Diagnostic Evaluation Low Yield for Patients with a Lower-Risk Brief Resolved Unexplained Event

In contrast to patients with an apparent life-threatening event (ALTE), the American Academy of Pediatrics recommends very limited evaluation for patients categorized as lower-risk brief resolved unexplained event (BRUE). This retrospective review aims to explore potential missed diagnostic opportun...

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Bibliographic Details
Published in:Global pediatric health 2021, Vol.8, p.2333794X20967586
Main Authors: Haddad, Rita, Parker, Sarah, Farooqi, Ahmad, DeLaroche, Amy M.
Format: Article
Language:English
Subjects:
Brief Report
Laboratories
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Summary:In contrast to patients with an apparent life-threatening event (ALTE), the American Academy of Pediatrics recommends very limited evaluation for patients categorized as lower-risk brief resolved unexplained event (BRUE). This retrospective review aims to explore potential missed diagnostic opportunities for patients with a lower-risk BRUE (n = 10) through comparison with a subset of patients with ALTE (n = 72). None of the patients with a lower-risk BRUE had laboratory, imaging or ancillary studies that were diagnostic. Among patients with ALTE, 5 had laboratory and 3 had imaging studies that were diagnostic. None of the patients with a lower-risk BRUE had recurrent events during hospitalization or a serious underlying diagnosis identified within the 90 day follow-up period. As recommended by the AAP, patients with a lower-risk BRUE do not need diagnostic evaluation and can be discharged home with outpatient follow-up.
ISSN:2333-794X
2333-794X
DOI:10.1177/2333794X20967586