Risk and Preventive Factors for SUDI: Need We Adjust the Current Prevention Advice in a Low-Incidence Country.

Autor:	Kanits F; Department of Human Nutrition and Health, Wageningen University, Wageningen, Netherlands., L'Hoir MP; Department of Human Nutrition and Health, Wageningen University, Wageningen, Netherlands.; Community Health Center, GGD Noord-Oost-Gelderland, Warnsveld, Netherlands., Boere-Boonekamp MM; Department of Health Technology & Services Research, University of Twente, Enschede, Netherlands., Engelberts AC; Department of Pediatrics, Zuyderland Medical Center, Sittard-Geleen, Netherlands., Feskens EJM; Department of Human Nutrition and Health, Wageningen University, Wageningen, Netherlands.
Jazyk:	angličtina
Zdroj:	Frontiers in pediatrics [Front Pediatr] 2021 Nov 16; Vol. 9, pp. 758048. Date of Electronic Publication: 2021 Nov 16 (Print Publication: 2021).
DOI:	10.3389/fped.2021.758048
Abstrakt:	Background: The incidence of Sudden Unexpected Death in Infancy (SUDI) is low in the Netherlands, with an incidence rate of 0.18 per 1,000 live births. Therefore, prevention advice may receive less attention, potentially leading to increasing incidence rates. It is currently unknown whether the risks for SUDI changed in the Netherlands, and if other risk factors might be present. The aim of this study was to examine the current risks and preventive factors for SUDI in Dutch infants, in order to determine if it is necessary to adapt the prevention advice toward the current needs. Methods: A case-control study was conducted comparing SUDI cases aged <12 months from 2014-2020 in the Netherlands ( n = 47), to a Dutch national survey control group from 2017 including infants <12 months of age ( n = 1,192). Results: Elevated risks for several well-known factors were observed, namely: duvet use (aOR = 8.6), mother smoked during pregnancy (aOR = 9.7), or after pregnancy (aOR = 5.4) and the prone sleeping position (aOR = 4.6). Reduced risks were observed for the well-known factors: room-sharing (aOR = 0.3), sleep sack use (aOR = 0.3), breastfeeding (aOR = 0.3), and the use of a pacifier (aOR = 0.4). For infants <4 months, the risk for SUDI was higher when bed-sharing (aOR = 3.3), and lower when room-sharing (aOR = 0.2) compared to older infants. For older infants, the sleep sack was found to be more protective (aOR = 0.2). A high risk for SUDI when bed-sharing was found when mother smoked, smoked during pregnancy, or if the infant did not receive any breastfeeding (respectively aOR = 17.7, aOR = 10.8, aOR = 9.2). Conclusions: Internationally known factors related to the sudden unexpected death of infants were also found in this study. Relatively new findings are related to specific groups of infants, in which the strengths of these risk factors differed. In a low-incidence country like the Netherlands, renewed attention to the current prevention advice is needed. Furthermore, additional attention for prevention measures in low educated groups, and additional advice specifically targeting high-risk groups is recommended. Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (Copyright © 2021 Kanits, L'Hoir, Boere-Boonekamp, Engelberts and Feskens.)
Databáze:	MEDLINE
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