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Bed sharing is more common in sudden infant death syndrome than in explained sudden unexpected deaths in infancy

Möllborg, Per, Wennergren, Göran, Almqvist, Petra, Alm, Bernt·2015·Acta Paediatrica

Abstract

Aim: Despite its declining incidence, sudden infant death syndrome (SIDS) is still an important cause of death in infancy. This study investigated the environmental circumstances associated with SIDS, by analysing data from all sudden unexpected deaths in infancy (SUDI) in Sweden from 2005 to 2011. Methods: All Swedish infants forensically autopsied up to the age of 365 days from 2005 to 2011 were included. Medical records were obtained from the hospitals and supplementary data from the Swedish Medical Birth Register. Results: Of the 261 infants, 136 were defined as SIDS and 125 as explained SUDI. The documentation in the medical records was poor when it came to issues such as bed sharing, sleep position, smoking, breastfeeding and pacifier use. The main findings were a significantly higher prevalence of bed sharing in SIDS than in explained deaths (odds ratio 7.77, 95% confidence interval 2.36–25.57) and that prone sleeping was still overrepresented. Bronchopneumonia, other infections and congenital anomalies were the most common causes of explained SUDI. Conclusion: Bed sharing and prone sleeping were more common in SIDS than in explained SUDI. Sparse data in medical records were a problem, and the authors are now working with the National Board of Health and Welfare on a project to establish new routines.

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Figure 1 SIDS incidence per 1000 live births in Sweden in 1975–2013. Based on data from the Swedish Departments of Forensic Medicine.
Figure 1 SIDS incidence per 1000 live births in Sweden in 1975–2013. Based on data from the Swedish Departments of Forensic Medicine.CC BY-NC-ND · PubMed Central
Figure 2 Age at death in cases of SIDS and explained SUDI in Sweden in 2005–2011.
Figure 2 Age at death in cases of SIDS and explained SUDI in Sweden in 2005–2011.CC BY-NC-ND · PubMed Central

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Metadata

Authors
Möllborg, P., Wennergren, G., Almqvist, P., & Alm, B.
Venue
Acta Paediatrica
Publisher
Wiley
Published
2015-05-08
Volume
104
Issue
8
Pages
777-783
ISSN
  • 0803-5253
  • 1651-2227
Cited by
25
References
0
Language
en

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CoChat. (2026). Citation check: Bed sharing is more common in sudden infant death syndrome than in explained sudden unexpected deaths in infancy. https://app.cochat.ai/papers/10.1111/apa.13021
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Möllborg, P., Wennergren, G., Almqvist, P., & Alm, B. (2015). Bed sharing is more common in sudden infant death syndrome than in explained sudden unexpected deaths in infancy. Acta Paediatrica. https://doi.org/10.1111/apa.13021