Abstract
Introduction: ALTE is a condition that threatens the lives of infants; requires diagnosis and appropriate management to avoid complications and / or death. There are numerous causes among which are gastrointestinal, respiratory, and neurological and others. Being the third cause, neurological pathologies in most studies.
Objective: To describe the characteristics of the population of patients admitted to Hospital de la Misericord HOMI Bogota, for ALTE and were valued by the specialty of pediatric neurology in the period 2009-2013.
Materials and methods: A descriptive cross-sectional study was conducted, with a population of 107 patients with a diagnosis of ALTE; sociodemographic data, characteristics, causes and treatments of ALTE were determined. SPSS 22 software was used.
Results: The etiology of neurological ALTE corresponded to 16.8%, corresponding to seizures, respiratory disorders of central origin and CNS bleeds. Ranking as third in etiology below gastrointestinal and respiratory causes.
Conclusion: It is important to define the diagnosis and treatment of patients with ALTE, as there is a high risk of morbidity and mortality associated. Factors not only neurological and gastrointestinal or respiratory, to help define the etiology and avoid complications should be evaluated.
References
ALAPE - Asociación Latinoamericana de Pediatría. Episodio de posible amenaza a la vida, ALTE. Guía de práctica clínica 2005. Comité en síndrome de muerte súbita del lactante (s. f. ). Disponible en: http://www.alape.org/docs/documentos/guia_alte1.pdf (Último acceso: enero 3 de 2014).
POETS C, POETS A. Management of apparent life-threatening events (ALTE). Paediatrics and child health 2012;23(5):200-6.
TIEDER JS, ALTMAN RL, BONKOWSKY JL, BRAND DA, CLAUDIUS I, CUNNINGHAM DJ, ET AL. Management of Apparent Life-Threatening Events in Infants: A Systematic Review. J Pediatr. 2013;163:94-9.
JAIMOVICH J, PEREIRA G, GAIOLI M. Hospital de Pediatría J. P. Garrahan. Manejo del ALTE (episodio de aparente amenaza a la vida), GAP 2013: manejo del ALTE. Disponible en: http://www.garrahan.gov.ar/index.php/equipo-de-salud/guias-clinicas/446-alte?showall=1&limitstart= (Última consulta: diciembre 5 de 2013).
BROCKMANN P, ABARA S, CAMPOS C, HOLGREM N, MONTES S, SEPÚLVEDA H. Consenso sobre el manejo de eventos de aparente amenaza a la vida del lactante (ALTE). Neumol Pediatr. 2015;10(1):3-9.
SEMMEKROT BA, VAN SLEUWEN BE, ENGELBERTS AC, JOOSTEN KFM, MULDER JC, LIEM KD, ET AL. Surveillance study of apparent life-threatening events (ALTE) in the Netherlands. Eur J Pediatr. 2010;169:229-36.
ZENTENO D, QUIROZ G, CELIS M, TAPIA J. Causas atribuidas a eventos de aparente amenaza a la vida del lactante. Rev Chil Pediatr. 2008;79(2):163-71.
ALTMAN RL, BRAND DA, FORMAN S, KUTSCHER ML, LOWENTHAL DB, FRANKE KA, ET AL. Abusive head injury as a cause of apparent life-threatening events in infancy. Arch Pediatr Adolesc Med. 2003;157:1011-5.
ANJOS AM, NUNES ML. The epidemiological profile of children with Apparent Life Threatening Event (ALTE) and prospective evaluation of underlying etiological factors. Rev Bras Saude Mater Infant 2009;9:301-9.
ARIAGNO RL, GUILLEMINAULT C, KOROBKIN R, ET AL. "Near-miss" for sudden infant death syndrome infants: a clinical problem. Pediatrics 1983;71:726-30.
BONKOWSKY JL, GUENTHER E, PILLOUX FM, SRIVASTAVA R. Death, child abuse, and adverse neurological outcome of infants after an apparent life-threatening event. Pediatrics 2008;122:125-31.
BRAND DA, ALTMAN RL, PURTILL K, EDWARDS KS. Yield of diagnostic testing in infants who have had an apparent life-threatening event. Pediatrics 2005;115:885-93.
DAVIES F, GUPTA R. Apparent life-threatening events in infants presenting to an emergency department. Emerg Med J. 2002;19:11-6.
SÁNCHEZ J, SANTIAGO M, GONZÁLEZ A, RODRÍGUEZ R, ASTOBIZA E, VEGA MI. Epidemiological characteristics and risk factors for apparent life-threatening events. An Pediatr (Barc. ). 2009;71:412-8.
GRAY C, DAVIES F, MOLYNEUX EM. Apparent life-threatening events presenting to a pediatric emergency department. Ped Emerg Care 1999;15:195-9.
KAHN A, REBUFFAT E, FRANCO P, ET AL. Apparent life-treatening events and apnea of infancy. In: Hunt CE, Brouillette RT, eds. Respiratory control disorders. Baltimore: Baltimore Press, 1991:178-89.
KIECHL-KOHLENDORFER U, HOF D, PUPP P, TRAWEGER-RAVANELL B, KIECHL S. Epidemiology of apparent life threatening events. Arch Dis Child. 2005;90:297-300.
RAHILLY PM. The pneumographic and medical investigation of infants suffering apparent life threatening episodes. J Paediatr Child Health 1991;27:349-53.
ROMANELI MT, FRAGA AM, MORCILLO AM, TRESOLDI AT, BARACAT EC. Factors associated with infant death after apparent life-threatening event (ALTE). J Pediatr. (Rio J. ) 2010;86:515-9.
SAMUELS MP, POETS CF, NOYES JP, HARTMANN H, HEWERSTON J, SOUTHALL DP. Diagnosis and management after life threatening events in infants and young children who received cardiopulmonary resuscitation. BMJ 1993;306:489-92.
SEMMEKROT BA, VAN SLEUWEN BE, ENGELBERTS AC, JOOSTEN KF, MULDER JC, LIEM KD, ET AL. Surveillance study of apparent life-threatening events (ALTE) in the Netherlands. Eur J Pediatr. 2010;169:229-36.
VEEREMAN-WAUTERS G, BOCHNER A, VAN CAILLIE-BERTRAND M. Gastroesophageal reflux in infants with a history of near-miss sudden infant death. J Pediatr Gastroenterol Nutr. 1991;12:319-23.
MARTÍNEZ A, BOBILLO S, MARTÍNEZ A, GARCÍA J. The role of complementary examinations and home monitoring in patients at risk from apparent life threatening event, apneas and sudden infant death syndrome. An Pediatr. (Barc. ) 2015; 83(2):104-8.
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.