摘要
Aim: To examine whether symptoms suggestive of infection, health problems, and health care utilisation are risk factors for SIDS. Methods: Matched case-contr ol study with 333 SIDS infants and 998 control infants matched for region, age, gender, and reference sleep. Information was obtained by parental interview, pae diatrician completed questionnaire, and hospital admission data. Results: No sym ptoms were associated with SIDS after adjustment for potential confounders. Illn ess in the last four weeks as reported by the paediatrician did not differ betwe en cases and controls. Developmental problems and special investigations at any stage of life significantly increased the risk of SIDS (adjusted OR = 2.14 and 2 .07). Admission to hospital after the first week of life was associated with an increased risk of SIDS (adjusted OR = 1.88). Conclusion: Symptoms of infection a nd illness are no longer risk factors for SIDS in communities such as Germany wh ere few infants sleep prone. The increased risk of SIDS with developmental probl ems may indicate that infants which subsequently die of SIDS are abnormal or in some way vulnerable.
Aim: To examine whether symptoms suggestive of infection, health problems, and health care utilisation are risk factors for SIDS. Methods: Matched case-contr ol study with 333 SIDS infants and 998 control infants matched for region, age, gender, and reference sleep. Information was obtained by parental interview, pae diatrician completed questionnaire, and hospital admission data. Results: No sym ptoms were associated with SIDS after adjustment for potential confounders. Illn ess in the last four weeks as reported by the paediatrician did not differ betwe en cases and controls. Developmental problems and special investigations at any stage of life significantly increased the risk of SIDS (adjusted OR = 2.14 and 2 .07). Admission to hospital after the first week of life was associated with an increased risk of SIDS (adjusted OR = 1.88). Conclusion: Symptoms of infection a nd illness are no longer risk factors for SIDS in communities such as Germany wh ere few infants sleep prone. The increased risk of SIDS with developmental probl ems may indicate that infants which subsequently die of SIDS are abnormal or in some way vulnerable.
