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Table 5 Summary of evidence and recommendations for multiple interventions to prevent SIDS and unintentional injuries

From: Supporting recommendations for childhood preventive interventions for primary health care: elaboration of evidence synthesis and lessons learnt

  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
  1. Abbreviations: RCT Randomized control trial, SIDS Sudden infant death syndrome
  2. aAs per the authors of the retrieved documents