May 1, 2016 · First, it recommends the replacement of the term ALTE with a new term, brief resolved unexplained event (BRUE). Second, it provides an approach to patient evaluation that is based on the risk that the infant will have a repeat event or has a serious underlying disorder.

Emergency Department pathway for infant presenting with a brief, resolved, concerning event.

BRUE diagnosis is only made by a clinician based on the features and is not based on the caregiver's perception of what happened. BRUE is an event occurring in an infant <1 year of age when an observer reports a sudden, brief ( <1 minute but typically <20–30 seconds), and now resolved episode of ≥1 of the following: [1]

Aug 12, 2023 · Identify the workup for an infant with a resolved unexplained event (BRUE). Identify keys to successful patient and caregiver management for infants that have undergone brief resolved unexplained events.

Infants who present with a history of an acute event (an unexpected change in an infant's breathing, appearance, or behavior), reported by their parent or caregiver, represent a heterogeneous group of patients of varying ages with diverse pathophysiology.

May 1, 2016 · Clinicians should use the term BRUE to describe an event occurring in an infant younger than 1 year when the observer reports a sudden, brief, and now resolved episode of ≥1 of the following: (1) cyanosis or pallor; (2) absent, decreased, or irregular breathing; (3) marked change in tone (hyper- or hypotonia); and (4) altered level of responsive...

Difference between ALTE & BRUE • BRUE definition has a strict age limit. • an event is only a BRUE if there is no other likely explanation • a BRUE diagnosis is based on the clinician’s characterization of features of the event and not on a caregiver’s perception that …

Mar 1, 2017 · • BRUEs occur in infants younger than one year and last less than one minute, usually less than 20 to 30 seconds. • A BRUE includes one or more of the following: cyanosis or pallor; absent,...

There are many diagnosable conditions that cause symptoms similar to that of a BRUE. The assessment of the event should be directed at determining if there is a cause for the event and to assess for risk factors for recurrence. The differential diagnoses of these events are broad.

Aug 19, 2024 · BRUE is present only when there is no explanation for the event after a thorough history and exam. An older name used for these types of events is an apparent life-threatening event (ALTE). It is unclear how often these events occur. BRUE is not the same as sudden infant death syndrome (SIDS).