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Evidenze sulla SIDS

THE EVIDENCE ON SIDS

ROBERTO BUZZETTI1,LUCA RONFANI2

1CeVEAS, Centro per la Valutazione dell’Efficacia dell’Assistenza Sanitaria, Modena
2Unità per la Ricerca sui Servizi Sanitari e la Cooperazione Internazionale, IRCCS “Burlo Garofolo”, Trieste

Aprile 2000 - pagg. 223 -233

Abstract
Although current data may be not accurate due to absence of a national register, SIDS is the the main cause of death in infants after the first month in Italy, with an estimated incidence around 0.5 per thousand live births.The Authors summarise the available evidence on the main risk factors (prone position during sleep, environmental tobacco smoke, bed sharing, inappropriate use of blankets and Q-T prolongation) and propose a multifactorial causal model that include genetic environmental and behavioural factors. Those factors are emphasised that appear to be modifiable by preventive interventions. Among these, the back to sleep educational campaign was shown to be effective in reducing SIDS by over 40% in the USA, and should be the key component of a multifactorial preventive.
Parole chiave
allungamento dell'intervallo QT Child health Preventive programmes programmi di prevenzione programmi preventivi Q-T prolongation salute del bambino salute pediatrica Screening SIDS
Suggerite dall'AI
Environmental Tobacco Smoke Fumo di tabacco ambientale Long QT Syndrome Risk Factors
Classificazione MeSH
Congenital, Hereditary, and Neonatal Diseases and Abnormalities Congenital Abnormalities Cardiovascular Abnormalities Heart Defects, Congenital Long QT Syndrome (18)
Health Care Quality, Access, and Evaluation Quality of Health Care Health Care Evaluation Mechanisms Data Collection Surveys and Questionnaires Health Surveys
Musculoskeletal and Neural Physiological Phenomena Musculoskeletal Physiological Phenomena Posture Prone Position (12)
Health Care Quality, Access, and Evaluation Quality of Health Care Health Care Evaluation Mechanisms Statistics as Topic Probability Risk
Pathological Conditions, Signs and Symptoms Pathologic Processes Death Death, Sudden Sudden Infant Death (59)
Musculoskeletal and Neural Physiological Phenomena Musculoskeletal Physiological Phenomena Posture Supine Position (19)
Environment and Public Health Public Health Environmental Pollution Air Pollution Tobacco Smoke Pollution (26)
Leggi anche
EL Pediatria per l'ospedale
Sindrome della morte improvvisa del lattante (SIDS) (prima parte)
G. Bartolozzi · 2009
Prone Position, Supine Position, Risk Factors, Sudden Infant Death
RI Editoriali
SIDS, posizione nel sonno e plagiocefalia
F. Marchetti · 2002
Prone Position, Supine Position, Risk Factors, Sudden Infant Death
RI Lettere
Neonati e lattanti messi a dormire con la testa sollevata? anche no, per favore
· 2022
Supine Position, Sudden Infant Death
RI Editoriali
La morte improvvisa, Medico e Bambino e altre storie
F. Panizon · 1998
Prone Position, Long QT Syndrome, Risk Factors, Sudden Infant Death
RI Ricerca
Posizione prona, rischio di SIDS, e consigli del pediatra
C. Rosso, M. Russo, M.G. Cammarota, M. Baserga · 1998
Prone Position, Supine Position, Sudden Infant Death
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Bibliografia
1. SIDS. Morte improvvisa del lattante. Istituzioni, cultura e comunità. Atti del I convegno nazionale, Firenze, 25/26 febbraio 1994. A cura di GP Donzelli e R Piumelli.
2. American Academy of Pediatrics (AAP) - Task Force on Infant Positioning and SIDS: Positioning and SIDS. Pediatrics 1992; 89:1120-6.
3. Rosso C, Russo M, Cammarota MG, Baserga M. Posizione prona, rischio di SIDS e consigli del pediatra. Medico e Bambino 1998;1:31-4.
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5. Øyen N, Markestad T, Skjærven R, et al. Combined effects of sleeping position and prenatal risk factors in sudden infant death syndrome: The Nordic Epidemiological SIDS Study. Pediatrics 1997;100:613-21.
6. Dwyer T, Ponsonby AL, Couper D, Cochrane J. Short-term morbidity and infant mortality among infants who slept supine at 1 month of age - a follow-up report. Paediatr Perinat Epidemiol 1999;13:302-15.
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9. Blair PS, Fleming PJ, Smith IJ, et al. Babies sleeping with parents: case-control study of factors influencing the risk of the sudden infant death syndrome. CESDI SUDI research group. BMJ 1999;4;319:1457-61.
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