Flashcards in Sudden Unexpected Death in an Infant (SUDI) Deck (22)
Most Sudden Unexpected Deaths in Infancy actually do have a cause. TRUE/FALSE?
SUDI applies to all deaths of infants up to what age?
Up to 1 year
What is put on an infants death certificate if no cause of death is identified at post mortem?
SUDI can be put as cause of death
What is meant by Sudden Infant Death Syndrome (SIDS)?
Subset of SUDI where no risk factors or pathological cause of death were identified
What is the incidence of SUDI and what causes this to vary?
Between 1:1000 to 1:4000
- social deprivation
SUDI is the most common cause of infant death at what age?
Between 2-6 months
(not most common in neonatal period)
Why does a SUDI at 12 months of age prompt to look harder for cause of death?
SUDI is much rarer at this age and stage
What ethnicities are at higher risk of SUDI?
Maori and pacific population
What is the triple risk model in relation to SUDI?
Infant has a vulnerability already (e.g. preterm, or maternal smoking in preg.)
An exogenous stress then occurs (prone position, overheating, infection etc)
This occurs at a critical time in their development and therefore causes a larger impact on the infants life - SUDI
What risk factors for SUDI cannot be changed or prevented?
- period of acute illness
- preterm birth
- congenital anomaly
- multiple birth
- previous unexplained infant death
- Boys more at risk
What risk factors for SUDI potentially can be preventable?
- depression in mother at time of stillbirth
- alcohol/substance misuse
- poor housing/domestic violence
- co-sleeping with child
- sleeping baby prone or on side
- sleeping on pillow/soft surface
The Scottish Cot Death Trust aim to educate parents on the rules of safer sleep. What are these?s
- Back to sleep
- Clear cot (no teddies, pillows etc)
- Tuck in (blankets under arms)
- Feet to the foot of the cot (so baby doesnt move into unsafe position)
- uncover head so baby doesn't get too hot
How is SUDI usually investigated?
POLICE often involved as death is unexpected => may be treated as suspicious
Most episodes of SUDI occur at home, in the community. TRUE/FALSE?
Who is responsible for reporting SUDIs to the POLICE if they occur in the community?
Ambulance service that attend the house OR A and E if the baby is brought there
If a post mortem is ordered by the procurator fiscal, it cannot be overturned by the baby's family. TRUE/FALSE?
How long does a post mortem usually take before the results can fully be given to families?
What are the most common causes of SUDI?
- infection (not recognised as life threatening at the time)
- congenital malformations
- Accidents (smothering => asphyxiation)
- NAI (head injuries due to shaking)
Viral infection of which organ is most common in infants and may play a role in SUDI?
What bacterial infections are most commonly causes of SUDI?
In what percentage of cases is the cause of SUDI visible on macroscopic post-mortem examination?