated by conditional logistic regression. Results: The risk associated with bed-sharing was three times greater for infants with low birth weight for gestation (UOR 16.28 v 4.90) and increased fourfold if the combined tog value of clothing and bedding was ⩾10 (UOR 9.68 v 2.34). The unadjusted odds ratio for bed-sharing was 13.87 (95% CI 9.58 to 20.09) for infants whose mothers smoked and 2.09 (95% CI 0.98 to 4.39) for non-smokers. Age of death for bed-sharing and sofa-sharing infants (12.8 and 8.3 weeks, respectively) was less than for infants not sharing a sleep surface (21.0 weeks, p<0.001) and fewer bed-sharing cases were found prone (5% v 32%; p = 0.001). Conclusion: Risk factors for SIDS vary according to the infant’s sleeping environment. The increased risk associated with maternal smoking, high tog value of clothing and bedding, and low z scores of weight for gestation at birth is augmented further by bed-sharing. These factors should be taken into account when considering sleeping arrangements for young infants.
Editor: London: BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health
Idioma: Inglês

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An 8 year study of risk factors for SIDS: bed-sharing versus non-bed-sharing

McGarvey, C ; McDonnell, M ; Hamilton, K ; O’Regan, M ; Matthews, T

London: BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health

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