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Joel Vanderford, MD; John Olsson, MD

Arch Pediatr Adolesc Med. 2009;163(5):490.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

In their study published in the October issue of Archives, Coleman-Phox et al¹ conclude that fan use may be an effective intervention for further decreasing sudden infant death syndrome (SIDS) incidence. They claim that fan use during sleep was associated with a 72% reduction in SIDS risk. Although their results are thought provoking and have drawn major media attention, there are a number of methodological flaws in the article that raise questions about its conclusions.

The poor percentage of recruited cases and controls could have resulted in selection bias. Only 47% of eligible cases were enrolled and only 41% of controls were recruited. Only 6 of the 167 coroner-pronounced SIDS cases used fans, while only 36 of 309 controls used fans. If 20 cases instead of the 6 cases had used fans, for example, the results would no longer be statistically significant, and . . . [Full Text of this Article]

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RELATED ARTICLE

Use of a Fan During Sleep and the Risk of Sudden Infant Death Syndrome
Kimberly Coleman-Phox, Roxana Odouli, and De-Kun Li
Arch Pediatr Adolesc Med. 2008;162(10):963-968.
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RELATED LETTER

Should We Really Encourage Fan Use?—Reply
Kimberly Coleman-Phox and De-Kun Li
Arch Pediatr Adolesc Med. 2009;163(5):490-491.
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