Usefulness of Airway Evaluation in Infants Initially Seen With an Apparent Life-Threatening Event

Willis, Mark W.; Bonkowsky, Joshua L.; Srivastava, Rajendu; Grimmer, J. Fredrik

doi:10.1001/archoto.2011.37

Cited by 6 publications

(3 citation statements)

References 15 publications

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“…14,26,27 In these studies, 3.9% and 3% were ultimately diagnosed with epilepsy and developmental delay, respectively; 1.4% were diagnosed with abusive head trauma; and 0.6% required otolaryngologic surgical intervention. In these previous studies, there were few predictors of these outcomes, with testing demonstrating largely normal results during the index ALTE admission.…”

Section: Discussionmentioning

confidence: 98%

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Adverse outcomes associated with gastroesophageal reflux disease are rare following an apparent life‐threatening event

Zimbric

Bonkowsky

Jackson

et al. 2012

Journal of Hospital Medicine

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OBJECTIVE:To evaluate for adverse outcomes associated with gastroesophageal reflux disease (GERD) following an apparent life-threatening event (ALTE) and potential risk factors of these outcomes.STUDY DESIGN: Retrospective cohort study of wellappearing infants (<12 months) admitted for ALTE. Patients were followed for adverse outcomes associated with GERD (including aspiration pneumonia, failure-to-thrive, or antireflux surgery), second ALTE, or death. Risk factors evaluated included: age, prematurity, gender, previous event, diagnosis of GERD, gastrointestinal (GI) testing positive for gastroesophageal reflux, length of stay (LOS), and neurologic impairment diagnosed in follow-up.RESULTS: Four hundred sixty-nine patients met inclusion criteria, mean age was 45 days, 110 (22%) were premature.Patients were followed for an average of 7.8 years; 3.8% of all patients had an adverse outcome associated with GERD. The only significant risk factors were a longer LOS, and development of neurological impairment. A diagnosis of GERD and positive reflux testing during the initial hospitalization were not associated with adverse outcomes associated with GERD.

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Section: Discussionmentioning

confidence: 98%

“…This study has slightly different patient numbers from 3 previously published studies for different outcomes on this cohort, as exclusion criteria for the different cohorts were different. 14,26,27 Six patients had only their electronic medical record reviewed because the paper chart was missing.…”

Section: Discussionmentioning

confidence: 99%

Adverse outcomes associated with gastroesophageal reflux disease are rare following an apparent life‐threatening event

Zimbric

Bonkowsky

Jackson

et al. 2012

Journal of Hospital Medicine

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“…In cases where infants have respiratory symptoms, consideration should be given to taking a nasopharynx swab to test for pertussis and respiratory syncytial virus. Where laryngeal stridor has been present for a prolonged period, cervical and thoracic X-rays, contrast esophagram, nasopharyngeal laryngoscopy and bronchoscopy can be considered, although the last two are not recommended for initial work up (3,41) .…”

Section: Investigationmentioning

confidence: 99%

Evento com aparente risco de morte: uma revisão

Romaneli

Baracat

2012

Rev. paul. pediatr.

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OBJETIVO: Realizar uma revisão crítica reunindo informações disponíveis a respeito dos eventos com aparente risco de morte. FONTES DE DADOS: Revisão bibliográfica dos artigos (em português, inglês e espanhol) obtidos dos bancos de dados eletrônicos Medline, Lilacs e SciELO, utilizando as palavras-chave: eventos com aparente risco de morte, evento com aparente risco de vida infantil, lactente, apneia, monitorização e cianose. SÍNTESE DOS DADOS: Os eventos com aparente risco de mortesão súbitos e caracterizados por uma combinação de apneia, alteração na coloração da pele e tônus muscular, com inúmeras causas subjacentes. Sua incidência verdadeira é desconhecida e a faixa etária mais acometida é de 11 a 12 semanas. Não há correlação entre o evento com aparente risco de morte e a síndrome da morte súbita do lactente, embora já tenham sido consideradas manifestações da mesma doença. Muitas vezes, o lactente tem aparência saudável ao ser avaliado pelo pediatra após apresentar eventos com aparente risco de morte, porém, isso não afasta a possibilidade de existir uma doença grave associada ao evento, que deve ser investigada e tratada. Quando não são encontradas as causas, o evento é idiopático, geralmente com boa evolução. CONCLUSÕES: É necessário investigar os lactentes levados ao pronto-socorro após apresentarem eventos com aparente risco de morte, devido ao risco de sequelas e mortalidade. Não há uma padronização das condutas a serem realizadas diante de um lactente com aparência saudável que tenha evento com aparente risco de morte, mas recomenda-se que o paciente seja internado e a causa do evento, investigada. A observação e o monitoramento em ambiente hospitalar devem ocorrer no mínimo 24 horas após o evento.

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Pediatric Laryngeal Anomalies

Balakrishnan

2018

Curr Treat Options Peds

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Usefulness of Airway Evaluation in Infants Initially Seen With an Apparent Life-Threatening Event

Cited by 6 publications

References 15 publications

Adverse outcomes associated with gastroesophageal reflux disease are rare following an apparent life‐threatening event

Adverse outcomes associated with gastroesophageal reflux disease are rare following an apparent life‐threatening event

Evento com aparente risco de morte: uma revisão

Pediatric Laryngeal Anomalies

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