Management of sudden unexpected infant death syndrome (SUIDS) in reference centers in France in 2013

Archives de pédiatrie : organe officiel de la Sociéte française de pédiatrie
K Levieuxl’Association nationale des centres référents de la mort inattendue du nourrisson (ANCReMIN)

Abstract

In France, nearly 500 infants still die unexpectedly every year. In 2009, the French Institute for Public Health Surveillance published a survey showing great heterogeneity in the management of sudden unexpected infant death (SUID) cases. The aim of this study was to evaluate the actual diagnostic approach to SUID in the different reference centers in France and to determine the degree to which the 2007 recommendations of the French National Authority for Health (Haute Autorité de santé [HAS]) are applied. We conducted a multicenter cross-sectional epidemiological study by email sent to the 36 SIDS reference centers with questions on examinations usually performed in SIDS cases. We also submitted six SUID test cases for death classification to the different reference physicians. Twenty-nine of 36 centers (80.5%) responded. Among the recommended tests, only blood cultures, analysis of cerebrospinal fluid, and a proposal to autopsy are done in 100% of the centers. Other investigations are not carried out systematically: skeleton radiography (65.5%), cranial CT scan (58%), eye fundus (20.7%), metabolic analysis (65.5%), and blood toxicology (62%). The main reasons for non-completion of these tests were hospital practices, lack of ...Continue Reading

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Citations

Nov 2, 2018·Paediatrics and International Child Health·Lucile TuchtanChristophe Bartoli
Jun 4, 2021·Clinical Toxicology : the Official Journal of the American Academy of Clinical Toxicology and European Association of Poisons Centres and Clinical Toxicologists·Isabelle ClaudetUNKNOWN OMIN Study Group
Jun 26, 2020·The Journal of Pediatrics·Sophie de VismeMatthieu Hanf

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