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Clinical evaluation of an Apparent Life-Threatening Event (ALTE)

par Kahn, André ;Sawaguchi, Toshiko
Référence Hanzaigaku zasshi, 70, 6, page (169-179)
Publication Publié, 2004

Article révisé par les pairs

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Résumé :

Because of the heterogeneity of the group of infants with an Apparent Life-Threatening Event (ALTE), a detailed medical evaluation is needed to identify the cause of an ALTE. The most important part of the evaluation is the history taken from the parents or caregivers. A detailed description of the circumstances preceding and surrounding the ALTE is mandatory. Further valuable information may be gained by collecting information on the family lifestyle and child care practices. Medical examinations are organized following an evidence-based clinical approach. Findings of medical or surgical anomalies can lead to specific treatments or surveillance programs. The use of home monitoring depends on clinical indications and local strategies. Long term follow-up programs contribute to support the families, in adapting medical treatments to the child's need and in confirming or modifying the medical diagnosis. A systematic diagnostic evaluation on infants with an ALTE, together with a comprehensive treatment program should increase survival and quality of life for most affected infants.