Risk factors for sudden infant death syndrome in a developing country

Detalhes bibliográficos
Autor(a) principal: Pinho, Ana Paula Silveira
Data de Publicação: 2008
Outros Autores: Aerts, Denise, Nunes, Magda Lahorgue
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista de Saúde Pública
Texto Completo: https://www.revistas.usp.br/rsp/article/view/32444
Resumo: OBJECTIVE: To analyze whether previously identified risk factors for sudden death syndrome have a significant impact in a developing country. METHODS: Retrospective longitudinal case-control study carried out in Porto Alegre, Southern Brazil. Cases (N=39) were infants born between 1996 and 2000 who died suddenly and unexpectedly at home during sleep and were diagnosed with sudden death syndrome. Controls (N=117) were infants matched by age and sex who died in hospitals due to other conditions. Data were collected from postmortem examination records and questionnaires answers. A conditional logistic model was used to identify factors associated with the outcome. RESULTS: Mean age at death of cases was 3.2 months. The frequencies of infants regarding gestational age, breastfeeding and regular medical visits were similar in both groups. Sleeping position for most cases and controls was the lateral one. Supine sleeping position was found for few infants in both groups. Maternal variables, age below 20 years (OR=2, 95% CI: 1.1; 5.1) and smoking of more than 10 cigarettes per day during pregnancy (OR=3, 95% CI: 1.3; 6.4), significantly increased the risk for the syndrome. Socioeconomic characteristics were similar in both groups and did not affect risk. CONCLUSIONS: Infant-maternal and socioeconomic profiles of cases in a developing country closely resembled the profile described in the literature, and risk factors were similar as well. However, individual characteristics were identified as risks in the population studied, such as smoking during pregnancy and maternal age below 20 years.
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spelling Risk factors for sudden infant death syndrome in a developing country Fatores de risco para síndrome da morte súbita do lactente em um país em desenvolvimento Morte Súbita do LactenteDecúbito VentralTabagismoFatores de RiscoEstudos de Casos e ControlesSudden Infant DeathProne PositionSmokingRisk FactorsCase-Control Studies OBJECTIVE: To analyze whether previously identified risk factors for sudden death syndrome have a significant impact in a developing country. METHODS: Retrospective longitudinal case-control study carried out in Porto Alegre, Southern Brazil. Cases (N=39) were infants born between 1996 and 2000 who died suddenly and unexpectedly at home during sleep and were diagnosed with sudden death syndrome. Controls (N=117) were infants matched by age and sex who died in hospitals due to other conditions. Data were collected from postmortem examination records and questionnaires answers. A conditional logistic model was used to identify factors associated with the outcome. RESULTS: Mean age at death of cases was 3.2 months. The frequencies of infants regarding gestational age, breastfeeding and regular medical visits were similar in both groups. Sleeping position for most cases and controls was the lateral one. Supine sleeping position was found for few infants in both groups. Maternal variables, age below 20 years (OR=2, 95% CI: 1.1; 5.1) and smoking of more than 10 cigarettes per day during pregnancy (OR=3, 95% CI: 1.3; 6.4), significantly increased the risk for the syndrome. Socioeconomic characteristics were similar in both groups and did not affect risk. CONCLUSIONS: Infant-maternal and socioeconomic profiles of cases in a developing country closely resembled the profile described in the literature, and risk factors were similar as well. However, individual characteristics were identified as risks in the population studied, such as smoking during pregnancy and maternal age below 20 years. OBJETIVO: Analisar se fatores de risco previamente identificados para a síndrome da morte súbita do lactente têm impacto significativo em um país em desenvolvimento. MÉTODOS: Estudo retrospectivo, longitudinal, de caso-controle pareado realizado em Porto Alegre, RS. Os casos (N=39) foram lactentes nascidos entre 1996 e 2000 que morreram subitamente e inesperadamente em casa, ao dormir, com diagnóstico final da síndrome; o grupo controle (N=117) foi composto de lactentes pareados por idade e sexo que morreram em hospitais, por outra doença. Os dados foram coletados de registros médicos postmortem e respostas a questionários. Utilizou-se modelo de regressão logística para identificar os fatores associados ao desfecho. RESULTADOS: A idade média dos casos no momento da morte dos lactentes foi de 3,2 meses. As freqüências de idade gestacional, amamentação e visitas regulares a unidades básicas de saúde foram similares nos dois grupos. A posição de dormir mais comum nos casos e controles foi a lateral. A posição supina foi encontrada em alguns lactentes em ambos grupos. As variáveis maternas idade inferior a 20 anos (OR=2, IC 95%:1,1;5,1) e consumo de mais de 10 cigarros/dia durante a gravidez (OR=3, IC 95%: 1,3;6,4) aumentaram significativamente o risco para a síndrome. As características socioeconômicas foram similares entre os grupos e não afetaram o risco. CONCLUSÕES: Os perfis lactente-materno e os fatores de risco foram similares aos encontrados em outros países. Todavia, foram identificadas características individuais quanto aos riscos de fumar durante a gravidez e da idade materna inferior a 20 anos. Universidade de São Paulo. Faculdade de Saúde Pública2008-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/rsp/article/view/3244410.1590/S0034-89102008000300002Revista de Saúde Pública; Vol. 42 No. 3 (2008); 396-401 Revista de Saúde Pública; Vol. 42 Núm. 3 (2008); 396-401 Revista de Saúde Pública; v. 42 n. 3 (2008); 396-401 1518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPenghttps://www.revistas.usp.br/rsp/article/view/32444/34690Copyright (c) 2017 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessPinho, Ana Paula SilveiraAerts, DeniseNunes, Magda Lahorgue2012-07-09T01:20:19Zoai:revistas.usp.br:article/32444Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2012-07-09T01:20:19Revista de Saúde Pública - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv Risk factors for sudden infant death syndrome in a developing country
Fatores de risco para síndrome da morte súbita do lactente em um país em desenvolvimento
title Risk factors for sudden infant death syndrome in a developing country
spellingShingle Risk factors for sudden infant death syndrome in a developing country
Pinho, Ana Paula Silveira
Morte Súbita do Lactente
Decúbito Ventral
Tabagismo
Fatores de Risco
Estudos de Casos e Controles
Sudden Infant Death
Prone Position
Smoking
Risk Factors
Case-Control Studies
title_short Risk factors for sudden infant death syndrome in a developing country
title_full Risk factors for sudden infant death syndrome in a developing country
title_fullStr Risk factors for sudden infant death syndrome in a developing country
title_full_unstemmed Risk factors for sudden infant death syndrome in a developing country
title_sort Risk factors for sudden infant death syndrome in a developing country
author Pinho, Ana Paula Silveira
author_facet Pinho, Ana Paula Silveira
Aerts, Denise
Nunes, Magda Lahorgue
author_role author
author2 Aerts, Denise
Nunes, Magda Lahorgue
author2_role author
author
dc.contributor.author.fl_str_mv Pinho, Ana Paula Silveira
Aerts, Denise
Nunes, Magda Lahorgue
dc.subject.por.fl_str_mv Morte Súbita do Lactente
Decúbito Ventral
Tabagismo
Fatores de Risco
Estudos de Casos e Controles
Sudden Infant Death
Prone Position
Smoking
Risk Factors
Case-Control Studies
topic Morte Súbita do Lactente
Decúbito Ventral
Tabagismo
Fatores de Risco
Estudos de Casos e Controles
Sudden Infant Death
Prone Position
Smoking
Risk Factors
Case-Control Studies
description OBJECTIVE: To analyze whether previously identified risk factors for sudden death syndrome have a significant impact in a developing country. METHODS: Retrospective longitudinal case-control study carried out in Porto Alegre, Southern Brazil. Cases (N=39) were infants born between 1996 and 2000 who died suddenly and unexpectedly at home during sleep and were diagnosed with sudden death syndrome. Controls (N=117) were infants matched by age and sex who died in hospitals due to other conditions. Data were collected from postmortem examination records and questionnaires answers. A conditional logistic model was used to identify factors associated with the outcome. RESULTS: Mean age at death of cases was 3.2 months. The frequencies of infants regarding gestational age, breastfeeding and regular medical visits were similar in both groups. Sleeping position for most cases and controls was the lateral one. Supine sleeping position was found for few infants in both groups. Maternal variables, age below 20 years (OR=2, 95% CI: 1.1; 5.1) and smoking of more than 10 cigarettes per day during pregnancy (OR=3, 95% CI: 1.3; 6.4), significantly increased the risk for the syndrome. Socioeconomic characteristics were similar in both groups and did not affect risk. CONCLUSIONS: Infant-maternal and socioeconomic profiles of cases in a developing country closely resembled the profile described in the literature, and risk factors were similar as well. However, individual characteristics were identified as risks in the population studied, such as smoking during pregnancy and maternal age below 20 years.
publishDate 2008
dc.date.none.fl_str_mv 2008-06-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://www.revistas.usp.br/rsp/article/view/32444
10.1590/S0034-89102008000300002
url https://www.revistas.usp.br/rsp/article/view/32444
identifier_str_mv 10.1590/S0034-89102008000300002
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://www.revistas.usp.br/rsp/article/view/32444/34690
dc.rights.driver.fl_str_mv Copyright (c) 2017 Revista de Saúde Pública
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2017 Revista de Saúde Pública
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Saúde Pública
publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Saúde Pública
dc.source.none.fl_str_mv Revista de Saúde Pública; Vol. 42 No. 3 (2008); 396-401
Revista de Saúde Pública; Vol. 42 Núm. 3 (2008); 396-401
Revista de Saúde Pública; v. 42 n. 3 (2008); 396-401
1518-8787
0034-8910
reponame:Revista de Saúde Pública
instname:Universidade de São Paulo (USP)
instacron:USP
instname_str Universidade de São Paulo (USP)
instacron_str USP
institution USP
reponame_str Revista de Saúde Pública
collection Revista de Saúde Pública
repository.name.fl_str_mv Revista de Saúde Pública - Universidade de São Paulo (USP)
repository.mail.fl_str_mv revsp@org.usp.br||revsp1@usp.br
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