Brief resolved unexplained events (BRUE)

img_7144Abstract from Port Said Seventh Neonatology Conference, October 2016

Dr Osama Hussein

Conference president & head of Port Said Neonatology Society

Clinicians should use the term BRUE to describe an event occurring in an infant <1 year of age when the observer reports a sudden, brief, and now resolved episode of ≥1 of the following:

  1. cyanosis or pallor

  2. absent, decreased, or irregular breathing

  3. marked change in tone (hyper- or hypotonia)

  4. altered level of responsiveness

  • infants younger than 1 year who present with a BRUE are categorized either as

  • (1) a lower-risk patient on the basis of history and physical examination for whom evidence-based recommendations for evaluation and management are offered

  • (2) a higher-risk patient whose history and physical examination suggest the need for further investigation and treatment but for whom recommendations are not offered.