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Archives of Disease in Childhood 2000;82:266; doi:10.1136/adc.82.3.266d
Copyright © 2000 BMJ Publishing Group Ltd & Royal College of Paediatrics and Child Health.
Arch Dis Child 2000;82:266 ( March )

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Use of duvets and SIDS
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Use of duvets and SIDS

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EDITOR,---In the paper by Mitchell et al the use of duvets was associated with sudden infant death syndrome (SIDS) on univariate (odds ratio 1.65 (95% confidence interval 1.31, 2.08)) but not multivariate analysis, and the SIDS risk associated with duvet use was not modified by sleeping position.1 These findings contrast with our finding of a strong association (adjusted odds ratio 6.16 (2.01, 18.87)) between quilt (duvet) use and SIDS among non-prone infants.2

Mitchell et al postulated that one reason for the discrepancy may be that our Tasmanian study had not controlled for socioeconomic factors. We did, in fact, adjust for a large number of additional potential confounders that could not be listed in the short report due to space limitations. We found that adjustment for unemployment, maternal education, or maternal parity did not alter the association between duvet use and SIDS among non-prone infants. We agree that the conflicting findings may . . . [Full text of this article]


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