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Repetir las muertes súbitas, inesperadas e inexplicables de bebés: ¿naturales o antinaturales?
R G Carpenter1, A Waite, R C Coombs
1Medical Statistics Unit, Department of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, UK. bob.carpenter@lshtm.ac.uk
Lancet (London, England)
|January 11, 2005
Resumen
Las muertes infantiles inesperadas repetidas son típicamente naturales, no antinaturales. Este estudio encontró una proporción de 6,7 muertes naturales a no naturales entre los bebés en el programa Cuidado del Próximo Bebé.
Área de la Ciencia:
- La pediatría es la medicina de los niños.
- Patología Forense Patología Forense.
- Salud Pública La salud pública.
Sus antecedentes:
- Sugerencias anteriores indicaron una mayor probabilidad de causas antinaturales para las muertes infantiles inexplicables recurrentes.
- El programa Care of Next Infant (CONI) apoya a las familias que experimentan este tipo de tragedias.
Objetivo del estudio:
- Para estimar la probabilidad de que una segunda muerte infantil sea natural o antinatural.
- Investigar las causas de la muerte de bebés en familias con antecedentes de síndrome de muerte súbita infantil (SMSI).
Principales métodos:
- Se estudió una cohorte de 6373 bebés inscritos en el programa CONI en diciembre de 1999.
- Las investigaciones detalladas incluyeron entrevistas familiares, revisiones de autopsias y discusiones de casos de muertes CONI.
- Se analizaron datos de Inglaterra, Gales e Irlanda del Norte.
Principales resultados:
- 57 (8,9 por 1000) niños CONI murieron; 48 fueron muertes inesperadas.
- De las 46 primeras muertes de CONI, 40 fueron naturales y seis fueron probables homicidios.
- 18 familias experimentaron dos muertes por síndrome de muerte súbita infantil; dos tuvieron probables homicidios dobles.
Conclusiones:
- Las muertes infantiles inesperadas repetidas son predominantemente naturales.
- El estudio proporciona evidencia estadística para contrarrestar la suposición de causas antinaturales en las muertes infantiles recurrentes.
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