was associated is good evidence with a to suggest that significantly this intervention increased risk of has a sound SIDS compared theoretical basis with supine or that work in sleeping position this area is likely (OR 4.46, 95% to have an CI 2.98 to 6.68). impact but this Three additional has not been observational demonstrated in studies supported trials (this would this finding. The apply to authors found no interventions for systematic which RCTs review or RCTs would be comparing advice particularly to avoid prone difficult or sleeping position unethical) versus no advice (see comment). Intervention: They found one Advice to non-systematic soft sleeping review (3 surfaces observational studies; 1 of Outcome: which reported Reduction in the separately) and incidence of 13 additional SIDS observational studies (reported Evidence in 13 statement publications), Grade K: which described Evidence about campaigns the effectiveness delivering advice of this to avoid prone intervention is positioning, and lacking a combination of different risk Intervention: factors and National conducted campaigns before and giving advice to after analyses of overheating incidence of or overwrapping SIDS.
was associated with a significantly increased risk of SIDS compared with supine sleeping position (OR 4.46, 95% CI 2.98 to 6.68). Three additional observational studies supported this finding. The authors found no systematic review or RCTs comparing advice to avoid prone sleeping position versus no advice (see comment). They found one non-systematic review (3 observational studies; 1 of which reported separately) and 13 additional observational studies (reported in 13 publications), which described campaigns delivering advice to avoid prone positioning, and a combination of different risk factors and conducted before and after analyses of incidence of SIDS. is good evidence to suggest that this intervention has a sound theoretical basis or that work in this area is likely to have an impact but this has not been demonstrated in trials (this would apply to interventions for which RCTs would be particularly difficult or unethical) Intervention: Advice to soft sleeping surfaces Outcome: Reduction in the incidence of SIDS Evidence statement Grade K: Evidence about the effectiveness of this intervention is lacking Intervention: National campaigns giving advice to overheating or overwrapping
CDR%20Research%20Evidence%20Review%20SUID%20report%20FINAL%20091014.docx