Characteristics of brief resolved unexplained events at a pediatric medical care center in Venezuela
DOI:
https://doi.org/10.37711/Keywords:
brief resolved unexplained event, recurrence, diagnosis, hospitalization, gastroesophageal refluxAbstract
Objective. To describe the characteristics of brief resolved unexplained events (BRUE) at a pediatric medical care center in Venezuela between January 2021 and October 2025. Methods. An observational study with descriptive analysis of 178 patients meeting BRUE criteria, selected through consecutive non-probability sampling, who presented to the emergency department or outpatient clinic. Pearson’s chi-square test and the Mann–Whitney U test were used. Results. 9% of patients developed an underlying disease. Recurrence occurred in 33.1% of cases, and 48.9% were classified as high risk. The most frequently diagnosed underlying disease was gastroesophageal reflux. 5.1% were hospitalized, and additional diagnostic tests were performed in 57.9% of cases. Factors associated with recurrence included altered level of consciousness, high-risk BRUE, abnormal perinatal history, and subsequent diagnosis of an underlying disease. Factors associated with an underlying disease were age under 60 days, high-risk BRUE, recurrence of the event, prematurity, and frequent regurgitation. Conclusions. BRUE accounted for 1.3% of emergency visits; 9% of patients developed an underlying disease, one-third experienced recurrence, and half were classified as high risk. 5.1% were hospitalized, and no deaths were recorded.
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Copyright (c) 2025 Omar Naveda Romero, Shirlye Vanessa Balza Tovar , Teomarys Yuleisi Lagos Rodríguez , Yeirsinia Yépez, Roseelena Moiz, Fabiola Linares Cárdenas, Dangely Luis Santana, Talmary Belsay Parra Castellano , Mariangel Fonseca Colina , Josmary Mercedes Mejías Vega
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