0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
From the Centers for Disease Control and Prevention |

Release of Sudden, Unexplained Infant Death Investigation Reporting Form FREE

JAMA. 2006;295(20):2351. doi:10.1001/jama.295.20.2351.
Text Size: A A A
Published online

MMWR. 2006;55:212-213

CDC, in collaboration with other federal agencies and organizations representing medical examiners, coroners, death-scene investigators, law enforcement officials, forensic nurses, sudden infant death syndrome (SIDS) researchers, infant death review experts, and parents of infants who died from SIDS, launched an initiative in 2004 to improve the investigation and reporting of sudden, unexplained infant deaths (SUIDs). As part of this effort, on March 1, 2006, CDC released the Sudden, Unexplained Infant Death Investigation (SUIDI) Reporting Form for state and local use in infant death-scene investigations. The SUIDI Reporting Form replaces the Investigation Report Form that accompanied the 1996 Guidelines for the Death Scene Investigation of Sudden, Unexplained Infant Death.1

Each year in the United States, approximately 4,500 infants die suddenly of no immediately obvious cause. Half of these SUIDs are attributed to SIDS, the leading cause of SUID and of all deaths among infants aged 1-12 months. By definition, SIDS can only be diagnosed after a thorough examination of the death scene, a review of the clinical history, and an autopsy fail to find an explanation for the death.2

Since 1990, SIDS rates in the United States have declined by approximately 50%, concomitant with a steady decline in the infant prone sleeping rate; prone and side sleep positions are associated with an increased risk for SIDS.3,4 However, studies indicate that, since 1999, certain deaths previously reported as SIDS are now reported as accidental suffocation or unknown/unspecified cause of death.5,6 This change in reporting of cause of death might account for part of the recent decline in SIDS rates.

The 1996 form was developed to establish a standard death-scene investigation protocol for all SUIDs. However, a 2001 national survey indicated that the form was not being used widely because it was poorly organized, lengthy, and cumbersome.7 Inaccurate or inconsistent cause-of-death determination and reporting hamper the ability of CDC, state and local health departments, and partners to monitor national trends, assess risk factors, and design and evaluate programs to prevent these deaths.

To address these concerns, CDC convened a national work group to revise the 1996 form. The new SUIDI Reporting Form includes questions to establish cause and manner of death, determined by a 2004 national survey of medical examiners and coroners, in addition to new questions about recently recognized risk factors for SIDS (e.g., unaccustomed prone sleep position) (S.C. Clark, Ph.D., Occupational Research Associates, Inc., unpublished data, 2004). The new form is shorter and simpler than the 1996 form. For example, most questions can be answered by checking the appropriate box or filling in the blank provided. The form is available online at http://www.cdc.gov/SIDS.

Of equal importance are well-trained death-scene investigators and certifiers. Previously, no national training materials on investigation of an infant death scene were available. In collaboration with a steering committee and a team of national advisors, CDC developed a comprehensive training curriculum and materials. CDC will use these materials to conduct five regional train-the-trainer academies during the next 2 years.

CDC plans a promotional campaign for the new form and training materials among its partners and stakeholders. Accurately collecting and reporting infant death-scene data depends on the widespread use of these tools. These measures will allow improved surveillance and research aimed at preventing infant deaths. Additional information on the SUID Initiative is available at http://www.cdc.gov/SIDS.

REFERENCES
CDC.  Guidelines for death scene investigation of sudden, unexplained infant deaths: recommendations of the Interagency Panel on Sudden Infant Death Syndrome.  MMWR. 1996;45:(No. RR-10)  1-22
Willinger M, James LS, Catz C. Defining the sudden infant death syndrome (SIDS): deliberations of an expert panel convened by the National Institute of Child Health and Human Development.  Pediatr Pathol. 1991;11:677-684
PubMed   |  Link to Article
Task Force on Sudden Infant Death Syndrome.  The changing concept of sudden infant death syndrome: diagnostic coding shifts, controversies regarding the sleeping environment, and new variables to consider in reducing risk.  Pediatrics. 2005;116:1245-1255
PubMed   |  Link to Article
Malloy MH, Freeman DH. Age at death, season, and day of death as indicators of the effect of the back to sleep program on sudden infant death syndrome in the United States, 1992-1999.  Arch Pediatr Adolesc Med. 2004;158:359-365
PubMed   |  Link to Article
Shapiro-Mendoza CK, Tomashek KM, Anderson RN.  et al.  Recent national trends in sudden, unexpected infant deaths: more evidence supporting a change in classification or reporting.  Am J Epidemiol. 2006;163:762-769
PubMed   |  Link to Article
Malloy MH, MacDorman M. Changes in the classification of sudden unexpected infant deaths: United States, 1992-2001.  Pediatrics. 2005;115:1247-1253
PubMed   |  Link to Article
Hauck F. Final report: National survey to evaluate use of the Sudden Unexplained Infant Death Investigation Report Form (SUIDIRF). Charlottesville, VA: University of Virginia Health System; 2001

Figures

Tables

References

CDC.  Guidelines for death scene investigation of sudden, unexplained infant deaths: recommendations of the Interagency Panel on Sudden Infant Death Syndrome.  MMWR. 1996;45:(No. RR-10)  1-22
Willinger M, James LS, Catz C. Defining the sudden infant death syndrome (SIDS): deliberations of an expert panel convened by the National Institute of Child Health and Human Development.  Pediatr Pathol. 1991;11:677-684
PubMed   |  Link to Article
Task Force on Sudden Infant Death Syndrome.  The changing concept of sudden infant death syndrome: diagnostic coding shifts, controversies regarding the sleeping environment, and new variables to consider in reducing risk.  Pediatrics. 2005;116:1245-1255
PubMed   |  Link to Article
Malloy MH, Freeman DH. Age at death, season, and day of death as indicators of the effect of the back to sleep program on sudden infant death syndrome in the United States, 1992-1999.  Arch Pediatr Adolesc Med. 2004;158:359-365
PubMed   |  Link to Article
Shapiro-Mendoza CK, Tomashek KM, Anderson RN.  et al.  Recent national trends in sudden, unexpected infant deaths: more evidence supporting a change in classification or reporting.  Am J Epidemiol. 2006;163:762-769
PubMed   |  Link to Article
Malloy MH, MacDorman M. Changes in the classification of sudden unexpected infant deaths: United States, 1992-2001.  Pediatrics. 2005;115:1247-1253
PubMed   |  Link to Article
Hauck F. Final report: National survey to evaluate use of the Sudden Unexplained Infant Death Investigation Report Form (SUIDIRF). Charlottesville, VA: University of Virginia Health System; 2001

Letters

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Collections
PubMed Articles
[Obstetrical aspects of perioperative medicine.] Orv Hetil 2014;155(29):1147-1151.