Polysomnographic studies and home monitoring of siblings of SIDS victims and of infants with no family history of sudden infant death

1986 ◽  
Vol 145 (5) ◽  
pp. 351-356 ◽  
Author(s):  
A. Kahn ◽  
D. Blum ◽  
L. Montauk
2005 ◽  
Vol 8 (3) ◽  
pp. 307-319 ◽  
Author(s):  
Henry F Krous ◽  
Amy E. Chadwick ◽  
Laura Crandall ◽  
Julie M. Nadeau-Manning

Sudden unexplained death in childhood (SUDC) is rare, with a reported incidence in the United States of 1.5 deaths per 100,000 live births compared with 56 deaths per 100,000 live births for sudden infant death syndrome in 2001. The objectives of this study include a proposal for a general definition for SUDC and presentation of 36 cases of SUDC and 14 cases of sudden unexpected death in childhood. Cases were accrued through referrals or unsolicited via our Web page ( www.sudc.org ). Our analyses tentatively suggest a SUDC profile characterized by cases being 1 to 3 years in age, predominantly male, and frequently having a personal and family history of seizures that are often associated with a fever. A history of recent minor head trauma is not uncommon. They are usually born at term as singletons and occasionally have a family history of sudden infant death syndrome or SUDC. Most are found prone, often with their face straight down into the sleep surface. Minor findings are commonly seen at postmortem examination but do not explain their deaths. Comprehensive review of the medical history and circumstances of death and performance of a complete postmortem examination including ancillary studies and extensive histologic sampling of the brain are critical in determining the cause of death in these cases of sudden unexpected childhood death. Legislation enabling research and formation of a multicenter research team is recommended to unravel the mystery of SUDC.


1996 ◽  
Vol 39 ◽  
pp. 281-281
Author(s):  
Yolande Smith ◽  
Deborah Hoy ◽  
Ildiko Kunos ◽  
Maureen R Owens ◽  
Leslie Layne

PEDIATRICS ◽  
1978 ◽  
Vol 61 (4) ◽  
pp. 665-666
Author(s):  
J. F. L.

British police no longer answer burglar-alarm calls with enthusiasm. Who can blame them? Statistics indicate that 98.8% of automatic burglar-alarm calls are false. It is estimated that false alarms are costing British taxpayers $36 million a year.1 What connection does this observation have with pediatrics? The article by Kelly et al. in this issue (p. 511) recommends home monitoring with apnea alarms to perhaps abort the sudden infant death syndrome (SIDS) in a group of infants judged to be at risk. I can't help but wonder about the "cost" of false alarms in this situation and in the intensive care nursery, where their use is universal.


1991 ◽  
Vol 12 (3) ◽  
pp. 319-323 ◽  
Author(s):  
Genevieve Veereman-Wauters ◽  
Andre Bochner ◽  
Micheline Van Caillie-Bertrand

2021 ◽  
pp. 57-75
Author(s):  
David Rettew

This chapter will describe the long and fascinating battle over sleep training. It covers topics like “Ferberization” and other sleep training techniques and how to use them. Data on both the effectiveness of these methods and whether or not they can cause long-term harm will be presented. The chapter will also outline and explain the official position against infant bed-sharing, not from a focus on attachment but based on the prevention of sudden infant death syndrome. The “it depends” aspect of this chapter will explain that children have different innate sleeping abilities and how differences in child temperament and history of trauma may require parents to consider alternate sleep approaches.


PEDIATRICS ◽  
1986 ◽  
Vol 77 (4) ◽  
pp. 451-458 ◽  
Author(s):  
Sally L. Davidson Ward ◽  
Thomas G. Keens ◽  
Linda S. Chan ◽  
Bradley E. Chipps ◽  
Stephen H. Carson ◽  
...  

Home apnea/bradycardia monitoring is frequently used in the management of infants at increased risk for sudden infant death syndrome (SIDS). However, some infants have died despite evaluation by infant apnea programs, and the benefits of home monitoring remain unproven. To determine the SIDS rate and risk factors of infants evaluated by infant apnea programs, 31 apnea programs and ten home monitor vendors in California were surveyed. Eleven (35%) of the apnea programs and four (40%) of the vendors responded. Information was obtained on 26 infants who died. Thirteen (50%) deaths were due to SIDS. Abnormal sleep studies did not predict death. Fifteen infants died despite a recommendation for home monitoring. Seven deaths occurred in association with technical errors or noncompliance with monitoring. Four deaths were due to nonaccidental trauma. The apnea programs evaluated 3,406 infants during a 5-year period; 1,841 had monitoring recommended. Term infants with apnea, subsequent siblings of SIDS victims, and infants evaluated at referral centers were more likely to have monitoring recommended than premature infants with apnea or infants evaluated at nonreferral centers (P < .0001). Infants who had monitoring recommended were at equal risk of dying of SIDS as those who did not.


2020 ◽  
Vol 36 (2) ◽  
pp. 310-317
Author(s):  
Brittany Cowgill

In the late 19th century, physicians in the United States and Europe grew concerned about an increasingly visible subset of infant mortality: sudden infant death. Over the next 100 years, physicians worked variably to combat the problem, modifying and refining their conceptions of sudden infant mortality many times over the process. Physicians’ overlapping revisions of sudden infant mortality ultimately helped to produce the categorization of Sudden Infant Death Syndrome (SIDS), and their ensuing, fluctuating efforts to resolve this problem shed light on social and medical perceptions of the roles that biology, the environment, and infant care practices played in sudden infant death. SIDS’s official medical classification was a watershed; not only did the formal medical label establish its “authenticity” as a medical phenomenon, but the label also asserted the inexplicability of (at least some) sudden infant death episodes while simultaneously conveying that affected parents were deserving victims of a tragic loss. In the modern history of sudden infant death in the United States, breastfeeding, in particular, was understood variably as a possible cause for unnecessary infant mortality in the decades surrounding 1900; inconsequential to the occurrence of SIDS in the mid 1900s; and finally as an important and healthful way to reduce the risk for SIDS beginning in the late 1900s.


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