Used infant mattresses and sudden infant death syndrome in Scotland: case-control study
Used infant mattresses and sudden infant death syndrome in Scotland: case-control study
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DOI：
10.1136/bmj.325.7371.1007
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发表时间：
2002-11-02
影响因子：
105.7
通讯作者：
Gibson, A
中科院分区：
文献类型：
--
作者：
Tappin, D;Brooke, H;Gibson, A
目的探讨使用过的婴儿床垫与婴儿猝死综合征风险增加的关系。设计病例对照研究。（人口510万，每年约53000例出生）。参与者131名婴儿谁死于婴儿猝死综合征之间的1996年1月1日和2000年5月31日和278岁，季节，结果常规使用婴儿床垫与婴儿猝死综合征的风险增加显著相关，而常规使用婴儿床垫与婴儿猝死综合征的风险增加显著相关，（多变量优势比3.07，95%可信区间1.51 ~ 6.22）。最后一次睡觉时使用用过的婴儿床垫也与风险增加有关（6.10，2.31至16.12）。如果床垫是从另一个家庭（4.78，2.08至11.0）比，如果它是从同一个家庭（1.64，0.64至4.2）的关联显着更强。结论一个有效的显着关联之间存在使用一个使用过的婴儿床垫和婴儿猝死综合征的风险增加，特别是如果床垫是从另一个家庭。没有足够的证据来判断这种关系是否是因果关系。
Objective To examine the proposition that a used infant mattress is associated with an increased risk of sudden infant death syndrome.Design Case-control study.Setting Scotland (population 5.1 million, with about 53000 births a year).Participants 131 infants who died of sudden infant death syndrome between I January 1996 and 31 May 2000 and 278 age, season, and obstetric unit matched control infants.Main outcome measures Routine use of an infant mattress previously used by another child and place of last sleep.Results Routine use of an infant mattress previously used by another child was significantly associated with an increased risk of sudden infant death syndrome (multivariate odds ratio 3.07,95% confidence interval 1.51 to 6.22). Use of a used infant mattress for last sleep was also associated with increased risk (6.10, 2.31 to 16.12). The association was significantly stronger if the mattress was from another home (4.78, 2.08 to 11.0) than if it was from the same home (1.64, 0.64 to 4.2).Conclusion A valid significant association exists between use of a used infant mattress and an increased risk of sudden infant death syndrome, particularly if the mattress is from another home. Insufficient evidence is available to judge whether this relation is cause and effect.