Prematurity and sudden infant death syndrome

United States 2005-2007

Research output: Contribution to journalArticle

32 Citations (Scopus)

Abstract

Objective:In 1987, the sudden infant death syndrome (SIDS) rate in the United States was 1.2 per 1000 live births. By the year 2005, the SIDS rate had dropped more than half to approximately 0.5 per 1000 live births. In 1987, the risk of SIDS was 2.32 times greater for extremely premature infants compared with term infants. The objective of this analysis was to determine if with the falling SIDS rate there has been a change in the risk for SIDS among preterm infants.Study Design:Data were obtained from the United States Linked Infant Birth and Death Certificate Public User Period files for the years 2005 to 2007. The adjusted odds ratios (ORs) for postneonatal out-of-hospital death by gestational age were determined by logistic regression modeling.Result:Over the 3-year period, there were 5203 postneonatal out-of-hospital deaths attributable to SIDS; 2010 attributable to other sudden deaths; 1270 attributable to suffocation in bed; and 3681 attributable to other causes. The adjusted OR for SIDS among the most preterm infants (24 to 28 weeks gestation) was significantly increased compared with term infants, OR adj =2.57 (95% confidence interval=2.08, 3.17), as were the adjusted ORs for the other causes of sudden infant death.Conclusion:Despite the marked drop in the incidence of SIDS since 1987, the risk for SIDS among preterm infants remains elevated. Other causes of sudden infant death for which SIDS is often mistaken reflect similar levels of increased risk among preterm infants.

Original languageEnglish (US)
Pages (from-to)470-475
Number of pages6
JournalJournal of Perinatology
Volume33
Issue number6
DOIs
StatePublished - Jun 2013

Fingerprint

Sudden Infant Death
Premature Infants
Odds Ratio
Live Birth
Mortality
Accidental Falls
Extremely Premature Infants
Birth Certificates
Death Certificates
Asphyxia
Sudden Death
Gestational Age
Logistic Models

Keywords

  • out-ofhospital deaths
  • postneonatal deaths
  • preterm birth
  • sudden infant death syndrome
  • sudden unexpected death of infancy

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Pediatrics, Perinatology, and Child Health

Cite this

Prematurity and sudden infant death syndrome : United States 2005-2007. / Malloy, Michael.

In: Journal of Perinatology, Vol. 33, No. 6, 06.2013, p. 470-475.

Research output: Contribution to journalArticle

@article{525de60dfd9d46f7ab93025910ea272d,
title = "Prematurity and sudden infant death syndrome: United States 2005-2007",
abstract = "Objective:In 1987, the sudden infant death syndrome (SIDS) rate in the United States was 1.2 per 1000 live births. By the year 2005, the SIDS rate had dropped more than half to approximately 0.5 per 1000 live births. In 1987, the risk of SIDS was 2.32 times greater for extremely premature infants compared with term infants. The objective of this analysis was to determine if with the falling SIDS rate there has been a change in the risk for SIDS among preterm infants.Study Design:Data were obtained from the United States Linked Infant Birth and Death Certificate Public User Period files for the years 2005 to 2007. The adjusted odds ratios (ORs) for postneonatal out-of-hospital death by gestational age were determined by logistic regression modeling.Result:Over the 3-year period, there were 5203 postneonatal out-of-hospital deaths attributable to SIDS; 2010 attributable to other sudden deaths; 1270 attributable to suffocation in bed; and 3681 attributable to other causes. The adjusted OR for SIDS among the most preterm infants (24 to 28 weeks gestation) was significantly increased compared with term infants, OR adj =2.57 (95{\%} confidence interval=2.08, 3.17), as were the adjusted ORs for the other causes of sudden infant death.Conclusion:Despite the marked drop in the incidence of SIDS since 1987, the risk for SIDS among preterm infants remains elevated. Other causes of sudden infant death for which SIDS is often mistaken reflect similar levels of increased risk among preterm infants.",
keywords = "out-ofhospital deaths, postneonatal deaths, preterm birth, sudden infant death syndrome, sudden unexpected death of infancy",
author = "Michael Malloy",
year = "2013",
month = "6",
doi = "10.1038/jp.2012.158",
language = "English (US)",
volume = "33",
pages = "470--475",
journal = "Journal of Perinatology",
issn = "0743-8346",
publisher = "Nature Publishing Group",
number = "6",

}

TY - JOUR

T1 - Prematurity and sudden infant death syndrome

T2 - United States 2005-2007

AU - Malloy, Michael

PY - 2013/6

Y1 - 2013/6

N2 - Objective:In 1987, the sudden infant death syndrome (SIDS) rate in the United States was 1.2 per 1000 live births. By the year 2005, the SIDS rate had dropped more than half to approximately 0.5 per 1000 live births. In 1987, the risk of SIDS was 2.32 times greater for extremely premature infants compared with term infants. The objective of this analysis was to determine if with the falling SIDS rate there has been a change in the risk for SIDS among preterm infants.Study Design:Data were obtained from the United States Linked Infant Birth and Death Certificate Public User Period files for the years 2005 to 2007. The adjusted odds ratios (ORs) for postneonatal out-of-hospital death by gestational age were determined by logistic regression modeling.Result:Over the 3-year period, there were 5203 postneonatal out-of-hospital deaths attributable to SIDS; 2010 attributable to other sudden deaths; 1270 attributable to suffocation in bed; and 3681 attributable to other causes. The adjusted OR for SIDS among the most preterm infants (24 to 28 weeks gestation) was significantly increased compared with term infants, OR adj =2.57 (95% confidence interval=2.08, 3.17), as were the adjusted ORs for the other causes of sudden infant death.Conclusion:Despite the marked drop in the incidence of SIDS since 1987, the risk for SIDS among preterm infants remains elevated. Other causes of sudden infant death for which SIDS is often mistaken reflect similar levels of increased risk among preterm infants.

AB - Objective:In 1987, the sudden infant death syndrome (SIDS) rate in the United States was 1.2 per 1000 live births. By the year 2005, the SIDS rate had dropped more than half to approximately 0.5 per 1000 live births. In 1987, the risk of SIDS was 2.32 times greater for extremely premature infants compared with term infants. The objective of this analysis was to determine if with the falling SIDS rate there has been a change in the risk for SIDS among preterm infants.Study Design:Data were obtained from the United States Linked Infant Birth and Death Certificate Public User Period files for the years 2005 to 2007. The adjusted odds ratios (ORs) for postneonatal out-of-hospital death by gestational age were determined by logistic regression modeling.Result:Over the 3-year period, there were 5203 postneonatal out-of-hospital deaths attributable to SIDS; 2010 attributable to other sudden deaths; 1270 attributable to suffocation in bed; and 3681 attributable to other causes. The adjusted OR for SIDS among the most preterm infants (24 to 28 weeks gestation) was significantly increased compared with term infants, OR adj =2.57 (95% confidence interval=2.08, 3.17), as were the adjusted ORs for the other causes of sudden infant death.Conclusion:Despite the marked drop in the incidence of SIDS since 1987, the risk for SIDS among preterm infants remains elevated. Other causes of sudden infant death for which SIDS is often mistaken reflect similar levels of increased risk among preterm infants.

KW - out-ofhospital deaths

KW - postneonatal deaths

KW - preterm birth

KW - sudden infant death syndrome

KW - sudden unexpected death of infancy

UR - http://www.scopus.com/inward/record.url?scp=84881612145&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84881612145&partnerID=8YFLogxK

U2 - 10.1038/jp.2012.158

DO - 10.1038/jp.2012.158

M3 - Article

VL - 33

SP - 470

EP - 475

JO - Journal of Perinatology

JF - Journal of Perinatology

SN - 0743-8346

IS - 6

ER -