👶 Critères BRUE (nourrissons)
UsageWhen to use: brief resolved unexplained events formerly called ALTE.
StratificationLow-risk may allow limited ED evaluation; higher-risk needs broader workup/admission.
LimitesWhen 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.
SourceTieder JS et al. Pediatrics 2016 (AAP BRUE)
Prochaines étapes de garde
Après le score : scène, scores proches et parcours. Référence locale — pas d’écriture HIS.
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Méthodologie · exemple, recommandations et notes
Definition first.
Quand l'utiliser
When to use: brief resolved unexplained events formerly called ALTE.
Comment ça marche
Definition checklist + low-risk bundle (age, gestation, first event, no CPR, Hx/exam).
Points clés
- Definition first.
- Low-risk is strict.
- Next: AAP BRUE pathway / pediatrics admit.
Références
- [Recommandation / source principale]Tieder JS et al. Pediatrics 2016 (AAP BRUE)
Note sur l'outil
Tieder JS et al. Pediatrics 2016 (AAP BRUE CPG). Réservé aux professionnels de santé ; ne remplace pas le jugement clinique.
Exemple de calcul
Les valeurs ci-dessous proviennent des exemples définis dans l'outil et sont calculées côté serveur avec la formule de cette page, afin de vérifier rapidement l'opération. Ceci illustre uniquement la substitution des valeurs : ce n'est ni un avis clinique ni un cas réel.
| 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
Vérification et sources · gouvernance
FAQ
Questions fréquentes
- Critères BRUE (nourrissons) envoie-t-il des données patient ? Où le calcul est-il fait ?
- Le calcul s'effectue localement dans le navigateur ; aucune donnée n'est envoyée. Destiné aux professionnels de santé ; interpréter avec l'histoire, les examens et les protocoles locaux — ni diagnostic ni prescription.
- Comment calcule-t-on Critères BRUE (nourrissons) en pratique ? Pouvez-vous montrer un exemple résolu ?
- Données: 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… → Résultat: BRUE Does not meet BRUE definition（Next: Manage the explained diagnosis or ongoing illness; BRUE pathway N/A） Données: 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… → Résultat: BRUE Low-risk BRUE（Definition: Met, Risk tier: Low-risk per AAP 2016）