Nunes Magda Lahorgue, Pinho Ana Paula Silveira, Aerts Denise, Sant'Anna Ana, Martins Maurer Pereira, Costa Jaderson Costa da
Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS), Porto Alegre, RS, Brazil.
J Pediatr (Rio J). 2001 Jan-Feb;77(1):29-34.
To investigate the socio-epidemiologic characteristics of the victims of sudden infant death syndrome and to calculate its prevalence during the 1st year of life. METHODS: This is an observational, retrospective, and descriptive study based on the review of autopsy protocols and questionnaires applied to families that had cases of infants death during 1997 and 1998 in the city of Porto Alegre. RESULTS: From 335 infants who died, 21 were fulfilled SIDS criteria, although SIDS was not recorded as a cause of death on the death certificate. The infants had no previous apnea or acute disease that could justify the death. Death occurred predominantly in cold months (winter and autumn). None of the infants who died slept in supine position. Families had a low monthly income (3 minimum wages). Seventy one per cent the mothers were smokers and 42% used alcohol during the pregnancy. SIDS prevalence was estimated as 6.3% from the total number of deaths, and the specific mortality coefficient for SIDS was 4.5:10,000 live births. CONCLUSIONS: The profile identified for infants at risk is similar to that reported in the literature. However, since SIDS is often misdiagnosed in our community, it does not appear in the statistics about infant mortality. As a consequence, there have never been campaigns to reduce the risk of death due to this syndrome.
调查婴儿猝死综合征受害者的社会流行病学特征，并计算其在出生后第一年的患病率。方法：这是一项观察性、回顾性和描述性研究，基于对1997年和1998年阿雷格里港市婴儿死亡病例的尸检报告和应用于家庭的问卷调查进行回顾。结果：在335名死亡婴儿中，21名符合婴儿猝死综合征标准，尽管婴儿猝死综合征在死亡证明上未被记录为死亡原因。这些婴儿此前没有可解释死亡的呼吸暂停或急性疾病。死亡主要发生在寒冷月份（冬季和秋季）。死亡的婴儿均未仰卧睡眠。家庭月收入较低（3个最低工资）。71%的母亲吸烟，42%的母亲在孕期饮酒。婴儿猝死综合征患病率估计占死亡总数的6.3%，婴儿猝死综合征的具体死亡率为4.5:10000活产。结论：确定的高危婴儿特征与文献报道相似。然而，由于在我们社区婴儿猝死综合征常被误诊，它未出现在婴儿死亡率统计中。因此，从未开展过降低该综合征死亡风险的宣传活动。
