Brief resolved unexplained event (BRUE)

Czech version

Authors: Komyšáková Michala; Novotný Vojtěch; Obermannová Barbora
Authors‘ workplace: Pediatrická klinika, 2. lékařská fakulta, Univerzita Karlova a Fakultní nemocnice v Motole, Praha
Published in: Čes-slov Pediat 2023; 78 (6): 295-297.
Category: Pediatric Protocols in Praxis
doi: https://doi.org/10.55095/CSPediatrie2023/049

Overview

BRUE is a new term created in 2016 by the American Academy of Pediatrics, replacing previously used term ALTE (Apparently Life Threatening Event). The change occurred due to the inaccuracy of the original definition of ALTE, which is difficult to apply in the clinical practice and research. BRUE is defined as a brief, spontaneously resolved, unexplained medical event that may occur in a child under 1 year of age and this event meets the diagnostic criteria for the condition. Symptoms include irregular breathing, skin discoloration, muscle tone changes, or disturbances in consciousness. BRUE is a diagnosis by exclusion. The aim of this article is to define the concept of BRUE and its criteria, determine the patient‘s level of risk, and provide recommendations for further investigation management.

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