Cepeda S Javier, Zenteno A Daniel, Fuentes S Claudia, Brockmann V Pablo
Hospital Clínico Regional Dr. Guillermo Grant Benavente, Concepción, Chile.
Departamento de Cardiología y Respiratorio Pediátrico, Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.
Andes Pediatr. 2021 Aug;92(4):609-616. doi: 10.32641/andespediatr.v92i4.3356.
Sudden unexpected death in infancy (SUDI) - defined as the death of a child under 1 year of age du ring sleep with no initially obvious cause - remains one of the most common causes of post-neonatal mortality. Approximately 3,500 infants die annually in the United States from sleep-related deaths. A complex and multifactorial origin is postulated in a vulnerable infant. However, the pathophysiology of SUDI has not been fully understood. Health care providers play a key role in promoting preventive measures described in the literature, which include sleeping in a supine position on a firm surface, avoiding smoking and co-sleeping, promoting breastfeeding, among others. The objective of this re view is to summarize the main epidemiological and physiopathological characteristics of SUDI, and safe sleep-related factors.
婴儿猝死综合征(SUDI)——定义为1岁以下儿童在睡眠中突然意外死亡且最初无明显病因——仍然是新生儿期后死亡的最常见原因之一。在美国,每年约有3500名婴儿死于与睡眠相关的死亡。推测在易患婴儿中存在复杂的多因素病因。然而,婴儿猝死综合征的病理生理学尚未完全明了。医疗保健提供者在推广文献中描述的预防措施方面发挥着关键作用,这些措施包括在坚实表面仰卧睡眠、避免吸烟和同床睡眠、提倡母乳喂养等。本综述的目的是总结婴儿猝死综合征的主要流行病学和生理病理学特征以及与安全睡眠相关的因素。