HAS CHANGING DIAGNOSTIC PREFERENCE BEEN RESPONSIBLE FOR THE RECENT FALL IN INCIDENCE OF SUDDEN-INFANT-DEATH-SYNDROME IN SOUTH-AUSTRALIA
HAS CHANGING DIAGNOSTIC PREFERENCE BEEN RESPONSIBLE FOR THE RECENT FALL IN INCIDENCE OF SUDDEN-INFANT-DEATH-SYNDROME IN SOUTH-AUSTRALIA
复制标题
DOI：
10.1111/j.1440-1754.1995.tb00785.x
复制
发表时间：
1995-06-01
影响因子：
1.7
通讯作者：
BEAL, SM
中科院分区：
文献类型：
--
作者：
BYARD, RW;BEAL, SM
目的：在过去几年中，在一些不同的地理区域，婴儿猝死综合症造成的死亡人数明显减少。与此同时，小岛屿发展中国家的定义一直处于不断变化的状态，一些观察家提出，小岛屿发展中国家死亡人数的下降可能是由于诊断转移，而不是由于数字的真正减少。本研究进行了调查这种possibility.Methodology：所有突然和意外死亡的婴儿在1岁以下的南澳在10年期间，从1984年至1993年进行了review.Results：由于小岛屿发展中国家的死亡人数从1984年的40下降到17年，1993年，最多的52例，每年在1987年。与此相反，非小岛屿发展中国家的猝死病例每年仍低于10例。整体婴儿死亡率也下降了，而每年的出生总数保持相对不变。结论：缺乏重大变化的婴儿猝死率从其他原因，加上在小岛屿发展中国家的死亡率下降，是不支持的诊断转移是一个主要的决定因素，小岛屿发展中国家的死亡率下降。因此，其他因素可能是造成这一人口中小岛屿发展中国家比率下降的原因。
Objective: An apparent decrease in deaths attributed to sudden infant death syndrome (SIDS) has been noted in a number of diverse geographical areas during the past several years. At the same time the definition of SIDS has been in a state of flux and some observers have raised the possibility that the fall in SIDS deaths is due to diagnostic transfer rather than to a genuine decrease in numbers. The present study was undertaken to investigate this possibility.Methodology: All sudden and unexpected deaths in infants under 1 year of age in South Australia during a 10 year period from 1984 to 1993 were reviewed.Results: The number of deaths due to SIDS fell from 40 in 1984 to 17 in 1993, with a maximum of 52 cases per year in 1987. In contrast, the number of cases of sudden death not due to SIDS remained under 10 per year. The overall infant death rate also fell, while the total number of births per year remained relatively unchanged.Conclusions: The lack of major change in sudden infant death rates from other causes, combined with the fall in SIDS deaths, is not supportive of diagnostic transfer being a major determinant of the declining SIDS death rate. Therefore, other factors are likely to be responsible for the falling SIDS rate in this population.