Pediatrics in review最新文献

Brief Resolved Unexplained Event: Evidence-Based and Family-Centered Management. 短暂的无法解释事件：以证据为基础、以家庭为中心的管理。

IF 1.2

Pediatrics in review Pub Date : 2024-10-01 DOI: 10.1542/pir.2024-006351

Nassr Nama, Amy DeLaroche, Joshua L Bonkowsky, David Gremse, Joel S Tieder

{"title":"Brief Resolved Unexplained Event: Evidence-Based and Family-Centered Management.","authors":"Nassr Nama, Amy DeLaroche, Joshua L Bonkowsky, David Gremse, Joel S Tieder","doi":"10.1542/pir.2024-006351","DOIUrl":"https://doi.org/10.1542/pir.2024-006351","url":null,"abstract":"<p><p>Brief resolved unexplained events (BRUEs) are frequently encountered in infants younger than 1 year. By definition, these events require the infant to be asymptomatic and at baseline at the time of presentation, with no significant abnormalities on examination and no discernible explanatory diagnosis. Research has shown that less than 5% of BRUE cases are attributable to serious underlying conditions, with no increased mortality risk and no increased risk of sudden infant death syndrome. Despite these findings, approximately 63% of patients with BRUEs are hospitalized and up to 82% undergo diagnostic tests, which predominantly result in false-positive findings. Such results may lead to unnecessarily prolonged hospital stays, additional tests or consultations, and increased parental anxiety. The management of a patient who has experienced a BRUE can be challenging for providers and parents alike. Although risk is known to be low in these infants, providers may be compelled to explain the event and provide reassurance. Caregivers oftentimes are concerned that the events may reoccur and be a harbinger of a missed diagnosis. Shared decision-making can be used to explain risk and the benefit of additional testing and hospitalization. This family-centered strategy can align care with the family's values, provide reassurance, and decrease decisional conflict.</p>","PeriodicalId":20007,"journal":{"name":"Pediatrics in review","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142351896","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}