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Titolo:
Neck extension and rotation in sudden infant death syndrome and other natural infant deaths
Autore:
Krous, HF; Nadeau, JM; Silva, PD; Blackbourne, BD;
Indirizzi:
Childrens Hosp, Dept Pathol, San Diego, CA 92123 USA Childrens Hosp San Diego CA USA 92123 ept Pathol, San Diego, CA 92123 USA Univ Calif San Diego, Sch Med, Dept Pathol, San Diego, CA USA Univ Calif San Diego San Diego CA USA ed, Dept Pathol, San Diego, CA USA Univ Calif San Diego, Sch Med, Dept Pediat, San Diego, CA USA Univ Calif San Diego San Diego CA USA ed, Dept Pediat, San Diego, CA USA Off Med Examiner Cty San Diego, San Diego, CA USA Off Med Examiner Cty SanDiego San Diego CA USA Diego, San Diego, CA USA
Titolo Testata:
PEDIATRIC AND DEVELOPMENTAL PATHOLOGY
fascicolo: 2, volume: 4, anno: 2001,
pagine: 154 - 159
SICI:
1093-5266(200103/04)4:2<154:NEARIS>2.0.ZU;2-2
Fonte:
ISI
Lingua:
ENG
Soggetto:
ARCUATE NUCLEUS; BRAIN-STEM; SLEEPING POSITION; RECEPTOR-BINDING; DECLINE; VICTIMS; RISK;
Keywords:
sudden infant death syndrome; other natural infant death; vertebral artery compression; neck position; brain stem ischemia;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
21
Recensione:
Indirizzi per estratti:
Indirizzo: Krous, HF Childrens Hosp, Dept Pathol, 3020 Childrens Way,MC5007, San Diego, CA 92123 USA Childrens Hosp 3020 Childrens Way,MC5007 San Diego CA USA 92123
Citazione:
H.F. Krous et al., "Neck extension and rotation in sudden infant death syndrome and other natural infant deaths", PEDIATR D P, 4(2), 2001, pp. 154-159

Abstract

It has been hypothesized that some cases of sudden infant death syndrome (SIDS) are a result of neck extension and/or rotation that causes vertebral artery (VA) compression and brain stem ischemia. There is a paucity of relevant Literature on this topic. Therefore, our aim was to compare neck rotation and extension in SIDS and other natural infant deaths. Cases of SIDS and other natural infant deaths within the San Diego SIDS Research Project database were analyzed retrospectively with respect to neck and body positionas reported by the trained, experienced scene investigators and/or the caretakers who discovered the infants. Information was used from 246 SIDS cases and 56 cases of other natural deaths. Simultaneous neck extension and rotation was not reported in either group. When data regarding neutral/flexed/extended position and rotation of the neck were combined, no significant differences were found between the two groups (P = 0.94); 40% of the SIDS cases and 41% of the other natural death cases were found with the neck eitherextended or rotated (odds ratio [OR] 0.97, [reference group = neck either neutral or flexed, and not rotated], 95% confidence interval [C] 0.45, 2.11). There were also no significant differences between the groups when neck rotation and neck extension were analyzed independent of one another. Neck rotation among cases found in the prone position was common and was not significantly different between the two groups (49% of 146 SIDS cases, 58% of 24 other natural death cases, P = 0.38, OR 0.68, 95% CI 0.28, 1.62). Neck rotation among infants found in the supine position occurred one-third as often in the SIDS group (9% of 33 cases) as in the other natural death group (29% of 14 cases); however, the difference was not significant (P = 0.17; OR 0.25, 95% CI 0.05, 1.31). Although our analysis does not exclude VA compression and brain stem ischemia in some cases of SIDS, we found no evidence to affirm its importance. This study demonstrates the importance of meticulous scene descriptions, including neck position.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 18/01/20 alle ore 13:48:30