P. Fleming

Publications327
h-index46
Citations8,716
Highly Influential Citations290
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Confidential Inquiry into premature deaths of people with learning disabilities (CIPOLD): Final report
TLDR
The CIPOLD review of deaths hoped to find that people with learning disabilities were living long and healthy lives to no lesser extent than those without learning disabilities, but has quashed optimism and been heartened by the many family members, carers and professionals.
Sudden unexplained infant death in 20 regions in Europe: case control study
The Confidential Inquiry into premature deaths of people with intellectual disabilities in the UK: a population-based study
Environment of infants during sleep and risk of the sudden infant death syndrome: results of 1993-5 case-control study for confidential inquiry into stillbirths and deaths in infancy
TLDR
This study confirms the importance of certain risk factors for the sudden infant death syndrome and identifies others—for example, covers over the head, side sleeping position—which may be amenable to change by educating and informing parents and health care professionals.
Interaction between bedding and sleeping position in the sudden infant death syndrome: a population based case-control study.
TLDR
Overheating and the prone position are independently associated with an increased risk of sudden unexpected infant death, particularly in infants aged more than 70 days.
Babies sleeping with parents: case-control study of factors influencing the risk of the sudden infant death syndrome. CESDI SUDI research group.
TLDR
There are certain circumstances when bed sharing should be avoided, particularly for infants under four months old, and there is no evidence that bed sharing is hazardous for infants of parents who do not smoke.
Major epidemiological changes in sudden infant death syndrome: a 20-year population-based study in the UK
Hazardous cosleeping environments and risk factors amenable to change: case-control study of SIDS in south west England
TLDR
The significance of covering the infant’s head, postnatal exposure to tobacco smoke, dummy use, and sleeping in the side position has diminished although a significant proportion of SIDS infants were still found prone, and specific advice needs to be given, particularly on use of alcohol or drugs before cosleeping and cosle sleeping on a sofa.
Childhood sleep duration and associated demographic characteristics in an English cohort.
TLDR
Given the wide natural variation of sleep in the childhood population, any recommendations on optimal sleep duration at any age must take into account considerable individual variability.
Epidemiology of SIDS and Explained Sudden Infant Deaths
TLDR
Major epidemiologic features to change since the decrease in SIDS rate include a reduction in the previous high winter peaks of death and a shift of SIDS families to the more deprived social grouping.
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