Diagnostic Evaluation Low Yield for Patients with a Lower-Risk Brief Resolved Unexplained Event
| Autor: | Ahmad Farooqi, Rita Haddad, Sarah J. Parker, Amy M. DeLaroche |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Pediatrics
medicine.medical_specialty business.industry Brief Report lower-risk brief resolved unexplained event (BRUE) apparent life-threatening event (ALTE) lcsh:RJ1-570 lcsh:Pediatrics Diagnostic evaluation diagnostic evaluation Lower risk outcomes 03 medical and health sciences 0302 clinical medicine emergency department (ED) 030225 pediatrics Pediatrics Perinatology and Child Health Medicine 030212 general & internal medicine business Event (probability theory) |
| Zdroj: | Global Pediatric Health, Vol 8 (2021) Global Pediatric Health |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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