The multiagency approach to Sudden Unexpected Infant Deaths (SUID): eleven years’ experience in the Tuscany Region
| العنوان: | The multiagency approach to Sudden Unexpected Infant Deaths (SUID): eleven years’ experience in the Tuscany Region |
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| المؤلفون: | Raffaele Piumelli, Niccolò Nassi, Marta Peruzzi, Cristina Salvatori, Cinzia Arzilli, Annamaria Buccoliero, Rossella Occhini, Vincenzo Nardini, Paolo Toti |
| المصدر: | Italian Journal of Pediatrics Italian Journal of Pediatrics, Vol 46, Iss 1, Pp 1-6 (2020) |
| بيانات النشر: | BioMed Central, 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Male, Ethnic group, First year of life, 03 medical and health sciences, 0302 clinical medicine, 030225 pediatrics, SIUD, SIDS, Psychological support, SUEND, Medicine, Humans, 030212 general & internal medicine, Registries, Intersectoral Collaboration, Retrospective Studies, business.industry, Incidence (epidemiology), Research, Incidence, lcsh:RJ1-570, Infant, Newborn, Infant, lcsh:Pediatrics, Sudden infant death syndrome, Mental health, Infant mortality, Interinstitutional Relations, Multiagency approach, Italy, Female, Neonatal death, business, Sudden Infant Death, Demography |
| الوصف: | Background The Sudden Unexpected Infant Death Syndrome (SUID) is one of the leading causes of mortality in the first year of life. The aim of this work was the retrospective evaluation of the incidence of SUID and the effectiveness of the multiagency approach to this phenomenon in the Tuscany Region. Methods Data were obtained from the regional registry of SUID cases in the period 2009–2019. The registry contains both sudden unexpected deaths in the first week of life (Sudden Unexpected Early Neonatal Deaths - SUEND), and those occurring after the first week up to 1 year of age (SUID). Results In this timeframe a total of 73 sudden unexpected deaths occurred in our region; 32 were Unexplained (i.e. Sudden Infant Death Syndrome - SIDS), 24 Explained, 10 Undetermined, and 7 SUEND. Autopsies were performed in 91% of cases, and in 95% of these by three groups of selected pathologists according to our protocol. We found a low incidence of SUID (0.21 ‰), and SIDS deaths accounted for 0.1‰ of live births (48% of cases) with a high prevalence of infants of non-Italian ethnicity (38% of cases). Bereaved families were able to receive psychological support from mental health professionals and have contact with the family association, Seeds for SIDS. Audits were organized when post-mortem examinations were not carried out or carried out incorrectly in procedural terms, and when the diagnosis was particularly uncertain. Conclusions This paper first provides data on SUID mortality based on complete post-mortems in an Italian region. According to these findings we can state that our approach is effective both in terms of correctly performed autopsies and support for bereaved families. Future efforts are necessary to further reduce the incidence of SUID especially among non- Italian infants. An improvement action is also recommended for ensuring a more accurate and consistent picture of the circumstances of death. The final approval of the National Protocol for the management of SUID cases is therefore strongly advocated in order to improve surveillance in this specific field and abolish disparities among the Italian regions. |
| اللغة: | English |
| تدمد: | 1824-7288 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::9936845c2476133257a981818bb4df11Test http://europepmc.org/articles/PMC7372863Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....9936845c2476133257a981818bb4df11 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 18247288 |
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