Emergency Department and Inpatient Pathway for Evaluation of Infants with a Brief, Resolved, Unexplained Event (BRUE)

Standardized evaluation of brief resolved unexplained events in infants under 1 year, focusing on diagnosis, risk stratification, and shared decision-making.

2016年5月1日 · The term BRUE is defined as 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 responsiveness.

2024年8月27日 · Lower-Risk BRUE: Assuming that a thorough history and physical exam do not reveal any concerns or findings, no lab work or imaging is needed. Higher Risk BRUE: Any findings in the event or patient history or physical findings that are concerning and potentially explain the event exclude the diagnosis of BRUE. Consider other diagnoses as in Table 3.

Brief Resolved Unexplained Events (BRUEs) are a common presenting complaint for children under 1 year of age and cause a great deal of anxiety for parents and caregivers. The presentation of BRUEs can be widely variable and involve a constellation of observed, subjective and nonspecific symptoms.

The clinical pathways are based upon publicly available medical evidence and/or a consensus of medical practitioners at the Advocate Children’s Hospital (“ACH”) and are current at the time of publication.

This clinical pathway describes the management of BRUE in the inpatient care setting.

Pathway for Evaluation of Infants with a BRUE. Claudius, I., & Keens, T. (2007). Do all infants with apparent life‐threatening events need to be admitted?

BRUE Synopsis (provides care standards employed for this clinical pathway) Additional tools associated with this Clinical/ERAS Pathway: Brief Resolved Unexplained Event (BRUE) handout located in depart patient education (available in English and Spanish)

The Brief Resolved Unexplained Events (BRUE) Criteria for Infants classifies unexplained events and replaces the Apparent Life Threatening Events (ALTE) classification.

2019年8月1日 · The authors recommend a tailored, family-centered, multidisciplinary approach to evaluation and management of all higher-risk infants with a BRUE, whether accomplished during hospital admission or through coordinated outpatient care.

2017年7月5日 · CPP-IP BRUE (Brief, Resolved, Unexplained Event) Clinical Pathway Published: 7/5/2017 Revised: 4/22/2024 A Social Work evaluation is required for all patients who meet diagnostic criteria for a BRUE • A BRUE may be the presentation of child abuse so SW evaluation helps identify risk factors for abuse

Etiology: The most common reported causes of BRUE are gastroesophageal reflux (GER), seizures, lower respiratory tract infections; or greater than 50% of BRUEs are considered idiopathic. However, BRUEs can occur with metabolic and cardiac disorders. What alerted the caregiver to a problem? -How did it stop?

Review current research focusing attention on the contribution of dysphagia, silent aspiration/laryngeal penetration in symptoms of BRUE in healthy infants. Present a clinical pathway with added focus on the evaluation and management of dysphagia as a contributor to symptoms of BRUE.

What is a Clinical Pathway? An evidence-based guideline that decreases unnecessary variation and helps promote safe, effective, and consistent patient care. Why is Pathway Necessary? This is the BRUE Clinical Pathway. We will be reviewing each component in the following slides. • Does patient have additional symptoms or abnormal vital signs?

2023年8月12日 · 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.

A BRUE (Brief Resolved Unexplained Event) is an event in an infant that is characterised by a marked change in breathing, tone, colour or level of responsiveness, followed by a complete return to a baseline state, and that cannot be explained by a medical cause; A BRUE is a diagnosis of exclusion.

2018年12月14日 · BRUE allows for health care professional to categorise event, and stratify infants as lower or higher risk of having a repeated episode or a serious underlying disorder. Higher risk patients require further investigation +/- treatment.

2021年1月28日 · A brief resolved unexplained event (or BRUE for short) occurs suddenly and can be scary for parents and caregivers. A brief resolved unexplained event is a diagnosis made after your baby’s doctor or he. ing, their skin color may change to pale or blue, their muscles may relax or tighten, or they may seem to .

The BRUE Clinical Pathway provides guidance for identifying patients at lower risk of serious adverse events who may be appropriately managed in the outpatient setting and offers recommendations for higher-risk patients who may require further evaluation.