Perfil clínico de lactantes hospitalizados por un episodio de ALTE (Apparent Life Threatening Event).
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| Title: | Perfil clínico de lactantes hospitalizados por un episodio de ALTE (Apparent Life Threatening Event). |
|---|---|
| Alternate Title: | The clinical profile of infantile apparent life-threatening event (ALTE). |
| Authors: | Brockmann V., Pablo1 pbrockmann@gmail.com, González O., Ximena1, Bertrand N., Pablo2, Sánchez D., Ignacio2, Holmgren P., Nils L.2 |
| Source: | Revista Chilena de Pediatría. may/jun2006, Vol. 77 Issue 3, p267-273. 7p. |
| Subjects: | CYANOSIS, APNEA, ETIOLOGY of diseases, MUSCLE hypotonia, INFANT diseases |
| Abstract (English): | Background: AL TE is a life-threatening event characterized by cyanosis, hypotonia or apnea that requires life-support maneuvers for recuperation. Objective: To determine the etiology of ALTE in our center, in order to standardize an approach to the diagnosis and treatment of this entity. Method: Retrospective study of 71 infants younger than 1 year, hospitalized by ALTE. Results: The most common causes of ALTE were idiopathic (36%), viral respiratory infections (29%), feeding technique problems (14%) and seizures (12%), Important diagnostic tests include direct virus inmunofluorescence (IFD), electroencephalography and polisomnography. 49% of patients repeated an AL TE event during hospitalization. 71% of parents received basic life-support education. 42% of patients were sent home with e cardiorespiratory monitor. Conclusions: The causes of ALTE found in our investigation are similar to the ones published on previous studies, standing out the high frequency of idiopathic ALTE. Based on our data, we propose an algorithm for the diagnosis and treatment of infants with ALTE. Prospective-controlled studies related to clinical evaluation and therapy of ALTE are necessary in order to validate this algorithsm. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | La definición de ALTE (Apparent Life Threatening Event) corresponde a un evento que pone en riesgo la vida de un lactante, caracterizado por cianosis, hipotonía o apnea, y que requiere de maniobres pera su recuperación. Objetivo: Evaluar las causas de ALTE en nuestro centro, para estandarizar el enfrentamiento diagnóstico y de tratamiento en nuestros pacientes. Pacientes y Método: Estudio retrospectivo que enroló a 71 pacientes hospitalizados con diagnóstico de ALTE. Resultados: Las causas principales de ALTE fueron idiopático (36%), infección respiratoria viral (29%), síndrome convulsivo (12%), mala técnica de alimentación (14%). Los exámenes que con mayor frecuencia contribuyeron al diagnóstico fueron: inmunofluorescencia (IFD) viral, electroencefalograma (EEG), polisomnograma. Un 49% repitió un ALTE durante su hospitalización. Se realizó educación en reanimación a 71,4% de los padres. Al 42% se les indicó monitor cardiorrespiratorio al alta. Conclusiones: Las causas de ALTE encontradas son similares a lo publicado, destacando la alta frecuencia de ALTE idiopático. Basados en nuestros datos se propone un algoritmo de estudio, tratamiento e indicaciones de monitor cardiorrespiratorio para lactantes con diagnóstico de ALTE. Es necesario realizar un estudio controlado, prospectivo de estudio y tratamiento de esta entidad para poder afirmar y soportar adecuadamente este algoritmo. [ABSTRACT FROM AUTHOR] |
| Copyright of Revista Chilena de Pediatría is the property of Revista Chilena de Pediatria and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | MedicLatina |
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| Header | DbId: lth DbLabel: MedicLatina An: 22547009 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Perfil clínico de lactantes hospitalizados por un episodio de ALTE (Apparent Life Threatening Event). – Name: TitleAlt Label: Alternate Title Group: TiAlt Data: The clinical profile of infantile apparent life-threatening event (ALTE). – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Brockmann+V%2E%2C+Pablo%22">Brockmann V., Pablo</searchLink><relatesTo>1</relatesTo><i> pbrockmann@gmail.com</i><br /><searchLink fieldCode="AR" term="%22González+O%2E%2C+Ximena%22">González O., Ximena</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Bertrand+N%2E%2C+Pablo%22">Bertrand N., Pablo</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Sánchez+D%2E%2C+Ignacio%22">Sánchez D., Ignacio</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Holmgren+P%2E%2C+Nils+L%2E%22">Holmgren P., Nils L.</searchLink><relatesTo>2</relatesTo> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Revista+Chilena+de+Pediatría%22">Revista Chilena de Pediatría</searchLink>. may/jun2006, Vol. 77 Issue 3, p267-273. 7p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22CYANOSIS%22">CYANOSIS</searchLink><br /><searchLink fieldCode="DE" term="%22APNEA%22">APNEA</searchLink><br /><searchLink fieldCode="DE" term="%22ETIOLOGY+of+diseases%22">ETIOLOGY of diseases</searchLink><br /><searchLink fieldCode="DE" term="%22MUSCLE+hypotonia%22">MUSCLE hypotonia</searchLink><br /><searchLink fieldCode="DE" term="%22INFANT+diseases%22">INFANT diseases</searchLink> – Name: Abstract Label: Abstract (English) Group: Ab Data: Background: AL TE is a life-threatening event characterized by cyanosis, hypotonia or apnea that requires life-support maneuvers for recuperation. Objective: To determine the etiology of ALTE in our center, in order to standardize an approach to the diagnosis and treatment of this entity. Method: Retrospective study of 71 infants younger than 1 year, hospitalized by ALTE. Results: The most common causes of ALTE were idiopathic (36%), viral respiratory infections (29%), feeding technique problems (14%) and seizures (12%), Important diagnostic tests include direct virus inmunofluorescence (IFD), electroencephalography and polisomnography. 49% of patients repeated an AL TE event during hospitalization. 71% of parents received basic life-support education. 42% of patients were sent home with e cardiorespiratory monitor. Conclusions: The causes of ALTE found in our investigation are similar to the ones published on previous studies, standing out the high frequency of idiopathic ALTE. Based on our data, we propose an algorithm for the diagnosis and treatment of infants with ALTE. Prospective-controlled studies related to clinical evaluation and therapy of ALTE are necessary in order to validate this algorithsm. [ABSTRACT FROM AUTHOR] – Name: Abstract Label: Abstract (Spanish) Group: Ab Data: La definición de ALTE (Apparent Life Threatening Event) corresponde a un evento que pone en riesgo la vida de un lactante, caracterizado por cianosis, hipotonía o apnea, y que requiere de maniobres pera su recuperación. Objetivo: Evaluar las causas de ALTE en nuestro centro, para estandarizar el enfrentamiento diagnóstico y de tratamiento en nuestros pacientes. Pacientes y Método: Estudio retrospectivo que enroló a 71 pacientes hospitalizados con diagnóstico de ALTE. Resultados: Las causas principales de ALTE fueron idiopático (36%), infección respiratoria viral (29%), síndrome convulsivo (12%), mala técnica de alimentación (14%). Los exámenes que con mayor frecuencia contribuyeron al diagnóstico fueron: inmunofluorescencia (IFD) viral, electroencefalograma (EEG), polisomnograma. Un 49% repitió un ALTE durante su hospitalización. Se realizó educación en reanimación a 71,4% de los padres. Al 42% se les indicó monitor cardiorrespiratorio al alta. Conclusiones: Las causas de ALTE encontradas son similares a lo publicado, destacando la alta frecuencia de ALTE idiopático. Basados en nuestros datos se propone un algoritmo de estudio, tratamiento e indicaciones de monitor cardiorrespiratorio para lactantes con diagnóstico de ALTE. Es necesario realizar un estudio controlado, prospectivo de estudio y tratamiento de esta entidad para poder afirmar y soportar adecuadamente este algoritmo. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Revista Chilena de Pediatría is the property of Revista Chilena de Pediatria and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.4067/S0370-41062006000300006 Languages: – Code: spa Text: Spanish PhysicalDescription: Pagination: PageCount: 7 StartPage: 267 Subjects: – SubjectFull: CYANOSIS Type: general – SubjectFull: APNEA Type: general – SubjectFull: ETIOLOGY of diseases Type: general – SubjectFull: MUSCLE hypotonia Type: general – SubjectFull: INFANT diseases Type: general Titles: – TitleFull: Perfil clínico de lactantes hospitalizados por un episodio de ALTE (Apparent Life Threatening Event). Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Brockmann V., Pablo – PersonEntity: Name: NameFull: González O., Ximena – PersonEntity: Name: NameFull: Bertrand N., Pablo – PersonEntity: Name: NameFull: Sánchez D., Ignacio – PersonEntity: Name: NameFull: Holmgren P., Nils L. IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 05 Text: may/jun2006 Type: published Y: 2006 Identifiers: – Type: issn-print Value: 03704106 Numbering: – Type: volume Value: 77 – Type: issue Value: 3 Titles: – TitleFull: Revista Chilena de Pediatría Type: main |
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