Evidence map›Paper›PMID 31502215›Full record

ArticleForensic science, medicine, and pathology2019

Inconsistent classification of unexplained sudden deaths in infants and children hinders surveillance, prevention and research: recommendations from The 3rd International Congress on Sudden Infant and Child Death.

Richard D Goldstein, Peter S Blair, Mary Ann Sens, Carrie K Shapiro-Mendoza, Henry F Krous, Torleiv O Rognum, Rachel Y Moon, 3rd International Congress on Sudden Infant and Child Death

Open access · hybridAbstract readConsensus Statement
In one paragraph

Article in Forensic science, medicine, and pathology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed, 1 pooled it
5.0field-weighted citation impact, top 4% 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

54 citing papers in PubMed, 1 synthesis or guideline pooled it, 92 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Sudden unexpected deaths in children: distinct entities.European journal of pediatrics · 2026
    Review
  6. Review
  7. Article
  8. Article
  9. Observational
  10. Article
  11. Article
  12. Added value of postmortem mri in sudden unexpected infant death cases.Forensic science, medicine, and pathology · 2025
    Article
  13. Article
  14. Review
  15. Platelet Pathophysiology: Unexpected New Research Directions.Seminars in thrombosis and hemostasis · 2024
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 3 countries.

Richard D GoldsteinBoston Children's Hospital and Harvard Medical School, 300 Longwood Avenue, BCH3201, Boston, MA, 02138, USA. Richard.goldstein@childrens.harvard.edu.ORCID http://orcid.org/0000-0002-6694-3699
Peter S BlairBristol Medical School, University of Bristol, Bristol, UK.
Mary Ann SensUniversity of North Dakota School of Medicine and Health Sciences, Grand Forks, ND, USA.
Carrie K Shapiro-MendozaCenters for Disease Control and Prevention, Atlanta, GA, USA.
Henry F KrousRady Children's Hospital and UCSD School of Medicine, San Diego, CA, USA.
Torleiv O RognumOslo University Hospital and University of Oslo, Oslo, Norway.
Rachel Y MoonUniversity of Virginia School of Medicine, Charlottesville, VA, USA.
3rd International Congress on Sudden Infant and Child Death
Boston Children's Hospital · USCenters for Disease Control and Prevention · USOslo University Hospital · NOUniversity of North Dakota · USUniversity of Virginia · US

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

This report details the proceedings and conclusions from the 3rd International Congress on Unexplained Deaths in Infants and Children, held November 26-27, 2018 at the Radcliffe Institute at Harvard University. The Congress was motivated by the increasing rejection of the diagnosis Sudden Infant Death Syndrome (SIDS) in the medical examiner community, leading to falsely depressed reported SIDS rates and undermining the validity and reliability of the diagnosis, which remains a leading cause of infant and child mortality. We describe the diagnostic shift away from SIDS and the practical issues contributing to it. The Congress was attended by major figures and opinion leaders in this area from countries significantly engaged in this problem. Four categories (International Classification of Diseases (ICD)-11 categories of MH11, MH12, MH14, PB00-PB0Z) were recommended for classification, and explicit definitions and guidance were provided for death certifiers. SIDS was reframed as unexplained sudden death in infancy or SIDS/MH11 to emphasize that either term signifies the lack of explanation following a rigorous investigation. A distinct category for children over the age of 1 was recommended (MH12). Definitions and exclusions were provided for the alternative categories of accidental asphyxia and undetermined. As recommended, unexplained sudden death in infancy or SIDS on a death certificate will code a unique, trackable entity, accurately reflecting the inability to determine a definitive explanation, while satisfying surveillance needs and reliable identification for research efforts. The conclusions will be submitted to the World Health Organization for inclusion in the upcoming ICD-11.

Indexed as

Death, SuddenTerminology as TopicAccidentsAsphyxiaBedding and LinensChildForensic MedicineHumansInfantInternational Classification of DiseasesSudden Infant DeathAccidental suffocation and strangulation in bedPostneonatal mortalitySudden infant death syndromeSudden unexpected infant deathSudden unexplained death in childhoodSudden unexplained infant deathUndetermined infant death

Identifiers

PMID31502215
PMCPMC6872710
OpenAlexW2973153970

What OpenQuestion holds

Textmetadata
LicenceTDM
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.