Department of Paediatrics, The University of Auckland, Auckland, New Zealand.
Acta Paediatr. 2011 Aug;100(8):1108-12. doi: 10.1111/j.1651-2227.2011.02221.x. Epub 2011 Mar 22.
To review autopsy reports of all SUDI deaths in the Auckland region, New Zealand, from October 2000 to December 2009.
Information on all SUDI cases from 2000 to 2009 was extracted from autopsy and police reports from the National Forensic Pathology Service at Auckland Hospital.
Of the 332 post-mortems in this period, 221 were classified as SUDI. Of these, 83% were Māori or Pacific infants. The median age at death was 11 weeks and 11% occurred in 7- to 28-day-olds. At the time of death, 64% overall were bedsharing; this was more common in 7-28 day olds (92%). Bedsharing infants were significantly younger at death than non-bedsharing infants (p=0.008). Where sleep position was known, 57% were placed in non-supine at the last sleep. There was no evidence of diagnostic shift and the prevalence of bedsharing did not change over the decade.
Bedsharing was associated with a high proportion of SUDI cases, especially in the youngest infants, and non-supine sleep positions were common. There is a need to enhance SUDI prevention messages and consider innovative ways of promoting safe sleeping environment and supine sleep position in Māori and Pacific communities.
回顾 2000 年 10 月至 2009 年 12 月新西兰奥克兰地区所有因意外中毒性猝死（SUDI）死亡的尸检报告。
从奥克兰医院国家法医病理学服务处的尸检和警方报告中提取 2000 年至 2009 年所有 SUDI 病例的信息。
在这一时期的 332 次尸检中，有 221 例被归类为 SUDI。其中，83%为毛利族或太平洋岛屿族裔婴儿。死亡时的中位年龄为 11 周，11%发生在 7 至 28 日龄婴儿中。在死亡时，总体有 64%的婴儿在同床睡眠；7 至 28 日龄婴儿中这一比例更高（92%）。同床睡眠的婴儿比不同床睡眠的婴儿死亡时明显更年幼（p=0.008）。在已知睡眠姿势的情况下，57%的婴儿在最后一次睡眠中处于非仰卧姿势。没有证据表明诊断发生了转变，而且在这十年中同床睡眠的比例并没有改变。
同床睡眠与大量 SUDI 病例相关，尤其是在最小的婴儿中，非仰卧睡眠姿势很常见。需要加强 SUDI 预防信息，并考虑以创新方式促进毛利族裔和太平洋岛屿社区的安全睡眠环境和仰卧睡眠姿势。
