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Global pediatric health · Jan 2021
Diagnostic Evaluation Low Yield for Patients with a Lower-Risk Brief Resolved Unexplained Event.
- Rita Haddad, Sarah Parker, Ahmad Farooqi, and Amy M DeLaroche.
- Children's Hospital of Michigan, Detroit, MI, USA.
- Glob Pediatr Health. 2021 Jan 1; 8: 2333794X20967586.
AbstractIn 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.© The Author(s) 2021.
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