December 2012. Volume 8. Number 4

A clinical decision rule identifies infants with apparent  life-threatening event of low risk

 
 
 
 
 
 
 
 
 
 
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AVC | Critically appraised articles

Mittal MK, Sun G, Baren JM. A clinical decision rule to identify infants with apparent life-threatening event who can be safely discharged from the emergency department. Pediatr Emerg Care. 2012;28:599-605.
Reviewers: Ochoa Sangrador C1, Andrés de Llano JM2.
1Servicio de Pediatría. Hospital Virgen de la Concha. Zamora. España.
2Servicio de Pediatría. Hospital General del Río Carrión. Palencia. España.
Correspondence: Carlos Ochoa Sangrador. Email: cochoas@meditex.es
Reception date: 09/11/2012
Acceptance date: 10/11/2012
Publication date: 28/11/2012

Abstract

Authors' conclusions: only 12% of infants presenting to the emergency department with apparent–life threatening events had a significant intervention warranting hospital admission. The use of a new clinical decision rule would have decreased the admission rate safely by 40%.

Reviewers' commentary: the clinical decision rule designed in this study selects three groups of patients with episodes of apparent life threatening with low risk of needing hospital care and procedures. It is possible that most of these patients do not require hospitalization, although, in the absence of an external validation of this rule, only an individual interpretation of all circumstances guarantees the best option for each patient.

How to cite this article

Ochoa Sangrador C, Andrés de Llano JM. Una regla de decisión clínica permite identificar a niños con eventos de aparente amenaza para la vida de bajo riesgo. Evid Pediatr. 2012;8:82.

AVC | Critically appraised articles

Mittal MK, Sun G, Baren JM. A clinical decision rule to identify infants with apparent life-threatening event who can be safely discharged from the emergency department. Pediatr Emerg Care. 2012;28:599-605.
Reviewers: Ochoa Sangrador C1, Andrés de Llano JM2.
1Servicio de Pediatría. Hospital Virgen de la Concha. Zamora. España.
2Servicio de Pediatría. Hospital General del Río Carrión. Palencia. España.
Correspondence: Carlos Ochoa Sangrador. Email: cochoas@meditex.es
Reception date: 09/11/2012
Acceptance date: 10/11/2012
Publication date: 28/11/2012

How to cite this article

Ochoa Sangrador C, Andrés de Llano JM. Una regla de decisión clínica permite identificar a niños con eventos de aparente amenaza para la vida de bajo riesgo. Evid Pediatr. 2012;8:82.

References

  1. National Institutes of Health. Infantile apnea and home monitoring. Consultado 18 de octubre de 2012. NIH Consensus Development Statement. 1986;6:1-10
  2. Al-Kindy HA, Gelinas JF, Hatzakis G, Cote A. Risk factors for extreme events in infants hospitalized for apparent life-threatening events. J Pediatr. 2009;154:332-7.
  3. Santiago-Burruchaga M, Sánchez-Etxaniz J, Benito-Fernández J, Vázquez-Cordero C, Mintegi-Raso S, Labayru-Echeverría M, et al. Assessment and management of infants with apparent lifethreatening events in the paediatric emergency department. Eur J Emerg Med. 2008;15:203-8.
  4. Fu LY, Moon RY. Apparent Life-Threatening Events: An Update. Pediatrics in Review. 2012;33:361.

28/11/2012

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