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cultation), the event had not resolved at the time of arrival to the emergency department, or the patient was aged more than 1 year. Of the 74 cases (52%) that met the criteria for BRUE, 69 (93%) qualified as higher-risk BRUE. The most frequent reasons for classification as higher-risk BRUE were age less than 2 months or corrected age less than 45 weeks (51 cases), repeat event (18 cases), event duration greater than 1 min (16 cases), concerning social assessment (5 cases) and family history of sudden death (4 cases). Several patients met more than one higher-risk criterion. None of the infants was classified as higher-risk based on need for cardiopulmonary resuscitation (CPR) by a trained medical provider. Of the 5 infants that met the criteria for lower-risk BRUE, 3 underwent diagnostic tests (blood tests, cranial ultrasound, echocardiogram, electroencephalogram). All test results were normal, save for the incidental finding in the echocardiogram of a haemodynamically insignificant aortopulmonary collateral arteries and patent foramen ovale in 1 patient. In these infants, there were no abnormalities in the vital signs during the hospital stay, repeat episodes or diagnosis of severe underlying disease. The mean length of stay in these 5 patients was 1.8 days. In the group of 69 patients that met the criteria for higher-risk BRUE, diagnostic tests were performed in 48% in the emergency department and in 74% during the hospital stay. Ten percent of these patients experienced a repeat event during the stay. Abnormal test results or relevant diagnoses from testing included diagnosis of convulsive seizures in 1 infant, 1 case of congenital hypothyroidism (the results of the newborn screening for metabolic diseases became available during the hospital stay), 1 case of respiratory infection by respiratory syncytial virus, 1 case of meningitis caused by enterovirus and detection of haemodynamically insignificant aorto-pulmonary collateral arteries in 1 infant. The mean length of stay in this group was 2.6 days. Recent guidelines recommend educating parents on how to perform CPR. Such training was only delivered in 3 cases (2%): all 3 met the criteria for higher-risk BRUE, and 2 were managed with home cardiorespiratory monitoring. There are limitations to our study, chief of which is its retrospective design. Only half of the infants admitted due to ALTE met the criteria for BRUE. Most infants that experienced these events were aged less than 2 months, which made them qualify as higher risk on account of the age criterion. Only 7% of patients with BRUE met the criteria for lower risk BRUE, so testing and hospital admission could only have been avoided in this percentage of the total.

Monitorización domiciliaria de sodio en niños con diabetes insípida y adipsia