2013, Number 4
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Rev Cubana Pediatr 2013; 85 (4)
Upadated characterization of ALTE syndrome
Hevia BD, Perea HL, Povea AE, Broche CR, Ortega PL, Perea RCA
Language: Spanish
References: 14
Page: 517-522
PDF size: 40.54 Kb.
ABSTRACT
Apparent life-threatening event (ALTE) is not a specific disease, rather a form of clinical presentation of several diseases. Its incidence rate is estimated to be 6 per 1000 in the term infants and 86 per 1000 in preterm infants. The etiology of the event is multifactoral, the diagnosis is difficult and requires experience, and the behavior to be adopted depends on the causes that bring it about. This poorly recognized illness in the present medical practice gives rise to a lot of anxiety for the family and represents a true challenge in terms of diagnosis, management and counseling by the pediatrician.
REFERENCES
John Carroll, MD. Apparent Life Threatening Event (ALTE). Assessment Pediatric Pulmonology. 2004;Supplement 26:108-9.
American Academy of Pediatrics. Apnea, sudden infant death syndrome, and home monitoring. Pediatrics. 2003;111:914-7.
Smith & McGovern. Causes of ALTE: a systemic review. Arch Dis Child. 2004;89:1043-8.
Romaneli MT, Fraga AM, Morcillo AM, Tresoldi AT, Baracat EC. Pediatr factors associated with infant death after apparent life-threatening event (ALTE). Rio J. 2010 Nov-Dec;86(6):515-9.
Zimbric G, Bonkowsky JL, Jackson WD, Maloney CG, Srivastava R. Adverse outcomes associated with gastroesophageal reflux disease are rare following an apparent life-threatening event. J Hosp Med. 2012 Jul-Aug;7(6):476-81.
Andres V, Garcia P, Rimet Y, Nicaise C, Simeoni U. Apparent life-threatening events in presumably healthy newborns during early skin-to-skin contact. Pediatrics. 2011 Apr;127(4):e1073-6.
McGovern MC, Smith MB. Causes of apparent life threatening events in infants: a systematic review. Arch Dis Child. 2004 Nov;89(11):1043-8.
Hall KL, Zalman B. Evaluation and management of apparent life-threatening events in children. Am Farm Physician. 2005 Jun 15;71(12):2301-8.
Kundra M, Duffy E, Thomas R, Mahajan PV. Management of an apparent life-threatening event: a survey of emergency physicians practice. Clin Pediatr (Phila). 2012 Feb;51(2):130-3.
Tieder JS, Altman RL, Bonkowsky JL, Brand DA, Claudius I, Cunningham DJ, et al. Management of Apparent Life-Threatening Events in Infants: A Systematic Review. J Pediatr. 2013 Feb 14;3476(12):1575.
Poets A, Urschitz MS, Steinfeldt R, Poets CF. Risk factors for early sudden deaths and severe apparent life-threatening events. Arch Dis Child Fetal Neonatal. 2012 Nov;97(6):F395-7.
Mittal MK, Donda K, Baren JM. Role of pneumography and esophageal pH monitoring in the evaluation of infants with apparent life-threatening event: a prospective observational study. Clin Pediatr (Phila). 2013 Apr;52(4):338-43.
Poets A, Steinfeldt R, Poets CF. Sudden deaths and severe apparent life-threatening events in term infants within 24 hours of birth. Pediatrics. 2011 Apr;127(4):e869-73.
Hoki R, Bonkowsky JL, Minich LL, Srivastava R, Pinto NM. Cardiac testing and outcomes in infants after an apparent life-threatening event. Arch Dis Child. 2012 Dec;97(12):1034-8.