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Pacifier use and sudden infant death syndrome: results from the CESDI/SUDI case control study. CESDI SUDI Research Team.
Arch Dis Child. 1999 Aug; 81(2):112-6.AD

Abstract

OBJECTIVES

To investigate the relation between pacifier use and sudden infant death syndrome (SIDS).

DESIGN

Three year population based, case control study with parental interviews for each death and four age matched controls.

SETTING

Five regions in England (population > 17 million).

SUBJECTS

325 infants who had died from SIDS and 1300 control infants.

RESULTS

Significantly fewer SIDS infants (40%) than controls (51%) used a pacifier for the last/reference sleep (univariate odds ratio (OR), 0.62; 95% confidence interval (CI), 0.46 to 0.83) and the difference increased when controlled for other factors (multivariate OR, 0.41; 95% CI, 0. 22 to 0.77). However, the proportion of infants who had ever used a pacifier for day (66% SIDS v 66% controls) or night sleeps (61% SIDS v 61% controls) was identical. The association of a risk for SIDS infants who routinely used a pacifier but did not do so for the last sleep became non-significant when controlled for socioeconomic status (bivariate OR, 1.39 (0.93 to 2.07)).

CONCLUSIONS

Further epidemiological evidence and physiological studies are needed before pacifier use can be recommended as a measure to reduce the risk of SIDS.

Authors+Show Affiliations

FSID Unit, Department of Child Health, Developmental Physiology, Royal Hospital for Children, St Michael's Hill, Bristol BS2 8BJ, UK. peter.fleming@bris.ac.ukNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

10490514

Citation

Fleming, P J., et al. "Pacifier Use and Sudden Infant Death Syndrome: Results From the CESDI/SUDI Case Control Study. CESDI SUDI Research Team." Archives of Disease in Childhood, vol. 81, no. 2, 1999, pp. 112-6.
Fleming PJ, Blair PS, Pollard K, et al. Pacifier use and sudden infant death syndrome: results from the CESDI/SUDI case control study. CESDI SUDI Research Team. Arch Dis Child. 1999;81(2):112-6.
Fleming, P. J., Blair, P. S., Pollard, K., Platt, M. W., Leach, C., Smith, I., Berry, P. J., & Golding, J. (1999). Pacifier use and sudden infant death syndrome: results from the CESDI/SUDI case control study. CESDI SUDI Research Team. Archives of Disease in Childhood, 81(2), 112-6.
Fleming PJ, et al. Pacifier Use and Sudden Infant Death Syndrome: Results From the CESDI/SUDI Case Control Study. CESDI SUDI Research Team. Arch Dis Child. 1999;81(2):112-6. PubMed PMID: 10490514.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Pacifier use and sudden infant death syndrome: results from the CESDI/SUDI case control study. CESDI SUDI Research Team. AU - Fleming,P J, AU - Blair,P S, AU - Pollard,K, AU - Platt,M W, AU - Leach,C, AU - Smith,I, AU - Berry,P J, AU - Golding,J, PY - 1999/9/22/pubmed PY - 2000/4/25/medline PY - 1999/9/22/entrez SP - 112 EP - 6 JF - Archives of disease in childhood JO - Arch. Dis. Child. VL - 81 IS - 2 N2 - OBJECTIVES: To investigate the relation between pacifier use and sudden infant death syndrome (SIDS). DESIGN: Three year population based, case control study with parental interviews for each death and four age matched controls. SETTING: Five regions in England (population > 17 million). SUBJECTS: 325 infants who had died from SIDS and 1300 control infants. RESULTS: Significantly fewer SIDS infants (40%) than controls (51%) used a pacifier for the last/reference sleep (univariate odds ratio (OR), 0.62; 95% confidence interval (CI), 0.46 to 0.83) and the difference increased when controlled for other factors (multivariate OR, 0.41; 95% CI, 0. 22 to 0.77). However, the proportion of infants who had ever used a pacifier for day (66% SIDS v 66% controls) or night sleeps (61% SIDS v 61% controls) was identical. The association of a risk for SIDS infants who routinely used a pacifier but did not do so for the last sleep became non-significant when controlled for socioeconomic status (bivariate OR, 1.39 (0.93 to 2.07)). CONCLUSIONS: Further epidemiological evidence and physiological studies are needed before pacifier use can be recommended as a measure to reduce the risk of SIDS. SN - 1468-2044 UR - https://www.unboundmedicine.com/medline/citation/10490514/Pacifier_use_and_sudden_infant_death_syndrome:_results_from_the_CESDI/SUDI_case_control_study__CESDI_SUDI_Research_Team_ L2 - http://adc.bmj.com/cgi/pmidlookup?view=long&pmid=10490514 DB - PRIME DP - Unbound Medicine ER -