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Arch Dis Child 1999;81:117-119 ( August )

Use of duvets and the risk of sudden infant death syndrome

E A Mitchella, S M Williamsb, B J Taylorc

a Department of Paediatrics, University of Auckland, Private Bag 92019, Auckland, New Zealand, b Department of Preventive and Social Medicine, University of Otago Medical School, Box 913, Dunedin, New Zealand, c Department of Paediatrics, University of Otago, Box 913, Dunedin

Correspondence to: Dr Mitchell. email: e.mitchell{at}auckland.ac.nz

Accepted 26 March 1999

BACKGROUND---The use of duvets in infancy is not recommended in the UK and Australia because of a reported association with sudden infant death syndrome (SIDS).
AIMS---To examine the association between the use of duvets and the risk of SIDS.
METHODS---A nationwide case control study (393 cases, 1592 controls). The use of duvets was assessed by interview with the parent or guardian.
RESULTS---The use of duvets was associated with an increased risk of SIDS (odds ratio (OR) = 1.65; 95% confidence interval (CI), 1.31 to 2.08); however, after adjustment for potential confounders there was no increased risk of SIDS (OR = 1.04; 95% CI, 0.77 to 1.38). Furthermore, subgroup analysis did not identify any group in which the use of duvets was associated with an increased risk of SIDS.
CONCLUSIONS---This study does not support the recommendation to avoid duvets.


Keywords: sudden infant death syndrome; duvet; quilt; case control study

© 1999 by Archives of Disease in Childhood


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