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Acute Care Management of Brief Resolved Unexplained Events.
Amy M DeLaroche1, Nassr Nama2, Joel S Tieder3
1Assistant Professor, Division of Emergency Medicine, Department of Pediatrics, Children's Hospital of Michigan, Detroit, MI.
Pediatric Emergency Care
|February 27, 2025
Summary
Brief resolved unexplained events (BRUEs) are defined by the American Academy of Pediatrics. Current literature characterizes BRUE epidemiology, outcomes, and management, aiding healthcare providers in reducing unnecessary utilization.
Area of Science:
- Pediatric emergency medicine
- Clinical practice guidelines
- Diagnostic criteria
Background:
- The term "brief resolved unexplained event" (BRUE) was introduced in 2016.
- BRUEs represent a diagnostic category for specific infant presentations.
- Understanding BRUEs is crucial for appropriate pediatric care.
Purpose of the Study:
- To review the existing literature on brief resolved unexplained events.
- To inform pediatric healthcare providers about current BRUE knowledge.
- To guide clinical decision-making and resource utilization for BRUEs.
Main Methods:
- Literature review of studies on brief resolved unexplained events.
- Analysis of epidemiological data, clinical outcomes, and management strategies.
- Synthesis of findings to inform clinical practice.
Main Results:
- Research has established the epidemiology of brief resolved unexplained events.
- Clinical outcomes and effective management strategies for BRUEs have been characterized.
- Evidence supports the utility of the BRUE classification.
Conclusions:
- Pediatric healthcare providers need to be familiar with BRUE literature.
- Knowledge of BRUEs can minimize unnecessary healthcare utilization.
- This understanding facilitates shared decision-making with caregivers regarding BRUEs.
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