👶 Criterios BRUE (lactantes)
UsoWhen to use: brief resolved unexplained events formerly called ALTE.
EstratificaciónLow-risk may allow limited ED evaluation; higher-risk needs broader workup/admission.
LímitesWhen not to use: ongoing illness or explained events (label the diagn… · Pitfall: calling BRUE when the infant is still symptomatic. · Consider NAT, arrhythmia, infection when higher-risk.
FuenteTieder JS et al. Pediatrics 2016 (AAP BRUE)
Siguientes pasos del turno
Tras puntuar: escena, escalas afines y vía. Solo referencia local — sin escritura HIS.
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Metodología · ejemplo, guías y notas completas
Definition first.
Cuándo usarla
When to use: brief resolved unexplained events formerly called ALTE.
Cómo funciona
Definition checklist + low-risk bundle (age, gestation, first event, no CPR, Hx/exam).
Puntos clave
- Definition first.
- Low-risk is strict.
- Next: AAP BRUE pathway / pediatrics admit.
Referencias
- [Guía / fuente principal]Tieder JS et al. Pediatrics 2016 (AAP BRUE)
Nota de la herramienta
Tieder JS et al. Pediatrics 2016 (AAP BRUE CPG). Para profesionales sanitarios; no sustituye el juicio clínico.
Cálculo de ejemplo
Los valores siguientes proceden de los ejemplos definidos en la propia herramienta y se calculan en el servidor con la fórmula de esta página, para poder verificar la operación rápidamente. Solo ilustra cómo sustituir los valores: no es consejo clínico ni un caso real.
| Infant age < 1 year | No |
|---|---|
| Event was brief (<1 minute; typically <20–30 s) | No |
| Now resolved / back to baseline | No |
| ≥1 feature: cyanosis or pallor; absent/decreased/irregular breathing; marked change in tone; altered responsiveness | No |
| Unexplained after appropriate history and physical (no explanation such as GER reflux witnessed, nasal obstruction, etc.) | Explained / alternative diagnosis |
| Low-risk age: >60 days | No (≤60 d) |
| Low-risk gestation: ≥32 weeks AND postconceptional age ≥45 weeks | No |
| Low-risk: first BRUE (no prior BRUE / no cluster) | No — prior or cluster |
| Low-risk: no CPR by trained medical provider | CPR was given by trained provider |
| Low-risk: no concerning historical features (e.g. unexplained death of sibling, possible child abuse, family history concerning for arrhythmia) | Concerning history present |
| Low-risk: no concerning physical exam findings | Concerning exam |
→BRUEDoes not meet BRUE definition
- Next：Manage the explained diagnosis or ongoing illness; BRUE pathway N/A
| Infant age < 1 year | Yes |
|---|---|
| Event was brief (<1 minute; typically <20–30 s) | Yes |
| Now resolved / back to baseline | Yes |
| ≥1 feature: cyanosis or pallor; absent/decreased/irregular breathing; marked change in tone; altered responsiveness | Yes |
| Unexplained after appropriate history and physical (no explanation such as GER reflux witnessed, nasal obstruction, etc.) | Unexplained — meets BRUE definition pathway |
| Low-risk age: >60 days | Yes (>60 d) |
| Low-risk gestation: ≥32 weeks AND postconceptional age ≥45 weeks | Yes |
| Low-risk: first BRUE (no prior BRUE / no cluster) | Yes — first |
| Low-risk: no CPR by trained medical provider | No CPR by trained provider |
| Low-risk: no concerning historical features (e.g. unexplained death of sibling, possible child abuse, family history concerning for arrhythmia) | No concerning history |
| Low-risk: no concerning physical exam findings | Exam reassuring |
→BRUELow-risk BRUE
- Definition：Met
- Risk tier：Low-risk per AAP 2016
Verificación y fuentes · gobernanza
Preguntas frecuentes
Preguntas frecuentes
- ¿Criterios BRUE (lactantes) sube datos del paciente? ¿Dónde se calcula?
- El cálculo se realiza localmente en el navegador; no se suben datos. Solo para profesionales sanitarios; interprete con historia, pruebas y protocolos locales — no es diagnóstico ni prescripción.
- ¿Cómo se calcula Criterios BRUE (lactantes) en la práctica? ¿Puede mostrar un ejemplo resuelto?
- Datos: Infant age < 1 year No, Event was brief (<1 minute; typically <20–30 s) No, Now resolved / back to baseline No, ≥1 feature: cyanosis or pallor; absent/decreased/irregular breathing; marked change in tone; altered responsiveness No, Unexplained after appropriate history and physical (no explanation such as GER reflux witnessed, nasal obstruction, etc.) Explained / alternative diagnosis, Low-risk age: >60 days No (≤60 d), Low-risk gestation: ≥32 weeks AND postconceptional age ≥45 weeks No, Low-risk: first BRUE (no prior BRUE / no cluster) No — prior or cluster… → Resultado: BRUE Does not meet BRUE definition（Next: Manage the explained diagnosis or ongoing illness; BRUE pathway N/A） Datos: Infant age < 1 year Yes, Event was brief (<1 minute; typically <20–30 s) Yes, Now resolved / back to baseline Yes, ≥1 feature: cyanosis or pallor; absent/decreased/irregular breathing; marked change in tone; altered responsiveness Yes, Unexplained after appropriate history and physical (no explanation such as GER reflux witnessed, nasal obstruction, etc.) Unexplained — meets BRUE definition pathway, Low-risk age: >60 days Yes (>60 d), Low-risk gestation: ≥32 weeks AND postconceptional age ≥45 weeks Yes, Low-risk: first BRUE (no prior BRUE / no cluster) Yes — first… → Resultado: BRUE Low-risk BRUE（Definition: Met, Risk tier: Low-risk per AAP 2016）