Risk and Preventive Factors for SUDI: Need We Adjust the Current Prevention Advice in a Low-Incidence Country

Background: The incidence of Sudden Unexpected Death in Infancy (SUDI) is low in the Netherlands, with an incidence rate of 0.18 per 1,000 live births. Therefore, prevention advice may receive less attention, potentially leading to increasing incidence rates. It is currently unknown whether the risk...

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Autores principales:	Floortje Kanits, Monique P. L'Hoir, Magda M. Boere-Boonekamp, Adèle C. Engelberts, Edith J. M. Feskens
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	SIDS (sudden infant death syndrome) SUDI (sudden unexpected death in infancy) incidence risk factors preventive factors high-risk groups Pediatrics RJ1-570
Acceso en línea:	https://doaj.org/article/8ae8bddb51aa44b08446960c1093c165
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spelling	oai:doaj.org-article:8ae8bddb51aa44b08446960c1093c1652021-11-16T06:50:45ZRisk and Preventive Factors for SUDI: Need We Adjust the Current Prevention Advice in a Low-Incidence Country2296-236010.3389/fped.2021.758048https://doaj.org/article/8ae8bddb51aa44b08446960c1093c1652021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fped.2021.758048/fullhttps://doaj.org/toc/2296-2360Background: The incidence of Sudden Unexpected Death in Infancy (SUDI) is low in the Netherlands, with an incidence rate of 0.18 per 1,000 live births. Therefore, prevention advice may receive less attention, potentially leading to increasing incidence rates. It is currently unknown whether the risks for SUDI changed in the Netherlands, and if other risk factors might be present. The aim of this study was to examine the current risks and preventive factors for SUDI in Dutch infants, in order to determine if it is necessary to adapt the prevention advice toward the current needs.Methods: A case-control study was conducted comparing SUDI cases aged <12 months from 2014–2020 in the Netherlands (n = 47), to a Dutch national survey control group from 2017 including infants <12 months of age (n = 1,192).Results: Elevated risks for several well-known factors were observed, namely: duvet use (aOR = 8.6), mother smoked during pregnancy (aOR = 9.7), or after pregnancy (aOR = 5.4) and the prone sleeping position (aOR = 4.6). Reduced risks were observed for the well-known factors: room-sharing (aOR = 0.3), sleep sack use (aOR = 0.3), breastfeeding (aOR = 0.3), and the use of a pacifier (aOR = 0.4). For infants <4 months, the risk for SUDI was higher when bed-sharing (aOR = 3.3), and lower when room-sharing (aOR = 0.2) compared to older infants. For older infants, the sleep sack was found to be more protective (aOR = 0.2). A high risk for SUDI when bed-sharing was found when mother smoked, smoked during pregnancy, or if the infant did not receive any breastfeeding (respectively aOR = 17.7, aOR = 10.8, aOR = 9.2).Conclusions: Internationally known factors related to the sudden unexpected death of infants were also found in this study. Relatively new findings are related to specific groups of infants, in which the strengths of these risk factors differed. In a low-incidence country like the Netherlands, renewed attention to the current prevention advice is needed. Furthermore, additional attention for prevention measures in low educated groups, and additional advice specifically targeting high-risk groups is recommended.Floortje KanitsMonique P. L'HoirMonique P. L'HoirMagda M. Boere-BoonekampAdèle C. EngelbertsEdith J. M. FeskensFrontiers Media S.A.articleSIDS (sudden infant death syndrome)SUDI (sudden unexpected death in infancy)incidencerisk factorspreventive factorshigh-risk groupsPediatricsRJ1-570ENFrontiers in Pediatrics, Vol 9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	SIDS (sudden infant death syndrome) SUDI (sudden unexpected death in infancy) incidence risk factors preventive factors high-risk groups Pediatrics RJ1-570
spellingShingle	SIDS (sudden infant death syndrome) SUDI (sudden unexpected death in infancy) incidence risk factors preventive factors high-risk groups Pediatrics RJ1-570 Floortje Kanits Monique P. L'Hoir Monique P. L'Hoir Magda M. Boere-Boonekamp Adèle C. Engelberts Edith J. M. Feskens Risk and Preventive Factors for SUDI: Need We Adjust the Current Prevention Advice in a Low-Incidence Country
description	Background: The incidence of Sudden Unexpected Death in Infancy (SUDI) is low in the Netherlands, with an incidence rate of 0.18 per 1,000 live births. Therefore, prevention advice may receive less attention, potentially leading to increasing incidence rates. It is currently unknown whether the risks for SUDI changed in the Netherlands, and if other risk factors might be present. The aim of this study was to examine the current risks and preventive factors for SUDI in Dutch infants, in order to determine if it is necessary to adapt the prevention advice toward the current needs.Methods: A case-control study was conducted comparing SUDI cases aged <12 months from 2014–2020 in the Netherlands (n = 47), to a Dutch national survey control group from 2017 including infants <12 months of age (n = 1,192).Results: Elevated risks for several well-known factors were observed, namely: duvet use (aOR = 8.6), mother smoked during pregnancy (aOR = 9.7), or after pregnancy (aOR = 5.4) and the prone sleeping position (aOR = 4.6). Reduced risks were observed for the well-known factors: room-sharing (aOR = 0.3), sleep sack use (aOR = 0.3), breastfeeding (aOR = 0.3), and the use of a pacifier (aOR = 0.4). For infants <4 months, the risk for SUDI was higher when bed-sharing (aOR = 3.3), and lower when room-sharing (aOR = 0.2) compared to older infants. For older infants, the sleep sack was found to be more protective (aOR = 0.2). A high risk for SUDI when bed-sharing was found when mother smoked, smoked during pregnancy, or if the infant did not receive any breastfeeding (respectively aOR = 17.7, aOR = 10.8, aOR = 9.2).Conclusions: Internationally known factors related to the sudden unexpected death of infants were also found in this study. Relatively new findings are related to specific groups of infants, in which the strengths of these risk factors differed. In a low-incidence country like the Netherlands, renewed attention to the current prevention advice is needed. Furthermore, additional attention for prevention measures in low educated groups, and additional advice specifically targeting high-risk groups is recommended.
format	article
author	Floortje Kanits Monique P. L'Hoir Monique P. L'Hoir Magda M. Boere-Boonekamp Adèle C. Engelberts Edith J. M. Feskens
author_facet	Floortje Kanits Monique P. L'Hoir Monique P. L'Hoir Magda M. Boere-Boonekamp Adèle C. Engelberts Edith J. M. Feskens
author_sort	Floortje Kanits
title	Risk and Preventive Factors for SUDI: Need We Adjust the Current Prevention Advice in a Low-Incidence Country
title_short	Risk and Preventive Factors for SUDI: Need We Adjust the Current Prevention Advice in a Low-Incidence Country
title_full	Risk and Preventive Factors for SUDI: Need We Adjust the Current Prevention Advice in a Low-Incidence Country
title_fullStr	Risk and Preventive Factors for SUDI: Need We Adjust the Current Prevention Advice in a Low-Incidence Country
title_full_unstemmed	Risk and Preventive Factors for SUDI: Need We Adjust the Current Prevention Advice in a Low-Incidence Country
title_sort	risk and preventive factors for sudi: need we adjust the current prevention advice in a low-incidence country
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/8ae8bddb51aa44b08446960c1093c165
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Risk and Preventive Factors for SUDI: Need We Adjust the Current Prevention Advice in a Low-Incidence Country

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