Evidence map›Paper›PMID 36336644›Full record

ArticleHospital pediatrics2022

A Prospective Study of Brief Resolved Unexplained Events: Risk Factors for Persistent Symptoms.

Daniel R Duncan, Enju Liu, Amanda S Growdon, Kara Larson, Rachel L Rosen

2 registry-linked trialsOpen access · greenAbstract read
In one paragraph

Article in Hospital pediatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
6.2field-weighted citation impact, top 3% 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.

NCT04477460 recruitingnot on this map

Effect of Thickened Feeds on Clinical Outcomes in Children With Brief Resolved Unexplained Event

TypeobservationalSponsorBoston Children's HospitalRan2021 to 2026Enrolled250ConditionsBrief Resolved Unexplained Event, Apparent Life Threatening Event, Oropharyngeal DysphagiaArmsThickened feeds, Non-thickened feeds
NCT04504227 narecruitingnot on this map

Effect of Thickened Feeds on Swallow Physiology in Children With Dysphagia

TypeinterventionalSponsorBoston Children's HospitalRan2021 to 2026Enrolled200ConditionsDysphagia, Aspiration, Brief Resolved Unexplained Event (BRUE), Apparent Life Threatening Event (ALTE)ArmsThin liquid swallows, Slightly thickened liquid swallows, Mildly thickened liquid swallows, Moderately thickened liquid swallows
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 21 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Observational
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Daniel R DuncanAerodigestive Center, Division of Gastroenterology, Hepatology and Nutrition.
Enju LiuInstitutional Centers for Clinical and Translational Research.
Amanda S GrowdonHospital Medicine Program, Division of General Pediatrics, Boston Children's Hospital, Boston, Massachusetts.
Kara LarsonAerodigestive Center, Division of Gastroenterology, Hepatology and Nutrition.
Rachel L RosenAerodigestive Center, Division of Gastroenterology, Hepatology and Nutrition.
Boston Children's Hospital · US

Funding

TRAINING IN PEDIATRIC GASTROENTEROLOGY &NUTRITIONT32DK007477 · NIDDK · CHILDREN'S HOSPITAL BOSTON · PI Scott B Snapper · 1986 to 2026
$13.3M
The impact of upper gastrointestinal dysmotility on aspiration-associated aerodigestive disorders in childrenR01DK097112 · NIDDK · BOSTON CHILDREN'S HOSPITAL · PI Rachel L Rosen · 2015 to 2026
$4.9M
Effect of Thickened Feeds on Swallow Physiology and Clinical Outcomes in Children with Brief Resolved Unexplained Event (Supplement)K23DK127251 · NIDDK · BOSTON CHILDREN'S HOSPITAL · PI DUNCAN, DANIEL R. · 2021 to 2025
$1.1M
NIDDK NIH HHS K23 DK127251NIDDK NIH HHS R01 DK097112NIDDK NIH HHS T32 DK007477
6 · The paper itself

Abstract

objectiveThe risk of persistent symptoms after a brief resolved unexplained event (BRUE) is not known. Our objective was to determine the frequency and risk factors for persistent symptoms after BRUE hospitalizations.

methodsWe conducted a prospective longitudinal cohort study of infants hospitalized with an admitting diagnosis of BRUE. Caregiver-reported symptoms, anxiety levels, and management changes were obtained by questionnaires during the 2-month follow-up period. Clinical data including repeat hospitalizations were obtained from a medical record review. Multivariable analyses with generalized estimating equations were conducted to determine the risk of persistent symptoms.

resultsOf 124 subjects enrolled at 51.6 ± 5.9 days of age, 86% reported symptoms on at least 1 questionnaire after discharge; 65% of patients had choking episodes, 12% had BRUE spells, and 15% required a repeat hospital visit. High anxiety levels were reported by 31% of caregivers. Management changes were common during the follow-up period and included 30% receiving acid suppression and 27% receiving thickened feedings. Only 19% of patients had a videofluoroscopic swallow study while admitted, yet 67% of these studies revealed aspiration/penetration.

conclusionsMany infants admitted with BRUE have persistent symptoms and continue to access medical care, suggesting current management strategies insufficiently address persistent symptoms. Future randomized trials will be needed to evaluate the potential efficacy of therapies commonly recommended after BRUE.

Indexed as

Brief, Resolved, Unexplained EventHospitalizationHumansInfantLongitudinal StudiesProspective StudiesRisk Factors

Identifiers

PMID36336644
PMCPMC9724174
OpenAlexW4308314585

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.