Evidence map›Paper›PMID 29177808›Full record

ReviewInternational journal of legal medicine2018

The prone sleeping position and SIDS. Historical aspects and possible pathomechanisms.

Jan Sperhake, Gerhard Jorch, Thomas Bajanowski

Abstract readReview
PubMed Publisher
In one paragraph

Review in International journal of legal medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 28% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. Pooled it
  2. Forgotten muscle: diaphragm and sudden infant death syndrome.World journal of pediatrics : WJP · 2026
    Article
  3. Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Impaired motor control in SIDS infants.International journal of legal medicine · 2018
    Article
  14. Why is a prone sleeping position dangerous for certain infants?Forensic science, medicine, and pathology · 2018
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors at 3 institutions in 1 country.

Jan SperhakeDepartment of Legal Medicine, University Medical Center Hamburg-Eppendorf, Butenfeld 34, 22529, Hamburg, Germany.
Gerhard JorchDepartment of Pediatrics, University Hospital Magdeburg, Leipziger Str. 44, 39120, Magdeburg, Germany.
Thomas BajanowskiDepartment of Legal Medicine, University Hospital Essen, Hufelandstr. 55, 45122, Essen, Germany. Thomas.bajanowski@uk-essen.de.ORCID http://orcid.org/0000-0002-7915-6483
Essen University Hospital · DEUniversität Hamburg · DEUniversity Hospital Magdeburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The incidence of SIDS decreased during the previous 25 years significantly. This is mainly due to epidemiological research identifying important risk factors such as prone sleeping position and subsequent campaigns to reduce this risk factor.Originally, the prone sleeping position for babies had been strongly recommended in the sixties and seventies despite previous publications pointed to the associated risk. Worldwide, many infants died of SIDS whose deaths could have been avoided. Today, the recommendation that infants should sleep in supine position has been scientifically verified. In supine sleeping position, pathophysiological mechanisms can be avoided which may lead to hypoxia and death in prone position. Such mechanisms could be occlusion of airways (in particularly associated with face-down position), elevated diaphragm, positional cerebral hypoxia caused by constriction of arteries, rebreathing CO2, and overheating.Irrespective of the specific pathomechanism leading to death in individual cases, it has been established that the prone position is the most important risk factor for SIDS and therefore should be incorporated in the definition of the term SIDS.

Indexed as

Sudden Infant DeathAsphyxiaCarbon DioxideDiaphragmFeverHumansHypoxia, BrainInfantProne PositionRisk FactorsSupine PositionCarbon DioxideDefinitionPathomechanismProne sleeping positionSIDS

Identifiers

PMID29177808
OpenAlexW2769576724

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.