Can Apnoea Monitors Reduce Mortality in Infants at Increased Risk of Sudden Infant Death Syndrome? A Systematic Review

2011 ◽  
Vol 70 ◽  
pp. 736-736
Author(s):  
E -M Strehle ◽  
S Malone
Keyword(s):  
Systematic Review ◽  
Sudden Infant Death Syndrome ◽  
Infant Death ◽  
Sudden Infant Death ◽  
Sudden Infant ◽  
Increased Risk

Can home monitoring reduce mortality in infants at increased risk of sudden infant death syndrome? A systematic review

2011 ◽  
Vol 101 (1) ◽  
pp. 8-13 ◽  
Author(s):  
Eugen-Matthias Strehle ◽  
William K Gray ◽  
Sharmila Gopisetti ◽  
Jenny Richardson ◽  
Jackie McGuire ◽  
...  
Keyword(s):  
Systematic Review ◽  
Sudden Infant Death Syndrome ◽  
Infant Death ◽  
Home Monitoring ◽  
Sudden Infant Death ◽  
Sudden Infant ◽  
Increased Risk

scholarly journals Association between monoamine oxidase A promoter polymorphism and the risk of sudden infant death syndrome: a meta-analysis

2021 ◽  
Author(s):  
Qiaoxia Zhou ◽  
Daoyin Gong ◽  
Yu Zhang ◽  
Feijun Huang
Keyword(s):  
Monoamine Oxidase ◽  
Sudden Infant Death Syndrome ◽  
Infant Death ◽  
Protective Factor ◽  
Meta Analysis ◽  
Variable Number Tandem Repeat ◽  
Sudden Infant Death ◽  
Monoamine Oxidase A ◽  
Sudden Infant ◽  
Increased Risk

Abstract Introduction The etiology of sudden infant death syndrome (SIDS) remains an unsolved problem. The aim of this meta-analysis is to investigate the potential association between monoamine oxidase A (MAOA) promoter variable number tandem repeat (VNTR) polymorphism and SIDS risk. Methods A systematic review and meta-analysis were conducted on studies from accessible electronic databases. Each VNTR variant was examined in each gender independently by comparing with the pooled results of other alleles. Results A total of six independent case–control studies including 1022 SIDS cases and 1839 controls were enrolled in this meta-analysis. In both of the whole populations and Caucasian populations, male infants with the low-MAOA-expression alleles (2R+3R) were found to exhibit a statistically significant increased risk of SIDS, whereas those with a 4R allele exhibited a reduced risk of SIDS. Besides, an increased risk of SIDS was detected in male Caucasian infants with 2R or 3R alleles. However, none of the allele or genotype variants was associated with SIDS in female victims. Conclusion In male Caucasian infants, the low expression of MAOA promoter VNTR alleles (2R and 3R) is associated with an increased risk of SIDS, and the existence of the 4R allele could be regarded as a protective factor.

Smoking and the Sudden Infant Death Syndrome

PEDIATRICS ◽  
1993 ◽  
Vol 91 (5) ◽  
pp. 893-896 ◽  
Author(s):  
E. A. Mitchell ◽  
R. P. K. Ford ◽  
A. W. Stewart ◽  
B. J. Taylor ◽  
D. M. O. Becroft ◽  
...  
Keyword(s):  
Sudden Infant Death Syndrome ◽  
Infant Death ◽  
Maternal Smoking ◽  
Sudden Infant Death ◽  
Sudden Infant ◽  
Risk Of Death ◽  
Increased Risk ◽  
Wide Range ◽  
Household Members ◽  
Control Study

Objective. Maternal smoking has been shown to be a risk factor for sudden infant death syndrome (SIDS). The effect of smoking by the father and other household members has not previously been examined. Methods. A large nationwide case-control study. Four hundred eighty-five SIDS deaths in the postneonatal age group were compared with 1800 control infants. Results. Infants of mothers who smoked during pregnancy had a 4.09 (95% confidence interval [CI] = 3.28, 5.11) greater risk of death than infants of mothers who did not smoke. Infants of mothers who smoked postnatally also had an increased risk of SIDS compared with infants of nonsmokers and, furthermore, the risk increased with increasing levels of maternal smoking. Smoking by the father and other household members increased the risk (odds ratio [OR] = 2.41, 95% CI = 1.92, 3.02 and OR = 1.54, 95% CI = 1.20, 1.99, respectively). Smoking by the father increased the risk of SIDS if the mother smoked, but had no effect if she did not smoke. In analyses controlled for a wide range of potential confounders, smoking by the mother and father was still significantly associated with an increased risk of SIDS. Conclusion. Passive tobacco smoking is causally related to SIDS.

Sudden Infant Death Syndrome in Twins and Singletons

2007 ◽  
Vol 10 (4) ◽  
pp. 644-648 ◽  
Author(s):  
Peter O. D. Pharoah ◽  
Mary J. Platt
Keyword(s):  
Risk Factor ◽  
Sudden Infant Death Syndrome ◽  
Infant Death ◽  
Low Birthweight ◽  
Sudden Infant Death ◽  
Multiple Births ◽  
Sudden Infant ◽  
Microscopical Examination ◽  
Increased Risk ◽  
Opposite Sex

AbstractTwins compared with singletons and monozygous (MZ) compared with dizygous (DZ) twins are at increased risk of fetal and infant death, cerebral palsy and many congenital anomalies. The aim of this study is to investigate whether zygosity is a risk factor for the sudden infant death syndrome (SIDS). Birth registration data and draft infant death certificates for all multiple births in England and Wales 1993 to 2003 were provided by the Office for National Statistics. As a partial proxy for zygosity, same-sex was compared with opposite-sex twins for birthweight-specific mortality and mortality attributed to SIDS. Data on singleton infants were obtained by subtraction of multiple births from routinely published population births and infant deaths. SIDS mortality among low birthweight infants was significantly less in twins than singletons. The twin-singleton relative risk was reversed in infants of normal birthweight. Among infants of normal birthweight, neonatal SIDS was significantly more common in same- compared with opposite-sex pairs. Among infants of low birthweight, postneonatal SIDS was significantly more common in same- compared with opposite-sex pairs. The difference in birthweight distribution of same- compared with opposite-sex twins for neonatal SIDS suggests that zygosity is a risk factor for SIDS. As congenital cerebral anomalies are a feature of many monozygous twin conceptions, a detailed macro- and microscopical examination of the brain in twin SIDS may indicate an otherwise unrecognised pathology.

Incidence of Recurrence of Sudden Infant Death Syndrome

1993 ◽  
Vol 14 (3) ◽  
pp. 94-116
Keyword(s):  
United States ◽  
Sudden Infant Death Syndrome ◽  
Infant Death ◽  
South Australia ◽  
Sudden Infant Death ◽  
The United States ◽  
Sudden Infant ◽  
Specific Population ◽  
Live Births ◽  
Increased Risk

Incidence figures for sudden infant death syndrome (SIDS) are affected by the specific population being studied, the method of data collection, the way in which the diagnosis is determined, and other variables. The occurrence of SIDS per 100 live births has been estimated to be 1.3 in Norway, 2.1 in South Australia, and 2 to 3 in the United States. Subsequent siblings are at increased risk of SIDS, with estimates ranging from 3.7 times that of the general population to as high as 10 times. Beal et al found that families in South Australia who lost a child older than 12 months of age to SIDS were 11 times more likely to have a subsequent child with SIDS than were families in which the SIDS victim was younger than 1 year of age.

Sleep Parameters and Respiratory Variables in ‘Near Miss’ Sudden Infant Death Syndrome Infants

PEDIATRICS ◽  
1981 ◽  
Vol 68 (3) ◽  
pp. 354-360
Author(s):  
Christian Guilleminault ◽  
Ronald Ariagno ◽  
Rowena Korobkin ◽  
Susan Coons ◽  
Margaret Owen-Boeddiker ◽  
...  
Keyword(s):  
Sudden Infant Death Syndrome ◽  
Infant Death ◽  
Sleep Onset ◽  
Sudden Infant Death ◽  
Near Miss ◽  
Sudden Infant ◽  
Normal Infant ◽  
Respiratory Events ◽  
Increased Risk ◽  
Sleep Parameters

Twenty-nine near miss for sudden infant death syndrome and thirty normal infants between the ages of 3 weeks and 6 months were monitored polygraphically for 24 hours. The distribution of sleep and abnormal respiratory events were analyzed for both groups. On the basis of mixed and obstructive apnea, 12-hour nocturnal segments (8 pm to 8 am) consistently distinguished near miss from normal infant groups between the ages of 3 weeks and 4.5 months. Daytime naps do not provide statistical differences sufficient to differentiate between the two groups. During sleep, abnormal respiratory events are more likely to occur between 1 am and 6 am, at least 40 minutes after sleep onset. Respiratory pauses show a significant increase just prior to waking (a strong respiratory stimulus). Any impairment of the arousal threshold during sleep will place near miss infants at increased risk.

Are Infants With Bronchopulmonary Dysplasia at Risk for Sudden Infant Death Syndrome?

PEDIATRICS ◽  
1994 ◽  
Vol 93 (5) ◽  
pp. 774-777
Author(s):  
Peter H. Gray ◽  
Yvonne Rogers
Keyword(s):  
Birth Weight ◽  
Preterm Infants ◽  
Bronchopulmonary Dysplasia ◽  
Sudden Infant Death Syndrome ◽  
Infant Death ◽  
Sudden Infant Death ◽  
Sudden Infant ◽  
Close Monitoring ◽  
Increased Risk

Objective. To compare the incidence of sudden infant death syndrome (SIDS) and apparent life-threatening event (ALTE) in infants with bronchopulmonary dysplasia (BPD) and birth weight-matched control infants in view of the changing pattern of chronic lung disease of prematurity. Methods. The study population consisted of 78 preterm infants of 26 to 33 weeks gestation who were diagnosed as having BPD and discharged. The 78 control infants were matched with the study infants for birth weight categories. Infants unable to maintain adequate oxygenation without supplemental oxygen when they were feeding well and thriving were discharged on home oxygen. All infants were at least 8 months of age at follow-up and information concerning the occurrence of any ALTE was obtained by direct parent interview. Results. No infant died during the period of follow-up. Seven (8.9%) of the study group compared with eight (10.5%) of the control infants had an ALTE. Three infants (one study, two control infants) were hospitalized for further investigation. No infant discharged on the home oxygen program had an ALTE. Conclusions. The data from this study suggest that preterm infants with BPD are not at increased risk from SIDS compared with preterm infants without this condition. This may be related to close monitoring of the infants' oxygenation status and the provision of home oxygen when appropriate, which should eliminate episodes of unrecognized and untreated hypoxemia. Home monitoring for infants with BPD may not be warranted.

Sudden Infant Death Syndrome in Infants Evaluated by Apnea Programs in California

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 ◽  
...  
Keyword(s):  
Sudden Infant Death Syndrome ◽  
Infant Death ◽  
Home Monitoring ◽  
Sudden Infant Death ◽  
Sudden Infant ◽  
Term Infants ◽  
Technical Errors ◽  
Nonaccidental Trauma ◽  
Increased Risk ◽  
Home Monitor

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.

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