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婴儿猝死综合征:危险因素及新的降低风险策略

Sudden Infant Death Syndrome: Risk Factors and Newer Risk Reduction Strategies.

作者信息

Vincent Anita, Chu Ngan Thy, Shah Aashka, Avanthika Chaithanya, Jhaveri Sharan, Singh Kunika, Limaye Om M, Boddu Himasaila

机构信息

Medicine and Surgery, Karnataka Institute of Medical Sciences, Hubli, IND.

Paediatrics, City Children's Hospital, Ho Chi Minh city, VNM.

出版信息

Cureus. 2023 Jun 17;15(6):e40572. doi: 10.7759/cureus.40572. eCollection 2023 Jun.

Abstract

Sudden infant death syndrome (SIDS) continues to be one of the top causes of infant death in the U.S. Despite significant public health initiatives focused on high-risk populations to enhance sleep environments and techniques. The SIDS rate has remained stable in recent years. Risk factors and newer risk reduction strategies for SIDS are the focus of this review article. We conducted a comprehensive literature search on Medline, Cochrane, Embase, and Google Scholar until July 2022. The following search strings and Medical Subject Heading (MeSH) terms were used: "SIDS," "Sudden Infant Death" and "SUID". We explored the literature on SIDS for its epidemiology, pathophysiology, the role of various etiologies and their influence, associated complications leading to SIDS, and preventive and treatment modalities. Despite a more than 50% drop-in rates since the start of the "Back to Sleep" campaign in 1994, sudden infant death syndrome (SIDS) continues to be the top cause of post-neonatal mortality in the United States, despite continued educational initiatives that support safe sleep and other risk reduction strategies. The new American Academy of Pediatrics guidelines for lowering the risk of SIDS include a lot of emphasis on sleeping habits, bedding, and environment but also include elements that are frequently ignored (i.e., prenatal care, smoking, alcohol and drug use, and childhood vaccinations). This study highlights these less-frequently discussed aspects and identifies treatments that have produced beneficial behavioral shifts that benefit newborns as well as their mothers' health and wellbeing.

摘要

婴儿猝死综合征(SIDS)仍然是美国婴儿死亡的主要原因之一。尽管有重大的公共卫生举措聚焦于高危人群,以改善睡眠环境和技巧,但近年来SIDS的发生率一直保持稳定。本文综述聚焦于SIDS的风险因素和新的降低风险策略。我们在Medline、Cochrane、Embase和谷歌学术上进行了全面的文献检索,直至2022年7月。使用了以下检索词和医学主题词(MeSH):“SIDS”、“婴儿猝死”和“不明原因婴儿死亡(SUID)”。我们探究了关于SIDS的文献,内容包括其流行病学、病理生理学、各种病因的作用及其影响、导致SIDS的相关并发症以及预防和治疗方式。自1994年“仰睡防猝死”运动开展以来,婴儿猝死综合征(SIDS)的发生率下降了50%以上,但它仍是美国新生儿期后死亡的首要原因,尽管持续开展了支持安全睡眠及其他降低风险策略的教育活动。美国儿科学会降低SIDS风险的新指南大量强调了睡眠习惯、床上用品和环境,但也包括一些常被忽视的因素(即产前护理、吸烟、饮酒和吸毒以及儿童疫苗接种)。本研究突出了这些较少被讨论的方面,并确定了能产生有益行为转变的治疗方法,这些转变对新生儿及其母亲的健康和幸福有益。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9110/10351748/e6031d15217f/cureus-0015-00000040572-i01.jpg

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