Infants presenting with a brue who are higher risk are challenging to manage because of the diverse and extensive diagnostic possibilities, rare but potential presence of a serious underlying disorder, and paucity of evidence to guide evaluation. Yes high risk factors met? Neonates are, by definition, high risk kids in brue criteria.
The Brue Panel Argue That Patients Who Frequently Attend With Unexplained Events Or A Family History Of Iem Will Be Categorised As High Risk And Therefore Are Not In The Scope Of The Guideline.
Abnormal medical history, history of similar event, event duration >1 minute, and altered responsiveness increased the odds of a serious underlying diagnosis. As brue is anew entilty, there is paucity of data regarding prognosis. Treat as you normally would.
Don’t Order A Million Tests.
Direct initial evaluation toward what your super sleuth skills have determined to be the most likely etiology of the event. Episodes of redness are common among healthy infants and are not consistent with brue. Management of higher risk infants with brue.
Based On The Results Of A History And Physical Examination, Infants Who Present With A Brue Can Be Considered Lower Risk Or Higher Risk, The Latter Of Which Should Have Additional Assessment And.
Consider targeted interventions based on history and physical sleep study or pneumogram; • age > 60 days • gestational age. Ct or mri brain, eeg;
Previously Studies Prognosis For Alte May Offer Some Insight At Least For Patients With High Risk Brue.
Even though an abnormal result was present in 18.4% of the overnight oximetry, this investigation was not able to identify infants at higher risk of recurrent brue. The factors that determine a ‘low risk brue’ include (must meet all criteria) 1,3: Brue (brief, resolved, unexplained event) is present only when there is no explanation for the event after a thorough history and examination.