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 (https://doi.org/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 (https://doi.org/10.1186/s12887-021-02517-2) | See corresponding article (https://doi.org/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 |