Posición al dormir en hospitales de América Latina y el Caribe para la prevención del síndrome de muerte súbita del lactante
Sleeping position to prevent sudden infant death syndrome in latin-american and caribbean hospitals
M.aL. Cafferataa, F. Althabea,
, J.M. Belizána, S. Cowanb, E.A.S. Nelsonc, el Grupo de Estudio sobre Consejos en las Maternidades (MAS Study group) para América Latina y el Caribe
Autor para correspondencia
althabef@clap.ops-oms.org
Correspondencia: Centro Latinoamericano de Perinatología (CLAP). Casilla de Correo, 627. Montevideo 11000. Uruguay
Correspondencia: Centro Latinoamericano de Perinatología (CLAP). Casilla de Correo, 627. Montevideo 11000. Uruguay
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"apellidos" => "Cafferata" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 1 => array:4 [ "nombre" => "F." "apellidos" => "Althabe" "email" => array:1 [ 0 => "althabef@clap.ops-oms.org" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 2 => array:3 [ "nombre" => "J.M." "apellidos" => "Belizán" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 3 => array:3 [ "nombre" => "S." "apellidos" => "Cowan" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 4 => array:3 [ "nombre" => "E.A.S." "apellidos" => "Nelson" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] 5 => array:1 [ "colaborador" => "el Grupo de Estudio sobre Consejos en las Maternidades (MAS Study group) para América Latina y el Caribe" ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Centro Latinoamericano de Perinatología, Organización Panamericana de la Salud. Organización Mundial de la Salud. Montevideo. Uruguay" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Education for Change Limited. Christchurch. Nueva Zelanda" "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Department of Pediatrics. The Chinese University of Hong Kong. Shatin. Hong Kong" "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "*" "correspondencia" => "Correspondencia: Centro Latinoamericano de Perinatología (CLAP). Casilla de Correo, 627. Montevideo 11000. Uruguay" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Sleeping position to prevent sudden infant death syndrome in latin-american and caribbean hospitals" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2002-05-01" "fechaAceptado" => "2002-09-01" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec187090" "palabras" => array:6 [ 0 => "Muerte súbita infantil" 1 => "Factores de riesgo" 2 => "Lactantes" 3 => "Recién nacidos" 4 => "Posición supina" 5 => "Sueño" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec187091" "palabras" => array:4 [ 0 => "Sudden infant death syndrome" 1 => "Cot death" 2 => "Risk factors" 3 => "Case-control studies" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Antecedentes</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La posición boca abajo al dormir (decúbito prono) se ha identificado como el principal factor de riesgo para el síndrome de muerte súbita del lactante (SMSL).</p> <span class="elsevierStyleSectionTitle">Objetivos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Este estudio, a través de una encuesta especialmente diseñada, pretende conocer la prevalencia de las distintas posiciones al dormir en recién nacidos en hospitales de América Latina y el Caribe y las recomendaciones que se dan a los padres sobre la mejor posición para acostar al recién nacido y otras prácticas que son factores de riesgo para el SMSL.</p> <span class="elsevierStyleSectionTitle">Métodos</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Estudio descriptivo transversal basado en hospitales. Se contactó con los hospitales de América Latina y el Caribe por intermedio de las representaciones de la Organización Panamericana de la Salud en cada país.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">De los 213 hospitales que respondieron la encuesta, en 18 (8,5 %) se acostaba a los niños sanos boca abajo, en 104 (48,8 %) de costado, en 53 (25,2 %) boca arriba y en 37 (17,5 %) no se adoptaba una posición definida o las respuestas fueron inconsistentes. Con respecto a las recomendaciones a los padres al alta hospitalaria, en 54 hospitales (25,7 %) se recomendaba la posición boca arriba, en 16 (7,6 %) boca abajo, en 124 (59,0 %) de costado y en 16 (7,6 %) no se daban recomendaciones.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Los resultados muestran que en los hospitales encuestados existe la práctica de no acostar a los niños sanos boca abajo. Sin embargo la posición más utilizada es de costado, posición que no debería ser recomendada ya que aumenta el riesgo de SMSL. Se deben implementar campañas a nivel hospitalario y poblacional para que los niños sean acostados boca arriba con el fin de reducir la incidencia de SMSL.</p>" ] "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Background</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">The prone sleeping position for sleeping has been identified as the principal risk factor for sudden infant death syndrome (SIDS).</p> <span class="elsevierStyleSectionTitle">Objective</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">The aim of this study was to determine the prevalence of different sleeping positions and other risk factors for SIDS and to identify the advice given to parents in several maternity units in Latin America and the Caribbean through a specially-designed questionnaire.</p> <span class="elsevierStyleSectionTitle">Methods</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Descriptive cross-sectional study based in hospitals. All the countries in Latin America and the Caribbean were contacted through the Pan American Health Organization and responses were obtained from 16 countries.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Two hundred thirteen hospitals answered the survey. The preferred sleeping position for healthy infants was prone in 8.5% of the hospitals, side in 48.8 %, and supine in 25.2 %. In 17.5 % of the hospitals no position was preferred or the answers were inconsistent. Concerning the recommendations given to parents on the best position for their infants at home, 25.7 % recommended the supine position, 7.6 % the prone position, 59.0 % the side position while 7.6 % made no recommendations.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">The results of this study show that in the hospitals surveyed there is a policy of not placing healthy neonates in the prone position. However, the most frequent position was the side, which is not advisable as it increases the risk of SIDS. To reduce in the incidence of SIDS, campaigns to increase the use of the supine position should be carried out in hospitals and among the general public.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:20 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2024 Noviembre | 7 | 12 | 19 |
| 2024 Octubre | 43 | 40 | 83 |
| 2024 Septiembre | 46 | 42 | 88 |
| 2024 Agosto | 58 | 67 | 125 |
| 2024 Julio | 37 | 38 | 75 |
| 2024 Junio | 49 | 28 | 77 |
| 2024 Mayo | 44 | 50 | 94 |
| 2024 Abril | 46 | 46 | 92 |
| 2024 Marzo | 38 | 55 | 93 |
| 2024 Febrero | 45 | 46 | 91 |
| 2024 Enero | 56 | 26 | 82 |
| 2023 Diciembre | 40 | 29 | 69 |
| 2023 Noviembre | 44 | 24 | 68 |
| 2023 Octubre | 55 | 30 | 85 |
| 2023 Septiembre | 31 | 19 | 50 |
| 2023 Agosto | 28 | 22 | 50 |
| 2023 Julio | 38 | 36 | 74 |
| 2023 Junio | 29 | 28 | 57 |
| 2023 Mayo | 54 | 21 | 75 |
| 2023 Abril | 33 | 19 | 52 |
| 2023 Marzo | 20 | 26 | 46 |
| 2023 Febrero | 38 | 23 | 61 |
| 2023 Enero | 24 | 26 | 50 |
| 2022 Diciembre | 28 | 34 | 62 |
| 2022 Noviembre | 44 | 48 | 92 |
| 2022 Octubre | 22 | 64 | 86 |
| 2022 Septiembre | 25 | 38 | 63 |
| 2022 Agosto | 55 | 54 | 109 |
| 2022 Julio | 22 | 42 | 64 |
| 2022 Junio | 23 | 34 | 57 |
| 2022 Mayo | 41 | 46 | 87 |
| 2022 Abril | 32 | 40 | 72 |
| 2022 Marzo | 34 | 50 | 84 |
| 2022 Febrero | 24 | 36 | 60 |
| 2022 Enero | 29 | 40 | 69 |
| 2021 Diciembre | 38 | 42 | 80 |
| 2021 Noviembre | 29 | 50 | 79 |
| 2021 Octubre | 52 | 46 | 98 |
| 2021 Septiembre | 39 | 49 | 88 |
| 2021 Agosto | 62 | 43 | 105 |
| 2021 Julio | 48 | 36 | 84 |
| 2021 Junio | 31 | 53 | 84 |
| 2021 Mayo | 42 | 41 | 83 |
| 2021 Abril | 59 | 79 | 138 |
| 2021 Marzo | 84 | 26 | 110 |
| 2021 Febrero | 84 | 29 | 113 |
| 2021 Enero | 44 | 27 | 71 |
| 2020 Diciembre | 63 | 32 | 95 |
| 2020 Noviembre | 30 | 22 | 52 |
| 2020 Octubre | 31 | 9 | 40 |
| 2020 Septiembre | 35 | 8 | 43 |
| 2020 Agosto | 17 | 15 | 32 |
| 2020 Julio | 31 | 16 | 47 |
| 2020 Junio | 27 | 10 | 37 |
| 2020 Mayo | 27 | 24 | 51 |
| 2020 Abril | 34 | 20 | 54 |
| 2020 Marzo | 42 | 23 | 65 |
| 2020 Febrero | 25 | 20 | 45 |
| 2020 Enero | 30 | 27 | 57 |
| 2019 Diciembre | 62 | 19 | 81 |
| 2019 Noviembre | 23 | 8 | 31 |
| 2019 Octubre | 22 | 12 | 34 |
| 2019 Septiembre | 41 | 22 | 63 |
| 2019 Agosto | 53 | 21 | 74 |
| 2019 Julio | 39 | 27 | 66 |
| 2019 Junio | 46 | 43 | 89 |
| 2019 Mayo | 51 | 21 | 72 |
| 2019 Abril | 32 | 53 | 85 |
| 2019 Marzo | 34 | 16 | 50 |
| 2019 Febrero | 30 | 16 | 46 |
| 2019 Enero | 19 | 10 | 29 |
| 2018 Diciembre | 26 | 16 | 42 |
| 2018 Noviembre | 40 | 15 | 55 |
| 2018 Octubre | 52 | 8 | 60 |
| 2018 Septiembre | 30 | 11 | 41 |
| 2018 Agosto | 1 | 0 | 1 |
| 2018 Julio | 3 | 0 | 3 |
| 2018 Junio | 1 | 0 | 1 |
| 2018 Abril | 12 | 0 | 12 |
| 2018 Marzo | 11 | 0 | 11 |
| 2018 Febrero | 9 | 0 | 9 |
| 2018 Enero | 12 | 0 | 12 |
| 2017 Diciembre | 6 | 0 | 6 |
| 2017 Noviembre | 13 | 0 | 13 |
| 2017 Octubre | 8 | 0 | 8 |
| 2017 Septiembre | 12 | 0 | 12 |
| 2017 Agosto | 7 | 0 | 7 |
| 2017 Julio | 10 | 1 | 11 |
| 2017 Junio | 20 | 8 | 28 |
| 2017 Mayo | 17 | 10 | 27 |
| 2017 Abril | 15 | 6 | 21 |
| 2017 Marzo | 32 | 5 | 37 |
| 2017 Febrero | 13 | 2 | 15 |
| 2017 Enero | 11 | 0 | 11 |
| 2016 Diciembre | 32 | 9 | 41 |
| 2016 Noviembre | 69 | 8 | 77 |
| 2016 Octubre | 53 | 4 | 57 |
| 2016 Septiembre | 64 | 4 | 68 |
| 2016 Agosto | 38 | 2 | 40 |
| 2016 Julio | 26 | 7 | 33 |
| 2016 Junio | 1 | 7 | 8 |
| 2016 Mayo | 0 | 5 | 5 |
| 2016 Abril | 1 | 0 | 1 |
| 2016 Marzo | 2 | 5 | 7 |
| 2016 Febrero | 2 | 4 | 6 |
| 2016 Enero | 3 | 7 | 10 |
| 2015 Diciembre | 6 | 7 | 13 |
| 2015 Octubre | 0 | 6 | 6 |
| 2015 Septiembre | 5 | 9 | 14 |
| 2015 Agosto | 3 | 13 | 16 |
| 2015 Julio | 9 | 9 | 18 |
| 2015 Junio | 15 | 0 | 15 |
| 2015 Mayo | 20 | 6 | 26 |
| 2015 Abril | 19 | 4 | 23 |
| 2015 Marzo | 15 | 3 | 18 |
| 2015 Febrero | 17 | 3 | 20 |
| 2015 Enero | 23 | 1 | 24 |
| 2014 Diciembre | 44 | 3 | 47 |
| 2014 Noviembre | 28 | 2 | 30 |
| 2014 Octubre | 27 | 1 | 28 |
| 2014 Septiembre | 24 | 7 | 31 |
| 2014 Agosto | 38 | 3 | 41 |
| 2014 Julio | 56 | 3 | 59 |
| 2014 Junio | 83 | 5 | 88 |
| 2014 Mayo | 95 | 3 | 98 |
| 2014 Abril | 72 | 5 | 77 |
| 2014 Marzo | 57 | 8 | 65 |
| 2014 Febrero | 64 | 9 | 73 |
| 2014 Enero | 40 | 9 | 49 |
| 2013 Diciembre | 35 | 7 | 42 |
| 2013 Noviembre | 31 | 9 | 40 |
| 2013 Octubre | 38 | 5 | 43 |
| 2013 Septiembre | 18 | 11 | 29 |
| 2013 Agosto | 21 | 10 | 31 |
| 2013 Julio | 26 | 3 | 29 |
| 2013 Junio | 4 | 3 | 7 |
| 2013 Mayo | 5 | 3 | 8 |
| 2013 Abril | 7 | 3 | 10 |
| 2013 Marzo | 4 | 2 | 6 |
| 2013 Febrero | 17 | 0 | 17 |
| 2013 Enero | 15 | 1 | 16 |
| 2012 Diciembre | 7 | 3 | 10 |
| 2012 Noviembre | 19 | 0 | 19 |
| 2012 Octubre | 10 | 2 | 12 |
| 2012 Septiembre | 4 | 1 | 5 |
| 2012 Agosto | 0 | 1 | 1 |
| 2002 Diciembre | 3356 | 0 | 3356 |
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