Do all infants with apparent life-threatening events need to be admitted? Export

@article{citeulike:2901172, abstract = {OBJECTIVE: The goal was to identify criteria that would allow low-risk infants presenting with an apparent life-threatening event to be discharged safely from the emergency department. METHODS: We completed data forms prospectively on all previously healthy patients <12 months of age presenting to the emergency department of an urban tertiary care children's hospital with an apparent life-threatening event over a 3-year period. These patients were then observed for subsequent events, significant interventions, or final diagnoses that would have mandated their admission (eg, sepsis). RESULTS: In our population of 59 infants, all 8 children who met the aforementioned outcome measures, thus requiring admission, either had experienced multiple apparent life-threatening events before presentation or were in their first month of life. In our study group, the high-risk criteria of age of <1 month [corrected] and multiple apparent life-threatening events yielded a negative predictive value of 100\% to identify the need for hospital admission. CONCLUSIONS: Our study suggests that >30-day-old infants who have experienced a single apparent life-threatening event may be discharged safely from the hospital, which would decrease admissions by 38\%.}, address = {Division of Emergency and Transport Medicine, Keck School of Medicine, Childrens Hospital Los Angeles, 4650 Sunset Blvd, MS 113, Los Angeles, CA 90027, USA. iclaudius@chla.usc.edu}, author = {Claudius, I. and Keens, T.}, citeulike-article-id = {2901172}, citeulike-linkout-0 = {http://dx.doi.org/10.1542/peds.2006-2549}, citeulike-linkout-1 = {http://view.ncbi.nlm.nih.gov/pubmed/17403838}, citeulike-linkout-2 = {http://www.hubmed.org/display.cgi?uids=17403838}, doi = {10.1542/peds.2006-2549}, issn = {1098-4275}, journal = {Pediatrics}, keywords = {alte}, month = {April}, number = {4}, pages = {679--683}, posted-at = {2008-06-17 05:45:04}, priority = {2}, title = {Do all infants with apparent life-threatening events need to be admitted?}, url = {http://dx.doi.org/10.1542/peds.2006-2549}, volume = {119}, year = {2007} }

TY - JOUR ID - citeulike:2901172 L3 - citeulike-article-id:2901172 N2 - OBJECTIVE: The goal was to identify criteria that would allow low-risk infants presenting with an apparent life-threatening event to be discharged safely from the emergency department. METHODS: We completed data forms prospectively on all previously healthy patients <12 months of age presenting to the emergency department of an urban tertiary care children's hospital with an apparent life-threatening event over a 3-year period. These patients were then observed for subsequent events, significant interventions, or final diagnoses that would have mandated their admission (eg, sepsis). RESULTS: In our population of 59 infants, all 8 children who met the aforementioned outcome measures, thus requiring admission, either had experienced multiple apparent life-threatening events before presentation or were in their first month of life. In our study group, the high-risk criteria of age of <1 month [corrected] and multiple apparent life-threatening events yielded a negative predictive value of 100% to identify the need for hospital admission. CONCLUSIONS: Our study suggests that >30-day-old infants who have experienced a single apparent life-threatening event may be discharged safely from the hospital, which would decrease admissions by 38%. IS - 4 JF - Pediatrics SN - 1098-4275 AD - Division of Emergency and Transport Medicine, Keck School of Medicine, Childrens Hospital Los Angeles, 4650 Sunset Blvd, MS 113, Los Angeles, CA 90027, USA. iclaudius@chla.usc.edu EP - 683 TI - Do all infants with apparent life-threatening events need to be admitted? VL - 119 SP - 679 KW - alte AU - Claudius, I AU - Keens, T PY - 2007/04// UR - http://dx.doi.org/10.1542/peds.2006-2549 ER -