Evidence map›Paper›PMID 34607936›Full record

ArticlePediatrics2021

Explanatory Diagnoses Following Hospitalization for a Brief Resolved Unexplained Event.

Risa Bochner, Joel S Tieder, Erin Sullivan, Matt Hall, Allayne Stephans, Manoj K Mittal, Nidhi Singh, Atima Delaney, Beth Harper, Nirav Shastri and 3 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Pediatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
5.1field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 26 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 9 institutions in 1 country.

Risa BochnerState University of New York Downstate Health Sciences University and Department of Pediatrics, New York City Health and Hospitals Kings County, Brooklyn, New York bochnerr@nychhc.org.
Joel S TiederDivision of Hospital Medicine, Department of Pediatrics, Seattle Children's and School of Medicine, University of Washington, Seattle, Washington.
Erin SullivanSeattle Children's Hospital, Seattle, Washington.
Matt HallChildren's Hospital Association, Lenexa, Kansas.
Allayne StephansDivision of Pediatric Hospital Medicine, Rainbow Babies and Children's Hospital, Cleveland, Ohio.
Manoj K MittalChildren's Hospital of Philadelphia and Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
Nidhi SinghSection of Emergency Medicine, Department of Pediatrics, Baylor College of Medicine and Texas Children's Hospital, Houston, Texas.
Atima DelaneyDivision of Emergency Medicine, Boston Children's Hospital, Boston, Massachusetts.
Beth HarperDivision of Emergency Medicine, Boston Children's Hospital, Boston, Massachusetts.
Nirav ShastriDivision of Emergency Medicine, Department of Pediatrics, Children's Mercy Hospital, Kansas City, Kansas.
Daniela HochreiterDivision of Hospital Medicine, Department of Pediatrics, School of Medicine, Yale University, New Haven, Connecticut.
Mark I NeumanDivision of Emergency Medicine, Boston Children's Hospital, Boston, Massachusetts.
BRIEF RESOLVED UNEXPLAINED EVENT RESEARCH AND QUALITY IMPROVEMENT NETWORK
Boston Children's Hospital · USSeattle Children's Hospital · USChildren's Hospital Association · USChildren's Hospital of Philadelphia · USChildren's Mercy Hospital · USRainbow Babies & Children's Hospital · USState University of New York · USTexas Children's Hospital · USYale University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesMost young infants presenting to the emergency department (ED) with a brief resolved unexplained event (BRUE) are hospitalized. We sought to determine the rate of explanatory diagnosis after hospitalization for a BRUE.

methodsThis was a multicenter retrospective cohort study of infants hospitalized with a BRUE after an ED visit between October 1, 2015, and September 30, 2018. We included infants without an explanatory diagnosis at admission. We determined the proportion of patients with an explanatory diagnosis at the time of hospital discharge and whether diagnostic testing, consultation, or observed events occurring during hospitalization were associated with identification of an explanatory diagnosis.

resultsAmong 980 infants hospitalized after an ED visit for a BRUE without an explanatory diagnosis at admission, 363 (37.0%) had an explanatory diagnosis identified during hospitalization. In 805 (82.1%) infants, diagnostic testing, specialty consultations, and observed events did not contribute to an explanatory diagnosis, and, in 175 (17.9%) infants, they contributed to the explanatory diagnosis (7.0%, 10.0%, and 7.0%, respectively). A total of 15 infants had a serious diagnosis (4.1% of explanatory diagnoses; 1.5% of all infants hospitalized with a BRUE), the most common being seizure and infantile spasms, occurring in 4 patients.

conclusionsMost infants hospitalized with a BRUE did not receive an explanation during the hospitalization, and a majority of diagnoses were benign or self-limited conditions. More research is needed to identify which infants with a BRUE are most likely to benefit from hospitalization for determining the etiology of the event.

Indexed as

HospitalizationBrief, Resolved, Unexplained EventEmergency Service, HospitalFemaleHumansInfantInfant, NewbornMaleRetrospective Studies

Identifiers

PMID34607936
OpenAlexW3203831494

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.