Department of Pediatrics, National Taiwan University Hospital, Taipei, Taiwan.
J Pediatr. 2009 Dec;155(6):870-874.e2. doi: 10.1016/j.jpeds.2009.06.038. Epub 2009 Aug 14.
We sought to estimate the incidence of pediatric sudden death (SD) in Taiwan.
Cases of SD were identified from National Health Insurance databases, 2000 to 2006.
In the Taiwan pediatric population (age, 0 to 18 years; 5.44 million), the neonatal, infant, postneonatal infant, and under-5 years mortality rates were 3, 6, 2.81, and 8.02 per 1000 live births, and the 1 to 18 years mortality rate was 33 per 100 000 person-years. There were 1528 SDs (59% boys). In the population 1 to 18 years, annual incidence of SD was 2.7 (95% confidence interval, 2.6 to 2.9), ranging from 0.7 (11 to 12 years) to 6.1 (1 to 2 years) per 100 000. Male predominance was noted (3.2 vs 2.2 per 100 000), particularly in groups ages 16, 17, and 18 years. The proportionate mortality ratio by SD ranged from 1.8% to 12.0% (8.9 +/- 2.2%), being lowest in the group ages 11 to 12 years. In infants, the incidence of SD was 0.36 per 1000 live births, and the proportionate mortality ratio by SD was 1.0% and 11.7% in the neonates and postneonatal infants.
The incidence of pediatric SD in Taiwan, an Asian country with a child health care index comparable with that in the United States, was within the range from Western reports and indicated male predominance and a nadir around 11 to 12 years.
我们旨在估计台湾地区儿童猝死（SD）的发生率。
从国家健康保险数据库中确定 SD 病例，时间范围为 2000 年至 2006 年。
在台湾地区儿科人群（年龄 0 至 18 岁；544 万人）中，新生儿、婴儿、新生儿后期和 5 岁以下儿童的死亡率分别为每 1000 例活产 3 例、6 例、2.81 例和 8.02 例，1 至 18 岁儿童的死亡率为每 100000 人年 33 例。共有 1528 例 SD（59%为男孩）。在 1 至 18 岁人群中，SD 的年发生率为 2.7（95%置信区间 2.6 至 2.9），范围为每 100000 人 0.7（11 至 12 岁）至 6.1（1 至 2 岁）。男性居多（每 100000 人 3.2 例比 2.2 例），尤其是 16、17 和 18 岁年龄组。SD 的比例死亡率范围为 1.8%至 12.0%（8.9 +/- 2.2%），在 11 至 12 岁年龄组最低。在婴儿中，SD 的发病率为每 1000 例活产 0.36 例，SD 的比例死亡率在新生儿和新生儿后期分别为 1.0%和 11.7%。
在亚洲国家台湾地区，儿童保健指数与美国相当，其儿科 SD 的发生率处于西方报道的范围内，表明男性居多，11 至 12 岁左右达到低谷。
