Department of Pediatrics, Policy Core, Injury Research Center, Medical College of Wisconsin, Downtown Health Center Pediatric Clinic, Milwaukee, Wisconsin, USA.
Inj Prev. 2011 Feb;17 Suppl 1:i23-7. doi: 10.1136/ip.2010.027037.
To illustrate the benefits and utility of the child death review (CDR) reporting system when examining risk factors associated with infant death occurring within two subgroups of sudden unexpected infant deaths (SUID)-unintentional suffocation and sudden infant death syndrome (SIDS)-in a large urban county in Wisconsin.
Retrospective CDR data were analysed, 2007-2008, for Milwaukee County, Wisconsin. PATIENTS OR SUBJECTS: Unintentional suffocation and SIDS infant deaths under 1 year of age in Milwaukee County, Wisconsin, 2007-2008, with a CDR record indicating a death in a sleep environment. Main outcome measure Study examined demographic characteristics, bed-sharing, incident sleep location, position of child when put to sleep, position of child when found, child's usual sleep place, crib in home, and other objects found in sleep environment.
Unintentional suffocation (n=11) and SIDS (n=40) classified deaths with CDR data made up 18% (51/283) of all infant deaths in Milwaukee County from 2007 to 2008. The majority of infants who died of unintentional suffocation (n=9, 81.8%) or SIDS (n=26, 65.0%) were black and under the age of 3 months. Bed-sharing was involved in most of the unintentional suffocation deaths (n=10, 90.9%) and the SIDS deaths (n=28, 70.0%). All unintentional suffocation deaths (n=11, 100%) and the majority of SIDS deaths (n=31, 77.5%) took place in a non-crib sleeping environment.
The study demonstrates how CDR provides enhanced documentation of risk factors to help steer prevention efforts regarding SUID deaths in a community and reaffirms infants in an unsafe sleep environment have an increased risk of death.
通过对威斯康星州密尔沃基县的儿童死亡回顾（CDR）报告系统进行分析，说明其在检查与 2 个婴儿猝死综合征（SIDS）亚组（意外窒息和 SIDS）相关的危险因素方面的优势和作用，这 2 个亚组的婴儿均为 1 岁以下的突然意外婴儿死亡（SUID）。
对 2007-2008 年威斯康星州密尔沃基县的 CDR 数据进行回顾性分析。
威斯康星州密尔沃基县 2007-2008 年年龄在 1 岁以下的意外窒息和 SIDS 婴儿死亡，且 CDR 记录显示死亡发生在睡眠环境中。
研究考察了人口统计学特征、床伴睡、意外睡眠地点、入睡时儿童的位置、发现时儿童的位置、儿童通常的睡眠场所、家中的婴儿床以及睡眠环境中发现的其他物品。
CDR 数据分类的意外窒息（n=11）和 SIDS（n=40）死亡占 2007 年至 2008 年密尔沃基县所有婴儿死亡的 18%（51/283）。大多数意外窒息（n=9，81.8%）或 SIDS（n=26，65.0%）死亡的婴儿是黑人且年龄小于 3 个月。大多数意外窒息死亡（n=10，90.9%）和 SIDS 死亡（n=28，70.0%）都涉及床伴睡。所有意外窒息死亡（n=11，100%）和大多数 SIDS 死亡（n=31，77.5%）都发生在非婴儿床睡眠环境中。
该研究表明，CDR 如何提供对危险因素的增强文档记录，以帮助指导社区内针对 SUID 死亡的预防工作，并再次确认处于不安全睡眠环境中的婴儿死亡风险增加。
