Retrospective Application of BRUE Criteria to Patients Presenting With ALTE

Article Figures & Data

TABLE 1

ICD-9 and ICD-10 Codes Searched

TABLE 2

Patient Characteristics, Outcomes, and Missing Data in Patients With ALTE Versus Patients With BRUE

	Patients Diagnosed With ALTE	Patients With ALTE Who Meet BRUE Criteria
Patient characteristics, n	87	20
Median age, d	38	56
Female sex, n (%)	55 (63.2)	13 (65)
Initial presentation to ED, n (%)	69 (79.3)	17 (85)
Direct admission to pediatric floor, n (%)	18 (20.7)	3 (15)
Disposition of ED patients, n (%)	69	17
Admit to pediatric floor	45 (65.2)	9 (52.9)
Discharge from the hospital	17 (24.6)	7 (35)
Transfer to tertiary-care center	6 (8.7)	0 (0)
Leave against medical advice	1 (1.4)	1 (5.9)
Disposition of floor patients, n (%)	63	12
Discharge from the hospital	60 (95.2)	12 (100)
Transfer to tertiary-care center,	3 (4.8)	0 (0)
Additional patient outcomes, n (%)	87	20
Recurrent events in the hospital (ED or floor)	17 (19.5)	2 (10)
Re-presentation within 30 d with similar complaint	6 (6.9)	1 (5)
Data not documented in chart, n (%)	87	20
Cyanosis	6 (6.9)	2 (10)
Pallor	44 (50.6)	9 (45)
Irregular breathing	8 (9.2)	1 (5)
Tone change	39 (44.8)	7 (35)
Altered level of consciousness	42 (48.2)	8 (40)
Event >1 min	15 (17.2)	2 (10)
Born <32 wk or corrected gestational age <45 wk	6 (6.9)	1 (5)
Cluster of events	2 (2.3)	0 (0)

TABLE 3

Laboratory and Radiographic Testing Performed on All Patients With ALTE Versus Patients With BRUE

Test	Patients With ALTE, n = 87, n (%)	Patients With BRUE, n = 20), n (%)
Any laboratory or radiologic testing	43 (49.4)	8 (40)
Complete blood count	23 (26.4)	4 (20)
Blood culture	11 (12.6)	0 (0)
Cerebrospinal fluid analysis	4 (4.6)	0 (0)
Basic metabolic panel	20 (23.0)	5 (25)
Pertussis testing	1 (1.1)	0 (0)
Rapid RSV	13 (14.9)	1 (5)
Rapid influenza	6 (6.9)	1 (5)
Respiratory viral panel	1 (1.1)	1 (5)
Urinalysis	10 (11.5)	2 (10)
Blood glucose	21 (24.1)	6 (30)
Lactate	1 (1.1)	0 (0)
Chest radiograph	12 (13.8)	2 (10)
Head computed tomography	5 (5.7)	1 (5)
Head ultrasound	1 (1.1)	0 (0)
pH probe	1 (1.1)	0 (0)
Abdominal ultrasound	1 (1.1)	0 (0)
Electrocardiogram	13 (14.9)	2 (10)