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Apparent life-threatening event: a review.

Craig C Dewolfe1

  • 1Department of Pediatrics, Pediatric Hospitalist Division, Children's National Medical Center, George Washington University School of Medicine and Health Sciences, 111 Michigan Avenue NW, Washington, DC 20010, USA.

Pediatric Clinics of North America
|July 13, 2005
PubMed
Summary

An apparent life-threatening event (ALTE) in infants requires prompt medical attention. Early diagnosis and management are crucial to prevent potential long-term health risks and ensure infant safety.

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Area of Science:

  • Pediatrics
  • Neonatology
  • Emergency Medicine

Background:

  • An apparent life-threatening event (ALTE) is a clinical presentation causing caregiver concern.
  • ALTE episodes involve apnea, altered tone, color changes, or airway obstruction.
  • While often benign, ALTE carries risks of subsequent morbidity and mortality.

Purpose of the Study:

  • To review the existing literature on apparent life-threatening events (ALTE).
  • To provide guidance on the diagnosis and management of ALTE in infants.
  • To emphasize the importance of identifying and treating underlying causes.

Main Methods:

  • Literature review of studies on ALTE.
  • Synthesis of diagnostic criteria and management strategies.

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  • Analysis of case histories and outcomes.

    • Main Results:

    • ALTE diagnosis requires a combination of specific clinical signs.
    • Effective management involves infant stabilization, thorough history taking, and addressing root causes.
    • Caregiver education and safe disposition are critical components.

    Conclusions:

    • Prompt recognition and comprehensive management of ALTE are essential.
    • Understanding the potential risks associated with ALTE is vital for healthcare providers.
    • This review offers a framework for diagnosing and managing ALTE cases effectively.