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Aplicación de una nueva terminología "BRUE: Eventos breves, resueltos e inexplicados": definiciones y recomendaciones / Application of a new terminology "BRUE: Brief, resolved and unexplained events": definitions and recommendations
Zenteno-Araos, Daniel; Díaz-Silva, Javiera; Brockmann-Veloso, Pablo.
  • Zenteno-Araos, Daniel; Universidad de Concepción. Departamento de Pediatría. Servicio de Pediatría, Hospital Guillermo Grant Benavente. Concepción. CL
  • Díaz-Silva, Javiera; Universidad de Concepción. CL
  • Brockmann-Veloso, Pablo; Pontificia Universidad Católica de Chile. Escuela de Medicina. Departamento de Cardiología y Respiratorio Pediátrico, Centro del Sueño Pediátrico. CL
Rev. chil. pediatr ; 91(3): 424-431, jun. 2020. tab, graf
Article in Spanish | LILACS | ID: biblio-1126182
RESUMEN
Resumen Hace tres décadas se propuso el término Apparent Life-Threatening Events (ALTE), siendo incorpo rado paulatinamente en el enfrentamiento clínico de estos pacientes; permitiendo determinar riesgos, atribuir causas y realizar tratamientos específicos. Sin embargo, llevó a realizar estudios y hospitalizaciones en muchas instancias considerados innecesarios, generando un aumento de los costos sanitarios. Por estos motivos nace el concepto de Brief Resolved Unexplained Events (BRUE), que pretende disminuir la subjetividad del evento y focalizar una estrategia de manejo según determina ción del riesgo. En el siguiente artículo se analizan diferencias entre ALTE y BRUE según consensos internacionales y chilenos, profundizando en el enfrentamiento e incorporando consideraciones de relevancia para la práctica clínica cotidiana de lactantes que presentan un BRUE.
ABSTRACT
Abstract Three decades ago, the term Apparent Life-Threatening Events (ALTE) was proposed and was gra dually incorporated into the clinical approach of these patients, allowing to determine risks, attribute causes, and perform specific treatments. However, this led to studies and hospitalizations considered unnecessary in many cases, increasing health costs. For this reason, the concept of Brief Resolved Unexplained Events (BRUE) was created, in order to reduce the subjectivity of the event and focus a management strategy according to the risk determination. This article analyzes the differences bet ween ALTE and BRUE according to international and Chilean consensus, deepening the approach and incorporating relevant considerations for the daily clinical practice with infants who present a BRUE.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Brief, Resolved, Unexplained Event / Terminology as Topic Type of study: Etiology study / Practice guideline / Risk factors Limits: Humans / Infant / Infant, Newborn Language: Spanish Journal: Rev. chil. pediatr Journal subject: Pediatrics Year: 2020 Type: Article Affiliation country: Chile Institution/Affiliation country: Pontificia Universidad Católica de Chile/CL / Universidad de Concepción/CL

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Full text: Available Index: LILACS (Americas) Main subject: Brief, Resolved, Unexplained Event / Terminology as Topic Type of study: Etiology study / Practice guideline / Risk factors Limits: Humans / Infant / Infant, Newborn Language: Spanish Journal: Rev. chil. pediatr Journal subject: Pediatrics Year: 2020 Type: Article Affiliation country: Chile Institution/Affiliation country: Pontificia Universidad Católica de Chile/CL / Universidad de Concepción/CL