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Yamada MM, Rosamilia MB, Chiswell KE, D'Ottavio A, Spears T, Osgood C, Miranda ML, Forestieri N, Li JS, Landstrom AP. Risk Factors for Sudden Infant Death in North Carolina. Front Pediatr 2021; 9:770803. [PMID: 34956982 PMCID: PMC8703192 DOI: 10.3389/fped.2021.770803] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/04/2021] [Accepted: 11/16/2021] [Indexed: 11/13/2022] Open
Abstract
Background: Sudden infant death syndrome (SIDS) is the sudden, unexplained death of infants <1 year old. SIDS remains a leading cause of death in US infants. We aim to identify associations between SIDS and race/ethnicity, birth weight/gestational age, and socioeconomic/environmental factors in North Carolina (NC) to help identify infants at risk for SIDS. Methods and Results: In this IRB-approved study, infant mortality 2007-2016 and death certificate-linked natality 2007-2014 were obtained from the NC Department of Health and Human Services. General, NC natality statistics 2007-2016 were obtained from CDC Wonder. Association between SIDS/total infant death and covariates (below) were calculated. Total infant mortality decreased 2007-2016 by an average of 14 deaths/100,000 live births per year, while SIDS incidence remained constant. Risk ratios of SIDS/total infant deaths, standardized to Non-Hispanic White, were 1.76/2.41 for Non-Hispanic Black and 0.49/0.97 for Hispanic infants. Increased SIDS risk was significantly and independently associated with male infant sex, Non-Hispanic Black maternal race/ethnicity, young maternal age, low prenatal care, gestational age <39 weeks, birthweight <2500 g, low maternal education, and maternal tobacco use (p < 0.01). Maternal previous children now deceased also trended toward association with increased SIDS risk. Conclusions: A thorough SIDS risk assessment should include maternal, socioeconomic, and environmental risk factors as these are associated with SIDS in our population.
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Affiliation(s)
- Merick M Yamada
- Department of Pediatrics, Division of Pediatric Cardiology, Duke University School of Medicine, Durham, NC, United States
| | - Michael B Rosamilia
- Duke Clinical Research Institute, Duke University School of Medicine, Durham, NC, United States
| | - Karen E Chiswell
- Duke Clinical Research Institute, Duke University School of Medicine, Durham, NC, United States
| | - Alfred D'Ottavio
- Duke Clinical Research Institute, Duke University School of Medicine, Durham, NC, United States
| | - Tracy Spears
- Duke Clinical Research Institute, Duke University School of Medicine, Durham, NC, United States
| | - Claire Osgood
- Duke Clinical Research Institute, Duke University School of Medicine, Durham, NC, United States
| | - Marie Lynn Miranda
- Department of Applied and Computational Mathematics and Statistics, University of Notre Dame, Notre Dame, IL, United States
| | - Nina Forestieri
- North Carolina Department of Health and Human Services, Raleigh, NC, United States
| | - Jennifer S Li
- Department of Pediatrics, Division of Pediatric Cardiology, Duke University School of Medicine, Durham, NC, United States.,Duke Clinical Research Institute, Duke University School of Medicine, Durham, NC, United States
| | - Andrew P Landstrom
- Department of Pediatrics, Division of Pediatric Cardiology, Duke University School of Medicine, Durham, NC, United States.,Department of Cell Biology, Duke University School of Medicine, Durham, NC, United States
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Davis AM, Glengarry J, Skinner JR. Sudden Infant Death: QT or Not QT? That Is No Longer the Question. Circ Arrhythm Electrophysiol 2018; 9:CIRCEP.115.003859. [PMID: 27217342 DOI: 10.1161/circep.115.003859] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/17/2015] [Accepted: 03/11/2016] [Indexed: 02/07/2023]
Affiliation(s)
- Andrew M Davis
- From the Department of Cardiology, Royal Children's Hospital Melbourne, Melbourne, VIC, Australia (A.M.D.); Department of Paediatrics, University of Melbourne, Melbourne, VIC, Australia (A.M.D.); The Murdoch Childrens Research Institute, Melbourne, VIC, Australia (A.M.D.); Department of Forensic Pathology, LabPlus, Auckland City Hospital, Auckland, New Zealand (J.G.); Green Lane Paediatric and Congenital Cardiac Services, Starship Children's Hospital, Auckland, New Zealand (J.R.S.); and Department of Paediatrics, Child and Youth Health, The University of Auckland, Auckland, New Zealand (J.R.S.)
| | - Joanna Glengarry
- From the Department of Cardiology, Royal Children's Hospital Melbourne, Melbourne, VIC, Australia (A.M.D.); Department of Paediatrics, University of Melbourne, Melbourne, VIC, Australia (A.M.D.); The Murdoch Childrens Research Institute, Melbourne, VIC, Australia (A.M.D.); Department of Forensic Pathology, LabPlus, Auckland City Hospital, Auckland, New Zealand (J.G.); Green Lane Paediatric and Congenital Cardiac Services, Starship Children's Hospital, Auckland, New Zealand (J.R.S.); and Department of Paediatrics, Child and Youth Health, The University of Auckland, Auckland, New Zealand (J.R.S.)
| | - Jonathan R Skinner
- From the Department of Cardiology, Royal Children's Hospital Melbourne, Melbourne, VIC, Australia (A.M.D.); Department of Paediatrics, University of Melbourne, Melbourne, VIC, Australia (A.M.D.); The Murdoch Childrens Research Institute, Melbourne, VIC, Australia (A.M.D.); Department of Forensic Pathology, LabPlus, Auckland City Hospital, Auckland, New Zealand (J.G.); Green Lane Paediatric and Congenital Cardiac Services, Starship Children's Hospital, Auckland, New Zealand (J.R.S.); and Department of Paediatrics, Child and Youth Health, The University of Auckland, Auckland, New Zealand (J.R.S.).
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