Öz
Daha öncesinde “Açıkça yaşamı tehdit eden olaylar” “Apparent life-threatening events” (ALTE) olarak tanımlanan olgular, 2016 yılında, Amerikan Pediatri Akademisi tarafından “Kısa süreli düzelen açıklanamayan olaylar”-“Brief Resolved Unexplained Events” (BRUE) olarak yeniden isimlendirilmiştir. BRUE tanısı için; kısa süren, bu süre sonunda düzelen, öykü ve fizik muayene ile açıklanamayan bir olayın şu özelliklerden birini içermesi gerekir; siyanoz ya da solukluk; solunumun azalması, düzensizleşmesi yada olmaması; tonusta belirgin değişiklik; bilinç durumunda değişiklik. Böyle bir olayın düşük riskli mi yoksa yüksek riskli mi olduğu, epidemiyolojik olarak ortaya konmalıdır. Düşük riskli olarak değerlendirilmesi için şu kriterler karşılanmalıdır; doğumda ≥32 haftalık ve doğum sonrası yaşın 60 günün üzerinde olması, daha önce benzer bir olay olmaması, 1 dakikadan kısa sürmesi, eğitimli sağlık personeli tarafından canlandırmaya gerek duyulmaması ve herhangi bir öykü veya fizik muayene bulgusu saptanmaması. Düşük riskli olaylar, hastaneye yatırma, daha fazla araştırma veya ev monitorizasyonu gerektirmez. Aksine, yüksek riskli olayları olan bebekler hastaneye yatırılmalı, izlenmeli ve altta yatabilecek bir patoloji açısından incelenmelidir.
Anahtar Kelimeler
BRUE Apne Siyanoz Bebek Kısa Süreli Düzelen Açıklanamayan Olaylar
Kaynakça
- 1. Corwin MJ. Acute events in infancy including brief resolved unexplained event (BRUE). Mallory GB, Teach SJ, Duryea TK, ed. UpToDate. Waltham, MA: UpToDate Inc. http://www.uptodate.com (Accessed on November 30, 2017.)
- 2. National Institute of Health Consensus Development Conference on Infantile Apnea and Home Monitoring, Sept 29 to Oct 1, 1986. Pediatrics 1987;79:292–9.
- 3. Rivarola MR. BRUE : A new term and approach that could improve our practice. Arch Argent Pediatr 2016;114:506–7.
- 4. Tieder JS, Altman RL, Bonkowsky JL, et al. Management of apparent life-threatening events in infants: A systematic review. J Pediatr. 2013;163(1):94-99-6.
- 5. Tieder JS, Bonkowsky JL, Etzel RA, et al. Brief Resolved Unexplained Events (Formerly Apparent Life-Threatening Events) and Evaluation of Lower-Risk Infants. Pediatrics 2016;137:e20160590.
- 6. Semmekrot BA, Van Sleuwen BE, Engelberts AC, et al. Surveillance study of apparent life-threatening events (ALTE) in the Netherlands. Eur J Pediatr 2010;169:229–36.
- 7. Kiechl-Kohlendorfer U, Hof D, Peglow UP, Traweger-Ravanelli B, Kiechl S. Epidemiology of apparent life threatening events. Arch Dis Child 2004;90:297–300.
- 8. Monti MC, Borrelli P, Nosetti L, et al. Incidence of apparent life-threatening events and post-neonatal risk factors. Acta Paediatr 2017;106:204–10.
- 9. Sahewalla R, Gupta D, Kamat D. Apparent Life-Threatening Events : An Overview. Clin Pediatr (Phila) 2016;55:5–9.
- 10. Fu LY, Moon RY. Apparent Life-Threatening Events: An Update. Pediatr Rev 2012;33:361–9.
- 11. Mittal MK, Sun G, Baren JM. A Clinical Decision Rule to Identify Infants With Apparent Life-Threatening Event Who Can Be Safely Discharged From the Emergency Department. Pediatr Emerg Care 2012;28:599–605.
- 12. Claudius I, Keens T. Do All Infants With Apparent Life-Threatening Events Need to Be Admitted? Pediatrics 2007;119:679–83.
- 13. Bonkowsky JL, Guenther E, Filloux FM, Srivastava R. Death, child abuse, and adverse neurological outcome of infants after an apparent life-threatening event. Pediatrics 2008;122:125–31.
- 14. Al-Kindy HA, Gélinas JF, Hatzakis G, Côté A. Risk Factors for Extreme Events in Infants Hospitalized for Apparent Life-threatening Events. J Pediatr 2009;154:332-7.
- 15. Romaneli MTN, Fraga AMA, Morcillo AM, Tresoldi AT, Baracat ECE. Factors associated with infant death after apparent life-threatening event (ALTE). J Pediatr (Rio J) 2010;86:515–9.
- 16. Choi HJ, Kim YH. Apparent life-threatening event in infancy. Korean J Pediatr 2016;59:347–54.
- 17. Brand DA, Altman RL, Purtill K, Edwards KS. Yield of Diagnostic Testing in Infants Who Have Had an Apparent Life-Threatening Event. Pediatircs 2005;115:885–93.
- 18. Kaji AH, Claudius I, Santillanes G, Mittal MK, Hayes K, Lee J, et al. Apparent life-threatening event: Multicenter prospective cohort study to develop a clinical decision rule for admission to the hospital. Ann Emerg Med 2013;61:379–87.
- 19. American Academy of Pediatrics, Committee on Hospital Care; Institute for Patient- and Family-Centered Care and the Pediatrician’s Role. Pediatrics 2012;129:394–404.
- 20. Kuo DZ, Houtrow AJ, Arango P, Kuhlthau KA, Simmons JM, Neff JM. Family-centered care: Current applications and future directions in pediatric health care. Matern Child Health J 2012;16:297–305.
Öz
Kaynakça
- 1. Corwin MJ. Acute events in infancy including brief resolved unexplained event (BRUE). Mallory GB, Teach SJ, Duryea TK, ed. UpToDate. Waltham, MA: UpToDate Inc. http://www.uptodate.com (Accessed on November 30, 2017.)
- 2. National Institute of Health Consensus Development Conference on Infantile Apnea and Home Monitoring, Sept 29 to Oct 1, 1986. Pediatrics 1987;79:292–9.
- 3. Rivarola MR. BRUE : A new term and approach that could improve our practice. Arch Argent Pediatr 2016;114:506–7.
- 4. Tieder JS, Altman RL, Bonkowsky JL, et al. Management of apparent life-threatening events in infants: A systematic review. J Pediatr. 2013;163(1):94-99-6.
- 5. Tieder JS, Bonkowsky JL, Etzel RA, et al. Brief Resolved Unexplained Events (Formerly Apparent Life-Threatening Events) and Evaluation of Lower-Risk Infants. Pediatrics 2016;137:e20160590.
- 6. Semmekrot BA, Van Sleuwen BE, Engelberts AC, et al. Surveillance study of apparent life-threatening events (ALTE) in the Netherlands. Eur J Pediatr 2010;169:229–36.
- 7. Kiechl-Kohlendorfer U, Hof D, Peglow UP, Traweger-Ravanelli B, Kiechl S. Epidemiology of apparent life threatening events. Arch Dis Child 2004;90:297–300.
- 8. Monti MC, Borrelli P, Nosetti L, et al. Incidence of apparent life-threatening events and post-neonatal risk factors. Acta Paediatr 2017;106:204–10.
- 9. Sahewalla R, Gupta D, Kamat D. Apparent Life-Threatening Events : An Overview. Clin Pediatr (Phila) 2016;55:5–9.
- 10. Fu LY, Moon RY. Apparent Life-Threatening Events: An Update. Pediatr Rev 2012;33:361–9.
- 11. Mittal MK, Sun G, Baren JM. A Clinical Decision Rule to Identify Infants With Apparent Life-Threatening Event Who Can Be Safely Discharged From the Emergency Department. Pediatr Emerg Care 2012;28:599–605.
- 12. Claudius I, Keens T. Do All Infants With Apparent Life-Threatening Events Need to Be Admitted? Pediatrics 2007;119:679–83.
- 13. Bonkowsky JL, Guenther E, Filloux FM, Srivastava R. Death, child abuse, and adverse neurological outcome of infants after an apparent life-threatening event. Pediatrics 2008;122:125–31.
- 14. Al-Kindy HA, Gélinas JF, Hatzakis G, Côté A. Risk Factors for Extreme Events in Infants Hospitalized for Apparent Life-threatening Events. J Pediatr 2009;154:332-7.
- 15. Romaneli MTN, Fraga AMA, Morcillo AM, Tresoldi AT, Baracat ECE. Factors associated with infant death after apparent life-threatening event (ALTE). J Pediatr (Rio J) 2010;86:515–9.
- 16. Choi HJ, Kim YH. Apparent life-threatening event in infancy. Korean J Pediatr 2016;59:347–54.
- 17. Brand DA, Altman RL, Purtill K, Edwards KS. Yield of Diagnostic Testing in Infants Who Have Had an Apparent Life-Threatening Event. Pediatircs 2005;115:885–93.
- 18. Kaji AH, Claudius I, Santillanes G, Mittal MK, Hayes K, Lee J, et al. Apparent life-threatening event: Multicenter prospective cohort study to develop a clinical decision rule for admission to the hospital. Ann Emerg Med 2013;61:379–87.
- 19. American Academy of Pediatrics, Committee on Hospital Care; Institute for Patient- and Family-Centered Care and the Pediatrician’s Role. Pediatrics 2012;129:394–404.
- 20. Kuo DZ, Houtrow AJ, Arango P, Kuhlthau KA, Simmons JM, Neff JM. Family-centered care: Current applications and future directions in pediatric health care. Matern Child Health J 2012;16:297–305.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | İç Hastalıkları |
| Bölüm | Derleme |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Ağustos 2018 |
| Yayımlandığı Sayı | Yıl 2018 Cilt: 16 Sayı: 2 |
