1566 clinical profile of “near miss” sudden infant death syndrome (sids)

ABSTRACT “Near miss” SIDS is not clearly defined and its relationship to SIDS remains speculative. A study performed of infants who had sustained a prolonged apneic episode (“near miss”),

terminated by parental intervention included the administration of a questionnaire individually to parents of these 30 otherwise normal infants (15 male and 15 female; 25 full-term and 5

prematures). The “near miss” occurred between 2-20 wks (X 8.4 wks) postnatally. Gestational ages ranged from 29-41 wks, birth wt. from 1.5-4.1 kg. (X 3.1 kg), duration of the “near miss”

from 8 to 240 secs. (X 66 sec.). In 57% of the infants it occurred during sleep, in 37% during the night, in 63% during the daytime, in 33% during the warmer half of the year and in 67%

during the colder months. At the time of the “near miss” 60% had a URI, 53% had a previous disturbance of their sleep routines, 43% had decreased appetite and 30% were fussy and irritable.

During the episode 70% were cyanotic, 40% pallid, 23% red; 73% were limp, 17% stiff, and 37% had cold extremities. Intervention with mild stimulation was required in 17%, moderate in 16% and

67% required mouth to mouth ventilation or CPR. Infants with a long “near miss” event required more severe intervention and had a higher birth wt. and gestational age. A URI was associated

with lower birth wt. and gestational age. None of these babies subsequently died. These findings suggest that “near miss” SIDS has a characteristic clinical profile with a distinct pattern

which bears a close similarity to the events associated with SIDS. ARTICLE PDF AUTHOR INFORMATION AUTHORS AND AFFILIATIONS * (Spon. L. Finberg), Depts. of Peds & Neurol., A. Einstein

Coll. Med., Montefiore Hosp. Med. Ctr., N.Y. Anne C Cornwell, Richard E Kravath & Elliot D Weitzman Authors * Anne C Cornwell View author publications You can also search for this author

inPubMed Google Scholar * Richard E Kravath View author publications You can also search for this author inPubMed Google Scholar * Elliot D Weitzman View author publications You can also

search for this author inPubMed Google Scholar RIGHTS AND PERMISSIONS Reprints and permissions ABOUT THIS ARTICLE CITE THIS ARTICLE Cornwell, A., Kravath, R. & Weitzman, E. 1566 CLINICAL

PROFILE OF “NEAR MISS” SUDDEN INFANT DEATH SYNDROME (SIDS). _Pediatr Res_ 15 (Suppl 4), 704 (1981). https://doi.org/10.1203/00006450-198104001-01583 Download citation * Issue Date: 01 April

1981 * DOI: https://doi.org/10.1203/00006450-198104001-01583 SHARE THIS ARTICLE Anyone you share the following link with will be able to read this content: Get shareable link Sorry, a

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