Bass M, Kravath R E, Glass L
N Engl J Med. 1986 Jul 10;315(2):100-5. doi: 10.1056/NEJM198607103150206.
We conducted death-scene investigations in 26 consecutive cases in which a presumptive diagnosis of sudden infant death syndrome (SIDS) was made and the infants were brought to the emergency room of the Kings County Hospital Center between October 1983 and January 1985. In six cases, we observed strong circumstantial evidence of accidental death. In 18 other cases, we discovered various possible causes of death other than SIDS, including accidental asphyxiation by an object in the crib or bassinet, smothering by overlying while sharing a bed, hyperthermia, and shaken baby syndrome. This study suggests that many sudden deaths of infants have a definable cause that can be revealed by careful investigation of the death scene and that the extremely high rate of SIDS (4.2 per 1000 live births) reported in the population of low socioeconomic status served by Kings County Hospital Center should be questioned.
我们对1983年10月至1985年1月期间连续26例被初步诊断为婴儿猝死综合征（SIDS）并被送往国王郡医院中心急诊室的病例进行了死亡现场调查。在6例病例中，我们观察到有强烈的间接证据表明是意外死亡。在其他18例病例中，我们发现了除SIDS之外的各种可能死因，包括婴儿床或摇篮中的物体导致的意外窒息、同床时被覆盖物闷死、体温过高以及摇晃婴儿综合征。这项研究表明，许多婴儿猝死有可明确的原因，通过对死亡现场的仔细调查可以揭示，而且国王郡医院中心所服务的社会经济地位较低人群中报告的极高的SIDS发生率（每1000例活产中有4.2例）值得质疑。
