침대 곁 임상 도구 · 의사 참고용 · 응급
👶
BRUE 기준(영아)
용도When to use: brief resolved unexplained events formerly called ALTE.
층별Low-risk may allow limited ED evaluation; higher-risk needs broader workup/admission.
한계When 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.
출처Tieder JS et al. Pediatrics 2016 (AAP BRUE)
⚠️ 브라우저 로컬 계산(PHI 미업로드). 의사 참고용이며 임상 판단을 대체하지 않습니다.
이 기기 기록, 재방문 알림용
이번 교대 다음 단계
점수 후: 장면 연산·인접 점수·대응 경로. 로컬 참고만 — HIS 기록 없음.
방법론 · 대입 예시·가이드라인 요점·상세
적용 상황
When to use: brief resolved unexplained events formerly called ALTE.
입력 항목
- Infant age < 1 year
- Event was brief (<1 minute; typically <20–30 s)
- Now resolved / back to baseline
- ≥1 feature: cyanosis or pallor; absent/decreased/irregular breathing; marked change in tone; altered responsiveness
- Unexplained after appropriate history and physical (no explanation such as GER reflux witnessed, nasal obstruction, etc.)
- Low-risk age: >60 days
- Low-risk gestation: ≥32 weeks AND postconceptional age ≥45 weeks
- Low-risk: first BRUE (no prior BRUE / no cluster)
- Low-risk: no CPR by trained medical provider
- Low-risk: no concerning historical features (e.g. unexplained death of sibling, possible child abuse, family history concerning for arrhythmia)
- Low-risk: no concerning physical exam findings
계산 방법과 공식
Definition checklist + low-risk bundle (age, gestation, first event, no CPR, Hx/exam).
Confirm definition first; only then classify low- vs higher-risk.
계산 예시 (수치 대입)
아래 수치는 본 도구의 입력 항목에 정의된 예시값이며, 이 페이지의 공식으로 서버에서 실제 계산한 결과입니다. 계산 과정을 빠르게 확인할 수 있습니다. 대입 방법을 보여주는 예시일 뿐이며 임상적 조언이 아니고 실제 사례도 아닙니다.
| 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
결과 판독과 층별
Low-risk may allow limited ED evaluation; higher-risk needs broader workup/admission.
가이드라인 요점 (자체 정리)
- Definition first.
- Low-risk is strict.
- Next: AAP BRUE pathway / pediatrics admit.
이상은 해당 가이드라인의 요점을 본 사이트가 자체 정리한 것이며, 원문 인용이 아닙니다.
주의점과 한계
- When not to use: ongoing illness or explained events (label the diagnosis instead).
- Pitfall: calling BRUE when the infant is still symptomatic.
- Consider NAT, arrhythmia, infection when higher-risk.
검증과 출처 · 거버넌스
참고 가이드라인과 출처
- [가이드라인 / 주요 출처]Tieder JS et al. Pediatrics 2016 (AAP BRUE) · 출처 ↗
자주 묻는 질문
자주 묻는 질문
- BRUE 기준(영아)은 환자 데이터를 업로드합니까? 어디서 계산합니까?
- 계산은 브라우저에서 로컬로 수행되며 입력과 결과는 서버로 업로드되지 않습니다. 면허 의사 참고용이며 병력·검사·소속 기관 프로토콜과 함께 해석해야 하고, 진단이나 처방을 대체하지 않습니다.
- BRUE 기준(영아)은 실제로 어떻게 계산합니까? 계산 예시를 보여줄 수 있습니까?
- 대입값: 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… → 결과: BRUE Does not meet BRUE definition（Next: Manage the explained diagnosis or ongoing illness; BRUE pathway N/A） 대입값: 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… → 결과: BRUE Low-risk BRUE（Definition: Met, Risk tier: Low-risk per AAP 2016）
검증 절차
검증과 근거
본 도구의 공식과 계산 방법은 이 페이지에 명시되어 있으며 공개적으로 대조할 수 있습니다. 공식·계수·임계값은 위 권위 출처에 따라 대조했습니다.