Evidence map›Paper›PMID 33906930›Full record

ArticlePediatrics2021

Explaining Sudden Unexpected Infant Deaths, 2011-2017.

Sharyn E Parks, Alexa B Erck Lambert, Fern R Hauck, Carri R Cottengim, Meghan Faulkner, Carrie K Shapiro-Mendoza

Open access · greenAbstract read
In one paragraph

Article in Pediatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
3.2field-weighted citation impact, top 7% 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

18 citing papers in PubMed, 45 citations in OpenAlex.

  1. Article
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  7. Rural-urban differences in health care access for postpartum parent and infant dyads.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025
    Article
  8. Common infant product materials negatively impact breathing.Canadian journal of respiratory therapy : CJRT = Revue canadienne de la therapie respiratoire : RCTR · 2025
    Article
  9. Article
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  12. Understanding three approaches to reporting sudden unexpected infant death in the USA.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2024
    Article
  13. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 1 country.

Sharyn E ParksDivision of Reproductive Health, Centers for Disease Control and Prevention, Atlanta, Georgia; svp2@cdc.gov.
Alexa B Erck LambertDB Consulting Group, Inc, Silver Spring, Maryland.
Fern R HauckDepartment of Family Medicine, University of Virginia, Charlottesville, Virginia; and.
Carri R CottengimDivision of Reproductive Health, Centers for Disease Control and Prevention, Atlanta, Georgia.
Meghan FaulknerCenter for National Prevention Initiatives, Michigan Public Health Institute, Okemos, Michigan.
Carrie K Shapiro-MendozaDivision of Reproductive Health, Centers for Disease Control and Prevention, Atlanta, Georgia.
Centers for Disease Control and Prevention · USMichigan Public Health Institute · USScientific Consulting Group · USUniversity of Virginia · US

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

backgroundSudden unexpected infant death (SUID) represents a broad group of explained and unexplained infant deaths (<1 year old). Explaining why SUID occurs is critical to understanding etiology and prevention. Death certificate data cannot differentiate explained from unexplained SUID cases nor describe the surrounding circumstances. We report SUID rates by explained and unexplained categories and describe demographics and history of recent injury or illness using the Centers for Disease Control and Prevention SUID Case Registry.

methodsThe registry is a population-based surveillance system built on Child Death Review programs. Data are derived from multiple sources, including death certificates, scene investigations, and autopsy reports. Cases included SUIDs reported by states or jurisdictions participating in the registry during 2011-2017. Cases were classified into explained and unexplained categories by using the registry's classification system. Frequencies, percentages, and mortality rates per 100 000 live births were calculated.

resultsOf the 4929 SUID cases, 82% were categorized as unexplained. Among all cases, 73% had complete case information. Most SUIDs (72%) occurred in an unsafe sleep environment. The SUID mortality rate was 97.3 per 100 000 live births. Among explained and possible suffocation deaths, ∼75% resulted from airway obstruction attributed to soft bedding.

conclusionsUnsafe sleep factors were common in explained and unexplained SUID cases, but deaths could only be classified as explained suffocation for ∼20% of cases. Further analysis of unexplained deaths, including continued improvements to death scene investigation and documentation, may generate hypotheses for physiologic and genetic research, advance our understanding of gaps in SUID investigation, and enhance our understanding of infants at highest risk.

Indexed as

HumansInfantPractice Guidelines as TopicRegistriesSudden Infant DeathUnited StatesCDCCDRCenters for Disease Control and PreventionChild Death Reviewdeath scene investigationDSINAME PanelNational Association of Medical Examiners’ Panel on Sudden Unexpected Death in PediatricsNational Fatality Review Case Reporting SystemNFR-CRSSIDSsudden infant death syndromesudden unexpected infant deathSUID

Identifiers

PMID33906930
PMCPMC8132195
OpenAlexW3159440646

What OpenQuestion holds

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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.