One factor contributing to the higher rate of SUID is the increased incidence of nonsupine sleeping in black infants. Although the incidence of SUID is decreasing among all groups, the rates in black and American Indian/Alaska Native children is 2 to 3 times the national average. The frequency of SUID differs in different populations in the United States and other countries. The peak incidence of SUID occurs at 2 to 3 months of age, with 90% of deaths occurring before age 6 months. Sudden unexpected infant death more commonly affects boys than girls and occurs more often in the winter months. Before the institution of this campaign, the annual death rate from what was then termed SIDS was approximately 5,000 to 8,000, with an incidence of approximately 1.4 per 1,000 live births. These figures were dramatically higher before the Safe to Sleep campaign (originally the Back to Sleep campaign) promoted by the American Academy of Pediatrics (AAP) to place babies in the supine position for sleep. Sudden unexpected infant death accounts for 3,000 to 4,000 infant deaths per year in the United States, with an overall incidence of 0.93 per 1,000 live births. A BRUE is not a risk factor for SUID, however. For historical reasons, BRUE and SUID are discussed in this chapter because ALTE and SIDS were once thought to be related. What is now known as BRUE was formerly termed an “apparent life-threatening event” (ALTE). In the United States, SUID is the most common cause of death in children younger than 1 year (excluding the neonatal period) in most cases, a contributory factor is present, such as an unsafe sleep environment.Ī brief resolved unexplained event (BRUE) is a sudden, brief, and resolved event that occurs in an infant younger than 1 year of age and that involves at least 1 of the following findings: cyanosis or pallor decreased, absent, or irregular breathing change in tone or decreased responsiveness.

Sudden infant death syndrome (SIDS), a subcategory of SUID, is a diagnosis of exclusion following the death of a previously healthy infant younger than 1 year in which no contributing factors are identified (including the absence of an unsafe sleep environment) after obtaining a comprehensive medical history of the infant and family and performing a thorough postmortem examination and death scene investigation. Sudden unexpected infant death (SUID) refers to all sudden, unexpected death in infants younger than 1 year. What services are available to families whose infant has died from sudden unexpected infant death?

Why are sudden unexpected infant death and brief resolved unexplained events not related?Ħ. What is the appropriate evaluation of the infant who presents with a brief resolved unexplained event?ĥ.

What should parents be advised to help prevent sudden unexpected infant death?Ĥ. What is the relationship between sudden infant death syndrome and sudden unexpected infant death?ģ. What factors are associated with sudden unexpected infant death?Ģ. The infant received the appropriate immunizations at 2 months of age.ġ. Although the mother smoked cigarettes during pregnancy, the pregnancy and delivery were otherwise normal. His mother fed him at 2:00 am and found him blue and lifeless lying next to her in bed at 6:00 am. He had previously been well except for a mild upper respiratory infection. A 4-month-old boy is brought to the emergency department by paramedics after being found blue and not breathing by his mother.

Safebox sids