核心概念
BRUE diagnosis and management in infants involves careful assessment and shared decision-making.
要約
The content discusses the evolution of terminology from apnea episodes to BRUE in infants, highlighting the challenges in defining and managing these events. It emphasizes the importance of shared decision-making and the limited utility of extensive testing in identifying underlying conditions. Key points include:
- Historical evolution of terminology from apnea episodes to BRUE.
- Criteria for defining a BRUE episode in infants.
- Challenges in determining recurrence risk and the need for hospitalization.
- Development of BRUE 2.0 criteria for focused risk assessment.
- Red flags indicating the need for further evaluation.
- Recommendations for neurological and GI evaluations.
- Emphasis on shared decision-making with families.
統計
"In 2013, authors of a systematic review coined the term 'brief resolved unexplained event' (BRUE)."
"A BRUE recurred in 14.3% of the cohort, and 4.8% of high-risk infants were found to have a serious undiagnosed condition."
"Data from 2023 demonstrate that only 1.1% of lab tests following a BRUE contributed to a diagnosis."
引用
"As I reflect back on two and a half decades of caring for these patients, I believe that recent data have helped us a great deal."
"Nevertheless, looking for a few red flags, having a high index of suspicion when the clinical exam is abnormal, and engaging in shared decision-making with families can help make the caring for these challenging patients more bearable and lead to better outcomes for all involved."