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. 2021 Sep 8;21(Suppl 1):356. doi: 10.1186/s12887-021-02638-8

Table 5.

Summary of evidence and recommendations for multiple interventions to prevent SIDS and unintentional injuries

Evidence Recommendations
Preventable outcomes Type of interventions Types of studies Date Findings Certainty of the evidencea Recommendations across reviewed documents Strength of recommendationsa
SIDS

Supine position

Firm surface

Overheating, head covering

Room-sharing, bed-sharing

Breastfeed on demand

Pacifier nap and bedtime

Etc.

No RCTs

Case-control studies

National pre and post intervention data

Most studies between 1990 and 2004 See corresponding article (10.1186/s12887-021-02536-z) Overall low certainty of the evidence, but not for all risk factors Overall, similar recommendations from the different institutions A, B, C, I, not graded depending on the risk factors
Unintentional injuries

Against road traffic injuries: child restraint system, helmet, safety education of pedestrians, etc.

Against drowning: pool fencing, life jackets, close supervision at all times, etc.

Against poisoning: packaging, secure storage, poison control centres, etc.

Against thermal injuries: smoke alarms, control of hot water, non-flammable fabrics, etc.

Against falls: safety equipment, protective equipment, supervision, etc.

No RCTs

Retrospective studies

Surveillance data

Variable, see corresponding article (10.1186/s12887-021-02517-2) See corresponding article (10.1186/s12887-021-02517-2) Overall low certainty of the evidence, many recommendations based on good clinical practices. Overall, similar recommendations from the different institutions A, B, C, I, not graded depending on the risk factors

Abbreviations: RCT Randomized control trial, SIDS Sudden infant death syndrome

aAs per the authors of the retrieved documents