Sudden infant death syndrome: Overview and update

被引:70
作者
Byard, RW
Krous, HF
机构
[1] Forens Sci Ctr, Div Pathol, Dept Pathol, Adelaide, SA 5000, Australia
[2] Univ Adelaide, Dept Pathol, Adelaide, SA, Australia
[3] Univ Adelaide, Dept Paediat, Adelaide, SA, Australia
[4] Womens & Childrens Hosp, Child Protect Unit, Adelaide, SA, Australia
[5] Childrens Hosp San Diego, Dept Pathol, San Diego, CA USA
[6] Univ Calif San Diego, Sch Med, Dept Pathol, San Diego, CA 92103 USA
[7] Univ Calif San Diego, Sch Med, Dept Pediat, San Diego, CA 92103 USA
关键词
epidemiology; inflicted injury; pathology; sudden infant death syndrome;
D O I
10.1007/s10024-002-0205-8
中图分类号
R36 [病理学];
学科分类号
100104 ;
摘要
The past decade and a half has seen marked changes in the epidemiology of sudden infant death syndrome (SIDS). The avoidance of certain risk factors such as sleeping prone and cigarette smoke exposure has resulted in the death rate falling dramatically. Careful evaluation of environmental factors and endogenous characteristics has led to a greater understanding of the complexities of the syndrome. The development and implementation of death scene and autopsy protocols has led to standardization in approaches to unexpected infant deaths with increasing diagnoses of accidental asphyxia. Despite these advances, there is still confusion surrounding the diagnosis, with deaths being attributed to SIDS in many communities and countries where death scene investigations and autopsies have not been conducted. The following review provides a brief overview of the historical background, epidemiology, pathology, and pathogenesis of SIDS. Contentious issues concerning the diagnosis and cur-rent problems are discussed. Despite calls to abandon the designation, SIDS remains a viable term for infants who die in their sleep with no evidence of accident, inflicted injury, or organic disease after a full investigation has been conducted according to standard guidelines.
引用
收藏
页码:112 / 127
页数:16
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