Format

Send to

Choose Destination
J Pediatr. 2008 Mar;152(3):365-70. doi: 10.1016/j.jpeds.2007.07.054. Epub 2007 Nov 5.

Apparent life-threatening events and sudden infant death syndrome: comparison of risk factors.

Author information

1
University of Southern California, Division of Neonatal Medicine, LAC + USC Medical Center, Women's and Children's Hospital, and Children's Hospital Los Angeles, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.

Abstract

OBJECTIVE:

To compare the risk factors of 153 cases of apparent life-threatening event (ALTE) enrolled in the multicenter Collaborative Home Infant Monitoring Evaluation (CHIME) from 1994 to 1998 with the published risk factors for sudden infant death syndrome (SIDS).

STUDY DESIGN:

Trained CHIME interviewers gathered histories of infants with ALTE who met the criteria. The following risk factors were analyzed: male predominance, gestational age, low birth weight, very low birth weight, incidence of small for gestational age (SGA), age at the event, multiparity, maternal age, and smoking. Population-based SIDS studies with >100 deaths, focusing on 1 or more pertinent risk factors and carried out during the decade in which CHIME data were collected, were chosen for comparison.

RESULTS:

One of the 153 infants with ALTE in this study died during follow-up (0.6%). CHIME ALTE differed significantly from SIDS in 4 respects: fewer infants with low birth weight and SGA at birth, fewer teenage pregnancies, and a younger infant age at ALTE.

CONCLUSIONS:

Although a number of risk factors for ALTE are similar to those for SIDS, the differences warrant a separate focus on ALTE beyond that on SIDS.

Comment in

PMID:
18280841
DOI:
10.1016/j.jpeds.2007.07.054
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Elsevier Science
Loading ...
Support Center