de Luca Federico, Gómez-Durán Esperanza L, Arimany-Manso Josep
Department of Social Statistics and Demography, University of Southampton, Southampton, SO17 1BJ, UK.
Professional Liability Service, Col·legi Oficial de Metges de Barcelona, Barcelona, Spain.
Matern Child Health J. 2017 Jun;21(6):1267-1276. doi: 10.1007/s10995-016-2225-4.
Background SIDS is the major cause of death among healthy born infants in developed countries. Its causes are still unclear, but its risk can be reduced by implementing some simple active interventions. In Spain, limited attention was given to SIDS by the national healthcare system, and actual data on healthcare professionals' practice on this topic was not available. This study explored for the first time paediatricians' knowledge and practice about SIDS. Methods A cross-sectional survey was carried out between November 2012 and April 2013 in Catalonia, and reached 1202 paediatricians. The response rate was 46%. Results 94% of respondents perceived themselves as qualified for giving advice and recommendations about SIDS to parents, but only 58% recognized the supine position as the safest position and recommended the supine position exclusively to parents. Seniority and 'having received a specific training about SIDS' were detrimental to paediatricians' knowledge. Discussion Efforts should be made in order to improve paediatricians' knowledge and practice about SIDS. Specific refresher trainings are highly recommended, and should especially target paediatricians with higher seniority. These trainings could be provided as optional modules, as we could see that the paediatricians who would most benefit from them are already aware of the need to refresh their knowledge.
婴儿猝死综合征（SIDS）是发达国家健康出生婴儿的主要死因。其病因尚不清楚，但通过实施一些简单的积极干预措施可以降低其风险。在西班牙，国家医疗保健系统对SIDS的关注有限，且尚无关于医疗保健专业人员在该主题上实践的实际数据。本研究首次探讨了儿科医生对SIDS的知识和实践情况。方法：2012年11月至2013年4月在加泰罗尼亚进行了一项横断面调查，共涉及1202名儿科医生。回复率为46%。结果：94%的受访者认为自己有资格就SIDS向家长提供建议和推荐，但只有58%的人认识到仰卧位是最安全的姿势，并仅向家长推荐仰卧位。资历和“接受过关于SIDS的特定培训”对儿科医生的知识掌握有不利影响。讨论：应努力提高儿科医生对SIDS的知识和实践水平。强烈建议开展特定的进修培训，并应特别针对资历较高的儿科医生。这些培训可以作为选修模块提供，因为我们可以看到，最能从这些培训中受益的儿科医生已经意识到有必要更新他们的知识。
