OBJECTIVES: To assess whether clutter (comforters, blankets, pillows, toys) caused @entity204 and provide an analysis of bumper-related incidents/ @entity130 and their causal mechanisms. STUDY DESIGN: Bumper-related @entity204 (January 1, 1985, to October 31, 2012) and incidents/ @entity130 (January 1, 1990, to October 31, 2012) were identified from the US Consumer Product Safety Commission (CPSC) databases and classified by mechanism. Statistical analyses include mean age, 95% CIs,   (2) test for trend, and ANOVA with a paired-comparisons information-criterion post hoc test for age differences among @entity130 . RESULTS: There were 3 times more @entity204 reported in the last 7  years than the 3 previous time periods (  (2)(3)  =  13.5, P   <=  .01). This could be attributable to increased reporting by the states, diagnostic shift, or both, or possibly a true increase in @entity204 . Bumpers caused 48 suffocations, 67% by a bumper alone, not clutter, and 33% by wedgings between a bumper and another object. The number of CPSC-reported @entity204 was compared with those from the National Center for the Review and Prevention of @entity1 Deaths, 2008-2011; the latter reported substantially more @entity204 than CPSC, increasing the total to 77 @entity204 . Injury mechanisms showed significant differences by age (F4,120  =  3.2, P  <  .001) and were caused by design, construction, and quality control problems. Eleven @entity130 were apparent life-threatening events. CONCLUSION: The effectiveness of public health recommendations, industry @entity2798 , and the benefits of crib bumper use were not supported by the data. Study limitations include an undercount of CPSC-reported @entity204 , lack of denominator information, and voluntary incident reports.

Crib Bumpers Continue to Cause XXXX Deaths: A Need for a New Preventive Approach.

@entity1 :: ('9606', 'Species') :: ['Child'] @entity204 :: ('MESH:D003643', 'Disease') :: ['bumper deaths', 'deaths'] @entity130 :: ('MESH:D014947', 'Disease') :: ['injury mechanisms', 'injuries'] @entity2798 :: ('MESH:D009155', 'Disease') :: ['voluntary standard requirements']
@entity1 :: (9606,Species) :: ['Infant']
