Konstat-Korzenny Enrique, Cohen-Welch Ariel, Fonseca-Portilla Rodrigo, Morgenstern-Kaplan Dan
Centro De Investigación En Ciencias De La Salud Anáhuac (CICSA), Facultad De Ciencias De La Salud, Universidad Anahuac Mexico, Mexico City, MEX.
Centro De Investigación En Ciencias De La Salud Anáhuac (CICSA), Facultad De Ciencias De La Salud, Universidad Anáhuac Mexico, Mexico City, MEX.
Cureus. 2019 Nov 5;11(11):e6076. doi: 10.7759/cureus.6076.
Introduction Sudden Unexpected Infant Death (SUID) is a term that englobes the sudden and unexpected death of an infant less than 12 months, which can be explained by organic or traumatic causes, or that can't be explained such as cases of Sudden Infant Death Syndrome (SIDS). Although many risk factors have been associated with this syndrome, one of the most widely associated and studied are incorrect sleeping techniques and practices. In 2016, the American Academy of Pediatrics (AAP) updated their safe-sleeping guidelines and sleeping environment recommendations and strategies to prevent SIDS. Methods We conducted a cross-sectional study to analyze the sleeping environments in infants that attended both the inpatient and outpatient services at a public pediatric hospital in Mexico City. A 6-item questionnaire was applied to the parent or guardian to assess the sleeping habits of infants in their homes. Results A total of 184 infants were included in the study, with a mean age of 5.87 months. Overall, the number of parents that follow safe sleeping practices was very low, with no parents following all the AAP recommendations, and over 10% not following any. Although there is uncertainty about the pathogenesis of this syndrome, the focus has shifted to prevention, especially regarding the modifiable risk factors. Conclusions It was demonstrated that our population did not know about the proper and safe sleeping techniques. In the nearby future, our goal is for health authorities in our country to implement a strategy to make the AAP recommendations part of government health campaigns.
引言 婴儿猝死综合征（SUID）是指12个月以下婴儿的突然意外死亡，其原因可能是器质性或创伤性的，也可能无法解释，如婴儿猝死综合征（SIDS）病例。尽管许多风险因素与该综合征有关，但其中最广泛关联和研究的因素之一是不正确的睡眠技术和习惯。2016年，美国儿科学会（AAP）更新了其安全睡眠指南以及预防SIDS的睡眠环境建议和策略。方法 我们进行了一项横断面研究，以分析在墨西哥城一家公立儿童医院接受住院和门诊服务的婴儿的睡眠环境。我们向家长或监护人发放了一份包含6个条目的问卷，以评估婴儿在家中的睡眠习惯。结果 共有184名婴儿纳入研究，平均年龄为5.87个月。总体而言，遵循安全睡眠做法的家长数量非常少，没有家长遵循AAP的所有建议，超过10%的家长没有遵循任何建议。尽管该综合征的发病机制尚不确定，但重点已转向预防，特别是关于可改变的风险因素。结论 结果表明，我们的研究对象不了解正确和安全的睡眠技术。在不久的将来，我们的目标是让我国卫生当局实施一项战略，使AAP的建议成为政府健康运动的一部分。
