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Apparent life-threatening event in infant

MedGen UID:
853814
Concept ID:
C2712370
Disease or Syndrome
Synonyms: ALTE - apparent life-threatening event; Apparent Life Threatening Event
SNOMED CT: ALTE - apparent life-threatening event (711433008); Apparent life-threatening event in infant (711433008)

Definition

An acute, unexplained episode that is frightening to the caretaker and that includes one of the following features: apnea, color change, marked change in muscle tone, choking or gagging. [from SNOMEDCT_US]

Professional guidelines

PubMed

Tanaka D, Amagasa S, Kikuchi N, Sasaki R, Uematsu S, Tsuji S, Kubota M, Nakagawa S
Pediatr Emerg Care 2023 Jul 1;39(7):507-510. doi: 10.1097/PEC.0000000000002986. PMID: 37318851
Ramgopal S, Colgan JY, Roland D, Pitetti RD, Katsogridakis Y
Eur J Pediatr 2022 Feb;181(2):463-470. Epub 2021 Aug 28 doi: 10.1007/s00431-021-04234-5. PMID: 34455524
Tieder JS, Bonkowsky JL, Etzel RA, Franklin WH, Gremse DA, Herman B, Katz ES, Krilov LR, Merritt JL 2nd, Norlin C, Percelay J, Sapién RE, Shiffman RN, Smith MB; SUBCOMMITTEE ON APPARENT LIFE THREATENING EVENTS
Pediatrics 2016 May;137(5) Epub 2016 Apr 25 doi: 10.1542/peds.2016-0590. PMID: 27244835

Recent clinical studies

Etiology

Radovanovic T, Spasojevic S, Stojanovic V, Doronjski A
Pediatr Emerg Care 2018 Oct;34(10):687-690. doi: 10.1097/PEC.0000000000000891. PMID: 27749633
Tieder JS, Bonkowsky JL, Etzel RA, Franklin WH, Gremse DA, Herman B, Katz ES, Krilov LR, Merritt JL 2nd, Norlin C, Percelay J, Sapién RE, Shiffman RN, Smith MB; SUBCOMMITTEE ON APPARENT LIFE THREATENING EVENTS
Pediatrics 2016 May;137(5) Epub 2016 Apr 25 doi: 10.1542/peds.2016-0590. PMID: 27244835
Sarohia M, Platt S
Pediatr Emerg Med Pract 2014 Apr;11(4):1-14; quiz 15. PMID: 24834606
Tieder JS, Altman RL, Bonkowsky JL, Brand DA, Claudius I, Cunningham DJ, DeWolfe C, Percelay JM, Pitetti RD, Smith MB
J Pediatr 2013 Jul;163(1):94-9.e1-6. Epub 2013 Feb 14 doi: 10.1016/j.jpeds.2012.12.086. PMID: 23415612
Fu LY, Moon RY
Pediatr Rev 2012 Aug;33(8):361-8; quiz 368-9. doi: 10.1542/pir.33-8-361. PMID: 22855928

Diagnosis

Patrinos ME, Martin RJ
Semin Fetal Neonatal Med 2017 Aug;22(4):240-244. Epub 2017 Apr 21 doi: 10.1016/j.siny.2017.04.003. PMID: 28438477
Tieder JS, Bonkowsky JL, Etzel RA, Franklin WH, Gremse DA, Herman B, Katz ES, Krilov LR, Merritt JL 2nd, Norlin C, Percelay J, Sapién RE, Shiffman RN, Smith MB; SUBCOMMITTEE ON APPARENT LIFE THREATENING EVENTS
Pediatrics 2016 May;137(5) Epub 2016 Apr 25 doi: 10.1542/peds.2016-0590. PMID: 27244835
Sarohia M, Platt S
Pediatr Emerg Med Pract 2014 Apr;11(4):1-14; quiz 15. PMID: 24834606
Tieder JS, Altman RL, Bonkowsky JL, Brand DA, Claudius I, Cunningham DJ, DeWolfe C, Percelay JM, Pitetti RD, Smith MB
J Pediatr 2013 Jul;163(1):94-9.e1-6. Epub 2013 Feb 14 doi: 10.1016/j.jpeds.2012.12.086. PMID: 23415612
Fu LY, Moon RY
Pediatr Rev 2012 Aug;33(8):361-8; quiz 368-9. doi: 10.1542/pir.33-8-361. PMID: 22855928

Therapy

Braun D, Kaempf JW, Ho NJ, Nguyen MH, Passi R, Burgos AE, Volodarskiy M, Villosis MFB, Gupta M, Habeshian TS, Tam HK, Litam KB, Hong QL, Dong CC, Getahun D
J Pediatr 2023 Oct;261:113577. Epub 2023 Jun 22 doi: 10.1016/j.jpeds.2023.113577. PMID: 37353144
Wong ZH, Hewitt R, Cross K, Butler C, Yeh YT, Ramaswamy M, Blackburn S, Giuliani S, Muthialu N, De Coppi P
J Pediatr Surg 2020 Feb;55(2):229-233. Epub 2019 Nov 5 doi: 10.1016/j.jpedsurg.2019.10.034. PMID: 31826817
Pellock JM
Acta Neurol Scand Suppl 2011;(192):83-91. doi: 10.1111/j.1600-0404.2011.01603.x. PMID: 22061183
Gitto E, Aversa S, Reiter RJ, Barberi I, Pellegrino S
J Pineal Res 2011 Jan;50(1):21-8. Epub 2010 Oct 1 doi: 10.1111/j.1600-079X.2010.00814.x. PMID: 21029156
McGovern MC, Smith MB
Arch Dis Child 2004 Nov;89(11):1043-8. doi: 10.1136/adc.2003.031740. PMID: 15499062Free PMC Article

Prognosis

Sano F, Yagasaki H, Kojika S, Toda T, Kono Y, Suzuki-Inoue K, Sasaki T, Ogihara S, Matsuno T, Inoue O, Moriguchi T, Harii N, Goto J, Shimizu T, Inukai T
Jpn J Infect Dis 2021 May 24;74(3):236-239. Epub 2020 Sep 30 doi: 10.7883/yoken.JJID.2020.572. PMID: 32999184
Radovanovic T, Spasojevic S, Stojanovic V, Doronjski A
Pediatr Emerg Care 2018 Oct;34(10):687-690. doi: 10.1097/PEC.0000000000000891. PMID: 27749633
Vigo A, Balagna R, Brazzi L, Costagliola G, Gregoretti C, Lupica MM, Noce S
Pediatr Emerg Care 2018 Aug;34(8):545-551. doi: 10.1097/PEC.0000000000000811. PMID: 27415643
Horne RS, Nixon GM
Paediatr Respir Rev 2014 Dec;15(4):312-8. Epub 2014 Sep 19 doi: 10.1016/j.prrv.2014.09.007. PMID: 25304428
Doshi A, Bernard-Stover L, Kuelbs C, Castillo E, Stucky E
Pediatr Emerg Care 2012 Jan;28(1):17-21. doi: 10.1097/PEC.0b013e31823ed6f8. PMID: 22193696

Clinical prediction guides

Minowa H
J Matern Fetal Neonatal Med 2022 Dec;35(25):7132-7138. Epub 2021 Jun 28 doi: 10.1080/14767058.2021.1944094. PMID: 34182876
Tieder JS, Bonkowsky JL, Etzel RA, Franklin WH, Gremse DA, Herman B, Katz ES, Krilov LR, Merritt JL 2nd, Norlin C, Percelay J, Sapién RE, Shiffman RN, Smith MB; SUBCOMMITTEE ON APPARENT LIFE THREATENING EVENTS
Pediatrics 2016 May;137(5) Epub 2016 Apr 25 doi: 10.1542/peds.2016-0590. PMID: 27244835
Horne RS, Nixon GM
Paediatr Respir Rev 2014 Dec;15(4):312-8. Epub 2014 Sep 19 doi: 10.1016/j.prrv.2014.09.007. PMID: 25304428
Sarohia M, Platt S
Pediatr Emerg Med Pract 2014 Apr;11(4):1-14; quiz 15. PMID: 24834606
Tieder JS, Altman RL, Bonkowsky JL, Brand DA, Claudius I, Cunningham DJ, DeWolfe C, Percelay JM, Pitetti RD, Smith MB
J Pediatr 2013 Jul;163(1):94-9.e1-6. Epub 2013 Feb 14 doi: 10.1016/j.jpeds.2012.12.086. PMID: 23415612

Recent systematic reviews

Tieder JS, Altman RL, Bonkowsky JL, Brand DA, Claudius I, Cunningham DJ, DeWolfe C, Percelay JM, Pitetti RD, Smith MB
J Pediatr 2013 Jul;163(1):94-9.e1-6. Epub 2013 Feb 14 doi: 10.1016/j.jpeds.2012.12.086. PMID: 23415612
McGovern MC, Smith MB
Arch Dis Child 2004 Nov;89(11):1043-8. doi: 10.1136/adc.2003.031740. PMID: 15499062Free PMC Article

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