Sudden unexpected infant death characteristics in the French region of West Provence-Alpes-Côte d'Azur
Background: Although the incidence of sudden unexpected infant death (SUID) has decreased since the 'Back to Sleep' campaign in English-speaking countries and other preventive campaigns, the circumstances of such deaths remain unclear. Aim: To analyse infant deaths recorded at the referral centre for sudden infant death of the West Provence-Alpes-Côte d'Azur region of France (West PACA) and the forensic medicine department of Marseille University Hospital. Methods: Information on all SUID cases from 2000 to 2017 was extracted from the referral centre for sudden infant deaths in West PACA and the forensic medicine department of Marseille. Results: The study included 130 infants over the 17 years with a very similar distribution. There was a marked male preponderance, with 61.6% of boys whatever the age at death (sex ratio 1.6). Half of the deaths occurred in the first 6 months of life and the majority (61%) of infants died during autumn and winter. Nearly one-third (33.2%) had presented with minor infections and 21% had been seen by a doctor or had been admitted to hospital. Most deaths (86.4%) occurred during sleep (night or day). Nearly half of the infants (47.7%) were discovered in a prone position. A large majority of parents (90.7%) agreed to a post-mortem examination. Only 6.2% of deaths led to legal proceedings. Nearly 16.9% remained unexplained after compiling all the data included in the protocol and 9.2% remained unexplained because of incomplete investigation, including refusal of post-mortem examination. Abuse was involved in 2.3% of cases. Conclusions: Asymptomatic infectious conditions were associated with a high proportion of SUID cases. Non-supine sleep positions were still practised. There is a need to increase SUID prevention campaigns. Abbreviations: HAS, Haute Autorité de Santé: French National Health Authority; NICHD, National Institute of Child Health and Human Development; PACA, Provence-Alpes-Côte d'Azur region of France; SUID, sudden unexpected infant death; SIDS, sudden infant death syndrome; CépiDc, Centre d'Epidémiologie sur les Causes Médicales de Décès/Center for Epidemiology on the Medical Causes of Death.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2019 |
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| Erschienen: |
2019 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:39 |
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| Enthalten in: |
Paediatrics and international child health - 39(2019), 2 vom: 15. Mai, Seite 104-110 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Tuchtan, Lucile [VerfasserIn] |
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| Links: |
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| Themen: |
Epidemiology |
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| Anmerkungen: |
Date Completed 02.01.2020 Date Revised 02.01.2020 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1080/20469047.2018.1533734 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM290155126 |
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| 245 | 1 | 0 | |a Sudden unexpected infant death characteristics in the French region of West Provence-Alpes-Côte d'Azur |
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| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Background: Although the incidence of sudden unexpected infant death (SUID) has decreased since the 'Back to Sleep' campaign in English-speaking countries and other preventive campaigns, the circumstances of such deaths remain unclear. Aim: To analyse infant deaths recorded at the referral centre for sudden infant death of the West Provence-Alpes-Côte d'Azur region of France (West PACA) and the forensic medicine department of Marseille University Hospital. Methods: Information on all SUID cases from 2000 to 2017 was extracted from the referral centre for sudden infant deaths in West PACA and the forensic medicine department of Marseille. Results: The study included 130 infants over the 17 years with a very similar distribution. There was a marked male preponderance, with 61.6% of boys whatever the age at death (sex ratio 1.6). Half of the deaths occurred in the first 6 months of life and the majority (61%) of infants died during autumn and winter. Nearly one-third (33.2%) had presented with minor infections and 21% had been seen by a doctor or had been admitted to hospital. Most deaths (86.4%) occurred during sleep (night or day). Nearly half of the infants (47.7%) were discovered in a prone position. A large majority of parents (90.7%) agreed to a post-mortem examination. Only 6.2% of deaths led to legal proceedings. Nearly 16.9% remained unexplained after compiling all the data included in the protocol and 9.2% remained unexplained because of incomplete investigation, including refusal of post-mortem examination. Abuse was involved in 2.3% of cases. Conclusions: Asymptomatic infectious conditions were associated with a high proportion of SUID cases. Non-supine sleep positions were still practised. There is a need to increase SUID prevention campaigns. Abbreviations: HAS, Haute Autorité de Santé: French National Health Authority; NICHD, National Institute of Child Health and Human Development; PACA, Provence-Alpes-Côte d'Azur region of France; SUID, sudden unexpected infant death; SIDS, sudden infant death syndrome; CépiDc, Centre d'Epidémiologie sur les Causes Médicales de Décès/Center for Epidemiology on the Medical Causes of Death | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Sudden unexpected infant death | |
| 650 | 4 | |a epidemiology | |
| 650 | 4 | |a public health | |
| 650 | 4 | |a sudden infant death syndrome | |
| 700 | 1 | |a Delteil, Clémence |e verfasserin |4 aut | |
| 700 | 1 | |a Levrat, Flore |e verfasserin |4 aut | |
| 700 | 1 | |a Bacquet, Juliette |e verfasserin |4 aut | |
| 700 | 1 | |a Garcia, Patricia |e verfasserin |4 aut | |
| 700 | 1 | |a Fayol, Laurence |e verfasserin |4 aut | |
| 700 | 1 | |a Gorincour, Guillaume |e verfasserin |4 aut | |
| 700 | 1 | |a Zandotti, Christine |e verfasserin |4 aut | |
| 700 | 1 | |a Girard, Nadine |e verfasserin |4 aut | |
| 700 | 1 | |a Drancourt, Michel |e verfasserin |4 aut | |
| 700 | 1 | |a Léonetti, Georges |e verfasserin |4 aut | |
| 700 | 1 | |a Piercecchi Marti, Marie Dominique |e verfasserin |4 aut | |
| 700 | 1 | |a Bartoli, Christophe |e verfasserin |4 aut | |
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