Observations on Increased Accidental Asphyxia Deaths in Infancy While Cosleeping in the State of Maryland
Observations on Increased Accidental Asphyxia Deaths in Infancy While Cosleeping in the State of Maryland
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DOI：
10.1097/paf.0b013e31819df760
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发表时间：
2009-12-01
影响因子：
1
通讯作者：
Fowler, David R.
中科院分区：
文献类型：
--
作者：
Li, Ling;Zhang, Yang;Fowler, David R.
据首席法医办公室（OCME）记录，2003年在马里兰州，与同睡有关的婴儿意外窒息死亡人数显著增加。2003年，马里兰州共有102名婴儿突然意外死亡。102名婴儿中，46名（45%）被发现同睡。在这102名婴儿中，黑人婴儿共睡的频率为28%(29/102)，白人婴儿为15%（15/102）。46例共睡婴儿死亡中有10例（20%）被确定为意外窒息的结果，28例共睡婴儿死亡（59%）被归类为“未确定”，因为不能排除共睡时重叠导致窒息的可能性。只有21例被确定为婴儿猝死综合症（SIDS），这与1994年以来马里兰州婴儿猝死综合症死亡率持续下降的情况一致。窒息共睡婴儿的年龄从15天到9个月不等。10例窒息死亡中有9例是黑人婴儿。窒息婴儿最常见的睡眠位置是沙发/沙发，其次是成人床。在所有共睡病例中都记录了婴儿床的可用性。大多数（61%）共睡婴儿（28/46）家中有可用的婴儿床或摇篮，10个窒息共睡婴儿中有9个在事件发生时家中有婴儿床。本报告重点介绍了在共睡过程中因窒息死亡的婴儿受害者的详细现场调查结果。对婴儿猝死调查中诊断的转变也进行了讨论。
The Office of the Chief-Medical Examiner (OCME) has recorded a significant increase of accidental asphyxia deaths in infancy associated with cosleeping in the state of Maryland in 2003. A total of 102 infants died suddenly and unexpectedly during 2003 in the state of Maryland. Of the 102 infants, 46 (45%) were found cosleeping. The frequency of cosleeping among these 102 infants was 28% (29/102) for black infants and 15% (15/102) for white infants. Ten of the 46 cosleeping infant deaths (20%) were determined to be the result of accidental asphyxia, and 28 cosleeping infant deaths (59%) were classified as "undetermined" because the possibility of asphyxia due to overlay while cosleeping could not be ruled out. Only 21 cases were determined to be Sudden Infant Death Syndrome (SIDS), which is consistent with the continuous decline of SIDS death in Maryland since 1994. The age of asphyxiated cosleeping infants ranged from 15 days to 9 months. Nine out of the 10 asphyxia deaths were black infants. The most common sleeping location of the asphyxia infants was on a couch/sofa, followed by an adult bed.Crib availability was documented in all of the cosleeping cases. A majority (61%) of the cosleeping infants (28/46) had an available crib or bassinet at home and 9 out of 10 asphyxiated cosleeping infants had a crib at home at the time of the incident.This report focuses on the detailed scene investigation findings of infant victims who died of asphyxia while cosleeping. The shift of diagnosis in sudden infant death investigation is also addressed.