Influence of increased survival in very low birth weight, low birth weight, and normal birth weight infants on the incidence of sudden infant death syndrome in the United States: 1985-1991☆,☆☆,★,★★
Section snippets
Data Source
The source of data was the National Center for Health Statistics Birth Cohort Linked Birth/Infant Death Data Sets9, 10, 11, 12, 13, 14, 15 for each year from 1985 through 1991. These data sets are composed of birth and death certificate information on all infants born, as well as those who died, in the United States and its territories. Birth and death certificate linkage was performed at both the state and national levels to confirm accuracy. All infant data were recorded in the year of birth,
Live Births
The study population was made up of 26,866,694 singleton live-born infants with a recorded birth weight of at least 500 g who were born to US residents. They represented 97.4% of the total population born during this period in the United States (Table I).Selection criteria Cumulative No. (%) of population meeting selection criteria Live births 27,578,316 Live births to US residents 27,547,686
Discussion
The relationship of SIDS rates to concurrent increases in infant survival stratified by birth weight has not been reported previously. This study of a discrete data set (identified to eliminate potentially confounding variables) confirms the presence of a significant increase in singleton infant and postneonatal survival (VLBW > LBW > NBW) for the period from 1985 to 1991 in the United States. In contrast to our hypotheses, these data indicate an overall declining trend in SIDS rates (infant
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Cited by (24)
Follow-up recommendations for the late preterm infant
2019, Anales de PediatriaPreterm Delivery and Age of SIDS Death
2006, Annals of EpidemiologyCitation Excerpt :Although there has been a decrease in this risk factor, the rate of preterm births, another important risk factor, has increased. In 1990, a total of 10.6% of infants were preterm (1, 7). By 2002, a total of 12.1% of all infants were preterm, corresponding to almost a half million infants.
Sudden unexpected deaths after discharge from the neonatal intensive care unit
2003, Seminars in NeonatologyA competing risk model of sudden infant death syndrome incidence in two US birth cohorts
2001, Journal of PediatricsCitation Excerpt :These results are consistent with prior studies indicating that African Americans are less likely than non-Hispanic whites or Hispanic/Latinos to sleep supine.4,24,31 Young mothers and mothers with fewer years of completed education appear especially likely to place their infants prone.3,10,32 Improved outreach and clinical interventions are critical to reducing SIDS incidence within these high-risk populations.31
Constrictive asphyxia: A recognizable form of fatal child abuse
2000, Child Abuse and NeglectHead turning and face-down positioning in prone-sleeping premature infants
1999, Journal of Pediatrics
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From the Departments of Pediatrics and Neurosurgery (Biostatistics Unit) at Rush Children’s Hospital, Rush–Presbyterian–St. Luke’s Medical Center, Chicago, Illinois.
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Supported by the Justin Carl Suth SIDS Research Fund.
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Reprint requests: Harold R. Bigger, MD, Rush–Presbyterian–St. Luke’s Medical Center, 1653 W. Congress Parkway, Chicago, IL 60612.
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0022-3476/98/$5.00 + 0 9/21/90624