Related Experiment Video
Updated: Nov 16, 2025
09:55
Use of a Psychophysiological Script-driven Imagery Experiment to Study Trauma-related Dissociation in Borderline Personality Disorder
Published on: March 8, 2018
12.8K
Diagnostic Evaluation Low Yield for Patients with a Lower-Risk Brief Resolved Unexplained Event
Rita Haddad1, Sarah Parker2, Ahmad Farooqi2
1Children's Hospital of Michigan, Detroit, MI, USA.
Global Pediatric Health
|February 22, 2021
Summary
Lower-risk brief resolved unexplained events (BRUE) in infants do not require diagnostic evaluation, according to this study. These infants can be safely discharged with outpatient follow-up, aligning with AAP guidelines.
Area of Science:
- Pediatrics
- Emergency Medicine
Background:
- The American Academy of Pediatrics (AAP) recommends limited evaluation for lower-risk brief resolved unexplained events (BRUE).
- Distinguishing lower-risk BRUE from apparent life-threatening events (ALTE) is crucial for appropriate patient management.
Purpose of the Study:
- To investigate potential missed diagnostic opportunities in lower-risk BRUE cases.
- To compare diagnostic evaluations and outcomes between lower-risk BRUE and ALTE cohorts.
Main Methods:
- Retrospective review of 10 lower-risk BRUE cases and 72 ALTE cases.
- Analysis of laboratory, imaging, and ancillary studies for diagnostic yield.
- Review of 90-day follow-up for recurrent events and serious diagnoses.
Main Results:
- No diagnostic laboratory, imaging, or ancillary studies were identified in the lower-risk BRUE group.
- Diagnostic studies were positive in 5 laboratory and 3 imaging cases within the ALTE cohort.
- No recurrent events or serious underlying diagnoses were found in lower-risk BRUE patients during follow-up.
Conclusions:
- Consistent with AAP recommendations, lower-risk BRUE patients do not require diagnostic evaluation.
- Safe discharge with outpatient follow-up is appropriate for infants presenting with lower-risk BRUE.
Related Concept Videos
01:30Dysrhythmias V: Evaluating Dysrhythmias
198
Dysrhythmias, also known as arrhythmias, are disturbances in the heart's rhythm that range from benign to life-threatening. A thorough evaluation is crucial for appropriate management and involves a comprehensive medical history, physical examination, and various diagnostic tests.Medical HistorySymptoms: Collect detailed information on palpitations, dizziness, syncope, chest pain, and fatigue. Note their onset, frequency, and triggers.Previous Cardiac Issues: Document any history of heart...
198
01:30Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
462
Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
Irritable Bowel Syndrome (IBS) is classified into subtypes based on the predominant bowel habits as determined by the Bristol Stool Form Scale (BSFS). The subtypes are:
Irritable Bowel Syndrome (IBS) is classified into subtypes based on the predominant bowel habits as determined by the Bristol Stool Form Scale (BSFS). The subtypes are:
462
01:30Acute Coronary Syndrome III: Diagnostic Studies
89
Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
89
01:28Peptic Ulcer Disease III: Clinical Manifestations and Diagnostic Studies
322
Peptic ulcer disease (PUD) presents with diverse symptoms depending on the location and severity of the ulcer. Clinical manifestations of peptic ulcer include dull pain and a burning sensation in the mid-epigastric region.
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.
322
01:21Aneurysm II: Clinical Manifestations and Diagnostic Studies
84
Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
84
01:27Chronic Obstructive Pulmonary Disease-IV: Assessement and Diagnostic Studies
2.8K
Assessing and diagnosing Chronic Obstructive Pulmonary Disease (COPD) involves a detailed approach that includes a comprehensive review of medical history, physical examination, and a variety of diagnostic tests. This thorough evaluation is essential to ensure an accurate diagnosis and guide effective management strategies.
Medical History
Medical History
2.8K