Simultaneous sudden infant death syndrome - A proposed definition and worldwide review of cases

Epidemiologic studies of sudden infant death syndrome (SIDS), the leading c ause of death of infants during the postperinatal period (7-365 days), have mainly focused on the deaths of single infants. Simultaneous sudden infant death syndrome (SSIDS), the death of a pair of twins occurring at the same time, has received limited attention within the medical community. To the authors' knowledge, this article is the first to describe the 41 SSIDS case s cited in the world literature from 1900 to 1998 by the location of death, a summary of the circumstances surrounding the deaths, and evaluation of t hese cases in terms of a proposed definition of SSIDS. This evaluation crit iques whether the 41 pairs of SSIDS cases adhere to a newly proposed defini tion of SSIDS. Twin infant deaths must meet all three criteria to be consid ered SSIDS. The study found that only 12 pairs of twins met all three crite ria (29.2%), nine pairs met two criteria (21.9%), alternative cause of deat h was offered in five pairs of twins (12.1%) and in the remaining 15 pairs (36.6%), only limited information was available; therefore, no conclusions could be reached.