| Titre : | Risk factors for unexpected infant death among very premature infants in France (2024) |
| Auteurs : | Anne-Laure Bourneuf, Auteur ; Estelle Le Pabic, Auteur ; Sophie De Visme, Auteur ; Karine Levieux, Auteur ; Patrick Pladys, Auteur ; OMIN study group, Auteur |
| Type de document : | Article |
| Dans : | Archives de pédiatrie (Vol. 31, n°3, avril 2024) |
| Article en page(s) : | 195-201 |
| Langues: | Français |
| Catégories : | |
| Résumé : |
Background: Prematurity is one of the risk factors for sudden unexpected infant death (SUID), a phenomenon that remains poorly explained.
Materials and methods: The analysis of specific factors associated with SUID among very premature infants (VPI) was performed through a retrospective review of data collected in the French SUID registry from May 2015 to December 2018. The factors associated with SUID among VPI were compared with those observed among full-term infants (FTI). Results are expressed as means (standard deviation [SD]) or medians (interquartile range [IQR)]. Results: During the study period, 719 cases of SUID were included in the registry, 36 (incidence: 0.60 ‰) of which involved VPI (gestational age: 29.2 [2] weeks, 1157 [364]) g] and 313 (0.18 ‰) involved FTI (gestational age: 40 [0.8] weeks, 3298 [452] g). The infants’ postnatal age at the time of death was similar in the two groups: 15.5 (12.2–21.8) vs. 14.5 (7.1–23.4) weeks. We observed low breastfeeding rates and a high proportion of fathers with no occupation or unemployment status among the VPI compared to the FTI group (31% vs. 55 %, p = 0.01 and 32% vs. 13 %, p = 0.05, respectively). Among the VPI, only 52 % were in supine position, and 29 % were lying prone at the time of the SUID (compared to 63 % and 17 %, respectively, in the FTI group). Conclusion: This study confirms prematurity as a risk factor for SUID with no difference in the SUID-specific risk factors studied except for breastfeeding and socioeconomic status of the fathers. VPI and FTI died at similar chronological ages with a high proportion of infants dying in prone position. These results argue for reinforcement of prevention strategies in cases of prematurity. (RA) |
Exemplaires (1)
| Code-barres | Cote | Support | Localisation | Section | Disponibilité | lien web |
|---|---|---|---|---|---|---|
| ESF03955 | PER | Périodique | Bibliothèque ESF | Périodique | Disponible |
