{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T14:20:08Z","timestamp":1775744408475,"version":"3.50.1"},"reference-count":23,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2022,5,3]],"date-time":"2022-05-03T00:00:00Z","timestamp":1651536000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Pediatr."],"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>Sudden unexpected infant death (SUID) is the leading cause of death in children 28 days to 1 year of age. The study aim was to identify opportunities for healthcare professionals to provide families with education on sleep and prevention of SUID.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We performed a retrospective chart review of SUID infants over 10 years (12\/2010\u201312\/2020). The study included patients 0\u201312 months who presented to single institution with SUID (including asphyxia, suffocation, and SIDS). Baseline descriptive characteristics, sleep patterns (location, position, co-sleeping, presence of pillows\/blankets), and prior healthcare encounters (type, duration, frequency, timing) were described.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Thirty-five infants met inclusion criteria. Twenty-three percent of families routinely practiced unsafe sleep, while 63% practiced unsafe sleep at the time of SUID. All unsafe sleep behaviors increased during the SUID event compared to routine, including inappropriate location (60%), co-sleeping (46%), and inappropriate position (37%) at the time of SUID. There were 54 total healthcare encounters (mean 1.5 per patient +\/\u2212 2.1) prior to SUID. Primary care physicians (57%) and NICU (29%) were the most frequent prior healthcare encounters, however visits spanned multiple specialties. Twenty-six percent had a healthcare encounter within 7 days of their death.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>We demonstrated the frequency and variability in healthcare encounters among SUID infants prior to their death. Majority of infants had prior healthcare encounters, with 26% seen by healthcare professionals within 7 days of their death. These results highlight the important role healthcare professionals across all specialties have the potential to play in educating families about safe sleep and SUID.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fped.2022.880713","type":"journal-article","created":{"date-parts":[[2022,5,3]],"date-time":"2022-05-03T04:50:00Z","timestamp":1651553400000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":3,"title":["Missed Opportunities: Healthcare Encounters Prior to Sudden Unexpected Infant Death"],"prefix":"10.3389","volume":"10","author":[{"given":"Katherine O.","family":"Salada","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Colleen M.","family":"Badke","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2022,5,3]]},"reference":[{"key":"B1","unstructured":"National Vital Statistics Reports"},{"key":"B2","doi-asserted-by":"publisher","first-page":"1030","DOI":"10.1542\/peds.2011-2284","article-title":"Technical Report - SIDS and Other Sleep-Related Infant Deaths: Expansion of Recommendations for a Safe Infant Sleeping Environment","volume":"128","year":"2011","journal-title":"Pediatrics"},{"key":"B3","unstructured":"Sudden Infant Death Syndrome (SIDS): Risk Factors"},{"key":"B4","doi-asserted-by":"publisher","first-page":"610","DOI":"10.1136\/archdischild-2014-306961","article-title":"Infant suffocation in place of sleep: New Zealand national data 2002-2009","volume":"100","author":"Hayman","year":"2015","journal-title":"Arc Dis Child."},{"key":"B5","doi-asserted-by":"publisher","first-page":"e1293","DOI":"10.1542\/peds.2014-1543","article-title":"Sofas and infant mortality","volume":"134","author":"Rechtman","year":"2014","journal-title":"Pediatrics."},{"key":"B6","doi-asserted-by":"publisher","first-page":"26","DOI":"10.1186\/s40621-019-0205-z","article-title":"As easy as ABC: evaluation of safe sleep initiative on safe sleep compliance in a freestanding pediatric hospital","volume":"6","author":"Leong","year":"2019","journal-title":"Inj Epidemiol."},{"key":"B7","doi-asserted-by":"publisher","first-page":"443","DOI":"10.1542\/hpeds.2017-0211","article-title":"A Hospital-Based Initiative to Reduce Postdischarge Sudden Unexpected Infant Deaths","volume":"8","author":"Krugman","year":"2018","journal-title":"Hosp Pediatr"},{"key":"B8","doi-asserted-by":"publisher","first-page":"1995","DOI":"10.1007\/s10995-017-2334-8","article-title":"Improving Safe Sleep Modeling in the Hospital through Policy Implementation","volume":"21","author":"Heitmann","year":"2017","journal-title":"Matern Child Health J."},{"key":"B9","doi-asserted-by":"publisher","first-page":"212","DOI":"10.1177\/0009922814566928","article-title":"Improving infant sleep safety through a comprehensive hospital-based program","volume":"54","author":"Goodstein","year":"2015","journal-title":"Clin Pediatr (Phila)."},{"key":"B10","doi-asserted-by":"publisher","first-page":"e20162938","DOI":"10.1542\/peds.2016-2938","volume":"138","year":"2016","journal-title":"Pediatrics."},{"key":"B11","doi-asserted-by":"publisher","first-page":"e339","DOI":"10.1097\/pq9.0000000000000339","article-title":"Coming Together to Save Babies: Our Institution's Quality Improvement Collaborative to Improve Infant Safe Sleep Practices","volume":"5","author":"Macklin","year":"2020","journal-title":"Pediatr Qual Saf"},{"key":"B12","doi-asserted-by":"publisher","first-page":"e20154267","DOI":"10.1542\/peds.2015-4267","article-title":"The EASE Quality Improvement Project: Improving Safe Sleep Practices in Ohio Children's Hospitals","volume":"138","author":"Macklin","year":"2016","journal-title":"Pediatrics."},{"key":"B13","doi-asserted-by":"publisher","first-page":"88","DOI":"10.1542\/hpeds.2015-0121","article-title":"Interventions to Improve Safe Sleep Among Hospitalized Infants at Eight Children's Hospitals","volume":"6","author":"Kuhlmann","year":"2016","journal-title":"Hosp Pediatr."},{"key":"B14","doi-asserted-by":"publisher","first-page":"e20191286","DOI":"10.1542\/peds.2019-1286","article-title":"Prevalence and factors associated with safe infant sleep practices","volume":"144","author":"Hirai","year":"2019","journal-title":"Pediatrics"},{"key":"B15","doi-asserted-by":"publisher","first-page":"883","DOI":"10.1542\/peds.112.4.883","article-title":"Where should infants sleep? 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