Definition: |
A sudden, brief, and now resolved* episode in an infant that includes 1 or more of the following features: - Cyanosis or pallor
- Absent, decreased, or irregular breathing
- Marked change in tone (hyper- or hypotonia)
- Altered level of responsiveness
The term should be applied only when there is no explanation for the episode after a focused history and physical examination. |
Low-risk characteristics: |
Infants who have experienced BRUE are at low risk for having a recurrence or serious underlying disorder if they have all of the following characteristics: - Age >60 days
- If premature, born at gestational age ≥32 weeks and current postconceptional age is ≥45 weeks
- Occurrence of only 1 BRUE (no prior BRUE, and BRUE did not occur in clusters)
- Duration of BRUE <1 minute
- No cardiopulmonary resuscitation (CPR) by a trained medical provider was required
- No concerning historical features¶
- No concerning physical examination findingsΔ
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