López-Cervantes G, Peña-Macedo AL

Language: Spanish
References: 22
Page: 78-84
PDF size: 219.36 Kb.

ABSTRACT

Introduction. There is a new definition in Sudden Infant Death Syndrome (SIDS): “Is the sudden death of an infant aparenteunder 1 year of age in wich there is no explained cause of death after a thorough case investigation including clinical record, auptopsy and death scene”. Objective. The present study was made to determine SIDS in Hermosillo, Sonora, Mexico. Material and Methods. We have found 149 children (13.8%) in 999 autopsy protocols from 1981 thru 1992 in the Department of Pathology at the State of Sonra Childrens Hospital, who died in their home or on their way to the hospital. We reviewed their clinical background, disease, physical examination and autopsy protocol. In 138 cases (93%) a serious and evolving disease have been found that lead to their death. In eleven cases there was no clinical evidence and were defined as a probable SIDS. In these cases a home visit and inquiry was mod to the parents by a pediatrician. Family sociocultural aspects were certified. Results. In two cases of the eleven we were able to identify by organ and tissue examination an aorta foreductal caoartation an a longitudinal sinus thrombosis. In the other nine cases there was no evidence in their cause of death by pathology analysis, clinical background or at the home scene, and could correspond to SIDS. Discussion. The University of Toronto, includes categories in description and exclusion process for SIDS. Our cases corresponds to category A-1 in one case; A-2 in one case an category B in seven cases. Conclusion. In SIDS the diagnosis is made by exclusion criteric which is characterized by the negative for disease as in the clinical background and necropsy studies and proving that the habitat for the chil was not adverse or life threatering.

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