Pediatrics Book

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Sudden Infant Death SyndromeAka: Crib Death, SIDS

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  1. Epidemiology
    1. Incidence: 1 to 2 per 1000
    2. Ages affected: 1 to 6 months (peaks at age 2 months)
    3. Most often occurs between midnight and 8 am
  2. Risk Factors
    1. Sleeping Position
      1. Prone (9 fold increased risk)
      2. Side sleeping (1.8 fold increased risk)
    2. Parental Smoking (prenatal and postnatal)
      1. Parental smoking responsible for 61% of SIDS deaths
    3. Low birth weight
    4. Teenage parents
    5. Drug addiction in parents
    6. Family History of previous SIDS deaths
  3. Diagnosis: Autopsy
    1. Assess for other possible cause
    2. Findings consistent with SIDS
      1. Intrathoracic Petechiae
      2. Mild respiratory tract congestion
      3. Brainstem gliosis
      4. Extramedullary hematopoiesis
  4. Management: Family Support
    1. Counseling services
  5. Resources
    1. National SIDS Foundation
  6. References
    1. (1996) BMJ 313:191
    2. (1996) BMJ 313:195
    3. Merenstein (1994) Handbook Pediatrics, Lange

Sudden infant death syndrome (C0038644)

Definition (MSH)The abrupt and unexplained death of an apparently healthy infant under one year of age, remaining unexplained after a thorough case investigation, including performance of a complete autopsy, examination of the death scene, and review of the clinical history. (Pediatr Pathol 1991 Sep-Oct;11(5):677-84)
Definition (CSP)sudden and unexpected death of an apparently healthy infant, typically occurring between 3 weeks and 5 months of age, most infants dying at night, and not explained by postmortem data.
ConceptsDisease or Syndrome (T047)
ICD9798.0, 798.0
MSHD013398
EnglishCot Death, Cot Deaths, Crib Death, DEATH INFANT SUDDEN, DEATH SUDDEN INFANT, INFANT DEATH SUDDEN, SID, SIDS, SIDS - Sudden infant death syndrome, Sudden death in infants, Sudden death of nonspecific cause in infancy, SUDDEN INFANT DEATH, SUDDEN INFANT DEATH SYND, Sudden infant death syndrome, Unexpected sudden death of infant
Spanishmuerte en la cuna, muerte subita inesperada del recien nacido, sindrome de muerte subita del lactante
Parent ConceptsCardiovascular Diseases (C0007222), Syndrome (C0039082), Disorders, General, Functional and NEC (C0549512), PRE-FETAL/DEATH (C0549656), Unexplained sudden death (C0520806), Death, Sudden (C0011071), Sudden infant death syndrome (C0038644), Dead - sudden death (C1636652), Duplicate concept (C1274013)
SourcesAOD, CSP, CST, ICD9CM, LCH, MEDLINEPLUS, MSH, MTH, MTHICD9, NDFRT, OMIM, SCTSPA, SNOMEDCT
Derived from the NIH UMLS (Unified Medical Language System)



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