Regional Infant and Child Mortality Review Committee: 2009 final report.
The 2009 annual report of the Regional Infant and Child Mortality Review Committee (RICMRC) is presented. Since 1997, RICMRC has sought to achieve its mission to "review infant and child deaths so that information can be transformed into action to protect young lives." For the year 2009, the Committee reviewed 23 deaths from Minnehaha, Turner, Lincoln, Moody, Lake, McCook, Union, Hanson, Miner and Brookings counties that met the following criteria: Children under age 18 dying subsequent to hospital discharge following delivery. Children who either died in these counties from causes sustained in them, or residents who died elsewhere from causes sustained in the 10-county region. The acronym SUID, (Sudden Unexpected Infant Death), is being increasingly used by investigators of infant deaths. SUID is an intentionally broad category used for any infant death where the cause of death is unapparent or multifactorial. Sudden Infant Death Syndrome (SIDS) is a subset of SUID. No deaths categorized as SIDS occurred in 2009. The committee has observed a stable decline in the number of deaths due to SIDS for the last several years with the exception of two SIDS deaths that occurred in 2008. The national SIDS rate of 0.55 per 1000 live births would suggest that our region should have one SIDS death per year. It would appear, on the average, that our region's SIDS incidence is close to that number. Many investigators believe that a "diagnostic drift" is occurring in the SIDS diagnosis. These investigators believe that some deaths certified as SIDS in earlier years may now be classified as "undetermined," or in the new terminology, SUID. Although the committee strives to be consistent year to year in its death investigation protocols, we have noticed that the number of deaths classified as "undetermined" has been increasing over the last few years (Figure 1). The majority of our "undetermined" manners of infant deaths appear to be related to concerns about possible asphyxial risks (e.g., overlaying, re-breathing and true suffocation). Our data may be mirroring a national trend among death investigators to increasingly recognize asphyxial risks in infant death scenes.
Randall
Brad
B
Sanford School of Medicine, The University of South Dakota, USA.
Wilson
Ann
A
D000428:Alcohol Drinking / Q000453:epidemiology; D001512:Bedding and Linens; D001513:Beds; D002648:Child; D046688:Child Mortality; D006801:Humans; D007223:Infant; D007226:Infant Mortality; D008425:Maternal Behavior; D012307:Risk Factors; D012907:Smoking / Q000453:epidemiology; D013023:South Dakota / Q000453:epidemiology; D013398:Sudden Infant Death / Q000175:diagnosis / Q000453:epidemiology / Q000517:prevention & control