Recurrent sudden unexpected death in infancy: a case series of sibling deaths

Archives of Disease in Childhood
Joanna J GarstangAlison J Waite

Abstract

To determine the rate of sudden unexpected death in infancy (SUDI) for infants born after a previous SUDI in the same family, and to establish the causes of death and the frequency of child protection concerns in families with recurrent SUDI. Observational study using clinical case records. The UK's Care of Next Infant (CONI) programme, which provides additional care to families who have experienced SUDI with their subsequent children. Infants registered on CONI between January 2000 and December 2015. Cause of death, presence of modifiable risk factors for SUDI and child protection concerns. There were 6608 live-born infants registered in CONI with 29 deaths. 26 families had 2 deaths, and 3 families had 3 deaths. The SUDI rate for infants born after one SUDI is 3.93 (95% CI 2.7 to 5.8) per 1000 live births. Cause of death was unexplained for 19 first and 15 CONI deaths. Accidental asphyxia accounted for 2 first and 6 CONI deaths; medical causes for 3 first and 4 CONI deaths; and homicide for 2 first and 4 CONI deaths. 10 families had child protection concerns. The SUDI rate for siblings is 10 times higher than the current UK SUDI rate. Homicide presenting as recurrent SUDI is very rare. Many parents continued to smoke and expos...Continue Reading

References

Jul 24, 2001·Archives of Disease in Childhood·D M BecroftE A Mitchell
Jul 28, 2004·Journal of Clinical Forensic Medicine·E MitchellR W Byard
Jun 15, 2007·Archives of Disease in Childhood·C J BaconM J Campbell
May 24, 2008·Archives of Disease in Childhood·M J CampbellJ Madan
Oct 3, 2008·Pediatrics·Christopher Bacon
Aug 21, 2009·The New England Journal of Medicine·Hannah C Kinney, Bradley T Thach
Sep 25, 2009·Health Statistics Quarterly·Julie Messer
May 12, 2010·Archives of Disease in Childhood·L PrtakM C Cohen
Apr 30, 2015·BMJ : British Medical Journal·Rosemary S C HorneRachel Y Moon
Jan 25, 2017·Archives of Disease in Childhood·Paul Nathan Goldwater
Jul 13, 2020·Acta Paediatrica·Joanna GarstangPeter Sidebotham

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