Sudden infant death syndrome and unclassified sudden infant deaths: A definitional and diagnostic approach

Sudden infant death syndrome and unclassified sudden infant deaths: A definitional and diagnostic approach
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DOI:
10.1542/peds.114.1.234
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发表时间:
2004-07-01
期刊:
影响因子:
8
通讯作者:
Mitchell, EA
Mitchell, EA
中科院分区:
医学2区
文献类型:
--
作者:
Krous, HF;Beckwith, JB;Mitchell, EA

文献摘要

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婴儿猝死综合征(SIDS)的定义最初出现于1969年,并在20年后进行了修改。在接下来的15年中,大量的额外信息已经出现,证明了额外的细化定义的SIDS纳入流行病学特征,危险因素,病理学特征,和辅助测试结果。一个由儿科和法医病理学家及儿科医生组成的专家小组审议了这些问题,并为行政和生命统计目的制定了小岛屿发展中国家的新的一般定义。新的定义然后分层,以促进对婴儿猝死的研究。另一个类别被定义为未分类的婴儿猝死,用于不符合SIDS诊断标准的病例,以及自然或非自然条件的替代诊断不明确的病例。预计这些新定义今后将得到修改,以适应对小岛屿发展中国家和婴儿猝死的新理解。
The definition of sudden infant death syndrome (SIDS) originally appeared in 1969 and was modified 2 decades later. During the following 15 years, an enormous amount of additional information has emerged, justifying additional refinement of the definition of SIDS to incorporate epidemiologic features, risk factors, pathologic features, and ancillary test findings. An expert panel of pediatric and forensic pathologists and pediatricians considered these issues and developed a new general definition of SIDS for administrative and vital statistics purposes. The new definition was then stratified to facilitate research into sudden infant death. Another category, defined as unclassified sudden infant deaths, was introduced for cases that do not meet the criteria for a diagnosis of SIDS and for which alternative diagnoses of natural or unnatural conditions were equivocal. It is anticipated that these new definitions will be modified in the future to accommodate new understanding of SIDS and sudden infant death.