TY  - JOUR
PY  - 2020//
TI  - Epidemiology of sudden death in a population-based study of infants and children
JO  - Journal of pediatrics: X
A1  - Burns, Kristin M.
A1  - Cottengim, Carri
A1  - Dykstra, Heather
A1  - Faulkner, Meghan
A1  - Lambert, Alexa B. Erck
A1  - MacLeod, Heather
A1  - Novak, Alissa
A1  - Parks, Sharyn E.
A1  - Russell, Mark W.
A1  - Shapiro-Mendoza, Carrie K.
A1  - Shaw, Esther
A1  - Tian, Niu
A1  - Whittemore, Vicky
A1  - Kaltman, Jonathan R.
A1  - Sudden Death in the Young Case Registry, 
SP  - e100023
EP  - e100023
VL  - 2
IS  - 
N2  - OBJECTIVE: To describe epidemiologic data from the Sudden Death in the Young (SDY) Case Registry. Understanding the scope of SDY may optimize prevention efforts.     Study design: We analyzed sudden, unexpected deaths of infants (<365 days) and children (1-17 years) from a population-based registry of 8 states/jurisdictions in 2015 and 9 in 2016. Natural deaths and injury deaths from drowning, motor vehicle accident drivers, and infant suffocation were included; other injury deaths, homicide, suicide, intentional overdose, and terminal illness were excluded. Cases were categorized using a standardized algorithm. Descriptive statistics were used to characterize deaths, and mortality rates were calculated.     Results: Of 1319 cases identified, 92% had an autopsy. We removed incomplete cases, leaving 1132 analyzable deaths (889 infants, 243 children). The SDY rate for infants was 120/100 000 live births and for children was 1.9/100 000 children. Explained Cardiac rates were greater for infants (2.7/100 000 live births) than children (0.3/100 000 children). The pediatric Sudden Unexpected Death in Epilepsy (SUDEP) mortality rate was 0.2/100 000 live births and children. Blacks comprised 42% of infant and 43% of child deaths but only 23% of the population. In all ages, myocarditis/endocarditis was the most common Explained Cardiac cause; respiratory illness was the most common Explained Other cause. SDY occurred during activity in 13% of childhood cases.     Conclusions: Prevention strategies include optimizing identification and treatment of respiratory and cardiac diseases.<p />  <p>Language: en</p>
LA  - en
SN  - 2590-0420
UR  - http://dx.doi.org/10.1016/j.ympdx.2020.100023
ID  - ref1
ER  -