Artículos de revistas
Apparent Life-threatening Event: A Review [evento Com Aparente Risco De Morte: Uma Revisão]
Registro en:
Revista Paulista De Pediatria. , v. 30, n. 4, p. 576 - 585, 2012.
1030582
10.1590/S0103-05822012000400017
2-s2.0-84872228462
Autor
das Romaneli M.T.N.
Baracat E.C.E.
Institución
Resumen
Objective: To perform a critical review by gathering all the available information about apparent life-threatening events. Data sources: Bibliographic review of the articles published in Portuguese, English and Spanish from the electronic databases Medline, Lilacs and SciELO, using the key-words: apparent life-threatening events, apparent life-threatening event, infant, apnea, monitoring, and cyanosis. Data synthesis: Apparent life-threatening events define sudden events with, a combination of apnea, color change, and marked change in the muscle tone, that have various underlying causes. The real incidence remains unknown, and it affects infants from 11 to 12 weeks of age. There is no association between apparent life-threatening events and sudden infant death syndrome. There are many possible causes for the events, and they must be investigated even in apparently healthy infants, because the presence of a severe underlying disease associated with the event is possible. If the cause of the apparent life-threatening events is found, it must be treated properly. If there is no explainable cause, the event is considered idiopathic and generally has a benign course. Conclusions: It is necessary to investigate all the infants taken to the pediatric emergency unit after experiencing an apparent life-threatening event, since there is the risk of morbidity caused by an underlying disease or the event itself, as well as subsequent mortality. Consensus guidelines about the investigation in apparently healthy infants who experienced apparent life-threatening events are not available. Most authors recommend that careful observation and hospital monitoring should be performed for at least for 24 hours after the event. 30 4 576 585 Kahn, A., Blum, D., Hennart, P., Samson-Dollfus, D., Tayot, J., Gilly, R., A critical comparison of the history of sudden-death syndrome and infants hospitalised for near-miss for SIDS (1984) Eur J Pediatr, 143, pp. 103-107 Consensus development conference on infantile apnea and home monitoring (1987) Pediatrics, 79, pp. 292-299. , Autoria não referida. National Institutes of Health Dewolfe, C.C., Apparent life-threatening event: A review (2005) Pediatr Clin North Am, 52, pp. 1127-1146 Shah, S., Sharieff, G.Q., An update on the approach to apparent life-threatening events (2007) Curr Opin Pediatr, 19, pp. 288-294 Rivarola, M.R., Nunes, M.L., Consensus document for the clinical evaluation and follow up of infants with an apparent life threatening event (ALTE) and its differential diagnosis with first seizure (2007) J Epilepsy Clin Neurophysiol, 13, pp. 51-57. , Comitê de Síndrome da Morte Súbita do Lactente da Associação Latinoamericana de Pediatria Anjos, A.M., Nunes, M.L., The epidemiological profile of children with Apparent Life Threatening Event (ALTE) and prospective evaluation of underlying etiological factors (2009) Rev Bras Saude Mater Infant, 9, pp. 301-309 Romaneli, M.T., Fraga, A.M., Morcillo, A.M., Tresoldi, A.T., Baracat, E.C., Factors associated with infant death after apparent life-threatening event (ALTE) (2010) J Pediatr (Rio J), 86, pp. 515-519 Gibb, S.M., Waite, A.J., Symposium: Intensive care - the management of apparent life-threatening events (1998) Curr Paediatr, 8, pp. 152-156 Davies, F., Gupta, R., Apparent life-threatening events in infants presenting to an emergency department (2002) Emerg Med J, 19, pp. 11-16 Barnes, P.D., Galaznik, J., Gardner, H., Shunan, M., Infant acute life-threatening event - dysfagic choking versus nonaccidental injury (2010) Semin Pediatr Neurol, 17, pp. 7-11 Forsyth, W.B., Allen, J.E., Brinkley, J.W., Chenoweth, A.D., Hunter, G., Miller, R.E., Committee on Infant and Preschool child. The sudden infant death syndrome (1972) Pediatrics, 50, pp. 964-965 Bergman, A.B., Ray, C.G., Pomeroy, M.A., Wahl, P.W., Beckwith, J.B., Studies of the sudden infant death syndrome in King County, Washington. III. Epidemiology (1972) Pediatrics, 49, pp. 860-870 Farrell, P.A., Weiner, G.M., Lemons, J.A., SIDS, ALTE, apnea, and the use of home monitors (2002) Pediatr Rev, 23, pp. 3-9 Krugman, R.D., Bays, J.A., Chadwick, D.L., Kanda, M.B., Levitt, C.J., McHugh, M.T., Distinguishing sudden infant death syndrome from child abuse fatalities (1994) Pediatrics, 94, pp. 124-126 Mitchell, E.A., Thompson, J.M., Parental reported apnoea, admissions to hospital and sudden infant death syndrome (2001) Acta Paediatr, 90, pp. 417-422 Edner, A., Wennborg, M., Alm, B., Lagercrantz, H., Why do ALTE infants not die in SIDS? (2007) Acta Paediatr, 96, pp. 191-194 Sánchez Etxaniz, J., Santiago Burruchaga, M., González Hermosa, A., Rodríguez, S.R., Astobiza, B.E., Vega, M.M.I., Epidemiological characteristics and risk factors for apparent life-threatening events (2009) An Pediatr (Barc), 71, pp. 412-418 Kiechl-Kohlendorfer, U., Hof, D., Pupp, P., Traweger-Ravanell, B., Kiechl, S., Epidemiology of apparent life threatening events (2005) Arch Dis Child, 90, pp. 297-300 Semmekrot, B.A., van Sleuwen, B.E., Engelberts, A.C., Joosten, K.F., Mulder, J.C., Liem, K.D., Surveillance study of apparent life-threatening events (ALTE) in the Netherlands (2010) Eur J Pediatr, 169, pp. 229-236 McGovern, M.C., Smith, M.B., Causes of apparent life threatening events in infants: A systematic review (2004) Arch Dis Child, 89, pp. 1043-1048 Samuels, M.P., Poets, C.F., Noyes, J.P., Hartmann, H., Hewerston, J., Southall, D.P., Diagnosis and management after life threatening events in infants and young children who received cardiopulmonary resuscitation (1993) BMJ, 306, pp. 489-492 Altman, R.L., Brand, D.A., Forman, S., Kutscher, M.L., Lowenthal, D.B., Franke, K.A., Abusive head injury as a cause of apparent life-threatening events in infancy (2003) Arch Pediatr Adolesc Med, 157, pp. 1011-1015 Andres, V., Garcia, P., Rimet, Y., Nicaise, C., Simeoni, U., Apparent life-threatening events in presumably healthy newborns during early skin-to-skin contact (2011) Pediatrics, 127, pp. e1073-e1076 de Piero, A.D., Teach, S.J., Chamberlain, J.M., ED evaluation of infants after an apparent life-threatening event (2004) Am J Emerg Med, 22, pp. 83-86 Brand, D.A., Altman, R.L., Purtill, K., Edwards, K.S., Yield of diagnostic testing in infants who have had an apparent life-threatening event (2005) Pediatrics, 115, pp. 885-893 Ramanathan, R., Corwin, M.J., Hunt, C.E., Lister, G., Tinsley, L.R., Baird, T., Cardiorespiratory events recorded on home monitors: Comparison of healthy infants with those at increased risk for SIDS (2001) JAMA, 285, pp. 2199-2207 Kahn, A., Recommended clinical evaluation of infants with an apparent life-threatening event (2004) Eur J Pediatr, 163, pp. 108-115. , European Sociaty for the Study and Prevention of Infant Death Franco, P., Montemitro, E., Scaillet, S., Groswasser, J., Kato, I., Lin, J.S., Fewer spontaneous arousals in infants with apparent life-threatening event (2011) Sleep, 34, pp. 733-743 Al-Kindy, H.A., Gélinas, J.F., Hatzakis, G., Côté, A., Risk factors for extreme events in infants hospitalized for apparent life-threatening events (2009) J Pediatr, 154, pp. 332-337 Kahn, A., Montauk, L., Blum, D., Diagnostic categories in infants referred for an acute event suggesting near-miss SIDS (1987) Eur J Pediatr, 146, pp. 458-460 Pinho, A.P., Nunes, M.L., Epidemiological profile and strategies for diagnosing SIDS in a developing country (2011) J Pediatr (Rio J), 87, pp. 115-122 Bonkowsky, J.L., Guenther, E., Pilloux, F.M., Srivastava, R., Death, child abuse, and adverse neurological outcome of infants after an apparent life-threatening event (2008) Pediatrics, 122, pp. 125-131 Steinschneider, A., Richmond, C., Ramaswamy, V., Curns, A., Clinical characteristics of an apparent life-threatening event (ALTE) and the subsequent occurrence of prolonged apnea or prolonged bradycardia (1998) Clin Pediatr (Phila), 37, pp. 223-229 Poets, A., Steinfeldt, R., Poets, C.F., Sudden deaths and severe apparent life-threatening events in term infants within 24 hours of birth (2011) Pediatrics, 127, pp. 869-873 Hewertson, J., Poets, C.F., Samuels, M.P., Boyd, S.G., Neville, B.G., Southall, D.P., Epileptic seizure-induced hypoxemia in infants with apparent life-threatening events (1994) Pediatrics, 94, pp. 148-156 Curcoy, A.I., Trenhchs, V., Morales, M., Serra, A., Pou, J., Retinal hemorrhages and apparent life-threatening events (2010) Pediatr Emerg Care, 26, pp. 118-120 Claudius, I., Keens, T., Do all infants with apparent life-threatening events need to be admitted? (2007) Pediatrics, 119, pp. 679-683 Zuckerbraun, N.S., Zomorrodi, A., Pitetto, R.D., Occurrence of serious bacterial infection in infants aged 60 days or younger with an apparent life-threatening event (2009) Pediatr Emerg Care, 25, pp. 19-25 Hickson, G.B., Cooper, W.O., Campbell, P.W., Altemeier, W.A., Effects of pediatrician characteristics on management decisions in simulated cases involving apparent life-threatening events (1998) Arch Pediatr Adolesc Med, 152, pp. 383-387 Perret, C., Tabin, R., Marcoz, J.P., Llor, J., Chesaux, J.J., Apparent life-threatening event in infants: Think about star anise intoxication! (2011) Arch Pediatr, 18, pp. 750-753 Willis, M.W., Bonkowsky, J.L., Srivastava, R., Grimmer, J.F., Usefulness of airway evaluation in infants initially seen with an apparent life-threatening event (2011) Arch Otolaryngol Head Neck Surg, 137, pp. 359-362 Tolia, V., Vandenplas, Y., Systematic review: The extra-esophageal symptoms of gastro-esophageal reflux disease in children (2009) Aliment Pharmacol Ther, 29, pp. 258-272 Vellody, K., Freeto, J.P., Gage, S.L., Collins, N., Gershan, W.M., Clues that aid in the diagnosis of nonaccidental trauma presenting as an apparent life-threatening event (2008) Clin Pediatr (Phila), 47, pp. 912-918 Guenther, E., Powers, A., Srivastava, R., Bonkowsky, J.L., Abusive head trauma in children presenting with an apparent life-threatening event (2010) J Pediatr, 157, pp. 821-825 Pitetti, R.D., Whitman, E., Zaylor, A., Accidental and nonaccidental poisonings as a cause of apparent life-threatening events in infants (2008) Pediatrics, 122, pp. 359-362 Aviner, S., Berkovitch, M., Dalkian, H., Braunstein, R., Lomnicky, Y., Schlensinger, M., Use of a homeopathic preparation for "infantile colic" and an apparent life-threatening event (2010) Pediatrics, 125, pp. 318-323 Altman, R.L., Li, K.I., Brand, D.A., Infections and apparent life-threatening events (2008) Clin Pediatr, 47, pp. 372-378 Estrada, B., Carter, M., Barik, S., Vidal, R., Herbert, D., Ramsey, K.M., Severe human metapneumovirus infection in hospitalized children (2007) Clin Pediatr (Phila), 46, pp. 258-262 Arms, J.L., Ortega, H., Reid, S., Chronological and clinical characteristics of apnea associated with respiratory syncytial virus infection: A retrospective case series (2008) Clin Pediatr (Phila), 47, pp. 953-958 Stock, C., Teyssier, G., Pichot, V., Goffaux, P., Barthelemy, J.C., Patural, H., Autonomic dysfunction with early respiratory syncytial virus-related infection (2010) Auton Neurosci, 156, pp. 90-95 Anjos, A.M., Nunes, M.L., Prevalence of epilepsy and seizure disorders as causes of apparent life-threatening event (ALTE) in children admitted to a tertiary hospital (2009) Arq Neuropsiquiatr, 67, pp. 616-620 Scollan-Koliopoulus, M., Koliopoulus, J.S., Evaluation and management of apparent life-threatening events in infants (2010) Pediatr Nurs, 36, pp. 77-84 Desmarez, C., Blum, D., Montauk, L., Kahn, A., Impact of home monitoring for sudden infant death syndrome on family life. A controlled study (1987) Eur J Pediatr, 146, pp. 159-161 Abendroth, D., Moser, D.K., Dracup, K., Doering, L.V., Do apnea monitors decrease emotional distress in parents of infants at high risk for cardiopulmonary arrest? (1999) J Pediatr Health Care, 13, pp. 50-57 Apnea, sudden infant death syndrome, and home monitoring (2003) Pediatrics, 111, pp. 914-917. , Committee on Fetus and Newborn. American Academy of Pediatrics