[The effect of certain factors on the occurrence of sudden infant death syndrome]
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Updated: Aug 16, 2026

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Insights
Sudden Infant Death Syndrome (SIDS) is underreported but a significant cause of infant mortality, particularly in low-mortality environments. This study examines SIDS frequency during a respiratory syncytial virus epidemic, noting key risk factors.
Area of Science:
- Pediatrics
- Pathology
- Epidemiology
Context:
- Sudden Infant Death Syndrome (SIDS) is a significant concern in postneonatal mortality, especially in regions with low overall infant death rates.
- Adequate registration and diagnosis of SIDS remain challenging due to unclear autopsy findings and clinical presentations.
- Predisposing factors contribute to SIDS, necessitating thorough investigation.
Purpose:
- To present the frequency of SIDS during an epidemic of acute respiratory infection caused by respiratory syncytial virus (RSV).
- To identify predisposing factors and demographic patterns associated with SIDS in the studied population.
- To highlight the diagnostic role of pathologists in SIDS cases with uncertain autopsy findings.
Summary:
- SIDS occurred in 22% of total infant mortality in the studied environment.
- Infants with perinatal risk factors, males, and those from lower socio-economic and culturo-hygienic backgrounds were more frequently affected.
- SIDS cases often occurred during nighttime, autumn, and winter, coinciding with an RSV epidemic.
Impact:
- This research underscores the importance of recognizing SIDS as a critical public health issue, even in environments with low infant mortality.
- Findings emphasize the need for improved SIDS registration, diagnosis, and risk factor assessment, particularly during infectious disease outbreaks.
- The study highlights the potential indirect role of viral infections like RSV in SIDS cases and informs targeted prevention strategies.
Abstract:
Although sudden infant death syndrome (SIDS) has been well known for a long time, in our country it has not been registered adequately yet and has seemed not to be present those years. But, it has not been true. A number of predisposing factors make that this phenomenon has a high share in postneonatal mortality, especially in those environments where the infant's mortality rate is low. A pathologist is imperative to establish a diagnosis following not only inadequate clinical picture and sudden death but also uncertain autopsy finding which does not make clear the cause of death in the majority of cases. In this paper, the frequency of SIDS during the epidemic of acute respiratory infection caused by respiratory syncytial virus being the potential indirect cause of the infants' deaths is presented. In 2/3 of cases this have been the infants born with perinatal risk factors and more often they have been males. SIDS has usually occurred at night, during autumn and winter and with infants coming from lower socio-economic and culturo-hygienic environments. In our environment, the frequency of SIDS has amounted to 22% of the total infant mortality rate.
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