rospedjРоссийский педиатрический журналRussian Pediatric Journal2687-0843Издательство «ПедиатрЪ»10.15690/rpj.v1i3.2174rospedj-64Research ArticleОБЗОР ЛИТЕРАТУРЫREVIEWБыстро разрешившиеся необъяснимые события у младенцев: насколько жизнеугрожающи? (обзор литературы)Brief resolved unexplained event: how life-threatening are they? (literature review)https://orcid.org/0000-0001-8195-8111КораблеваН. Н.KorablevaNatalya N.

Кораблева Наталья Николаевна, кандидат медицинских наук, доцент, заведующая кафедрой педиатрии медицинского института

167001, Северо-Западный федеральный округ, Республика Коми, г. Сыктывкар, Октябрьский пр., 55+7 (8212) 390-413, +7 (8212) 390-440 

Syktyvkar

kemcard@yandex.ruhttps://orcid.org/0000-0002-0111-3643МакаровЛ. М.MakarovLeonid M.

Москва

Moscow

https://orcid.org/0000-0002-2290-0013БалыковаЛ. А.BalykovaLarisa A.

Саранск

Saransk

https://orcid.org/0000-0001-6776-2614КотлуковаН. П.KotlukovaNatalya P.

Москва

Moscow

Сыктывкарский государственный университет имени Питирима СорокинаРоссияPitirim Sorokin Syktyvkar State UniversityRussian FederationЦентр синкопальных состояний и сердечных аритмий у детей и подростков на базе ФГБУЗ «Центральная детская клиническая больница ФМБА»РоссияCenter for Syncopal Conditions and Cardiac Arrhythmias in Children and Adolescents at the Central Children’s Clinical Hospital of the Federal Medical-Biological AgencyRussian FederationНациональный исследовательский Мордовский государственный университет им. Н.П. ОгареваРоссияN.P. Ogarev Mordovia State UniversityRussian FederationРоссийский национальный исследовательский медицинский университет им. Н.И. Пирогова Минздрава РоссииРоссияPirogov Russian National Research Medical University, Ministry of Health of RussiaRussian Federation20202611202013510Copyright © Кораблева Н.Н., Макаров Л.М., Балыкова Л.А., Котлукова Н.П., 20202020Кораблева Н.Н., Макаров Л.М., Балыкова Л.А., Котлукова Н.П.Korableva N.N., Makarov L.M., Balykova L.A., Kotlukova N.P.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.rospedj.ru/jour/article/view/64

Статья содержит взгляд ученых, изложенный в современной научной литературе, на эволюцию определений, подходов к диагностике, стратификации риска жизнеугрожаемости внезапно возникающих состояний у детей 1-го года жизни, сопровождающихся кардиореспираторными нарушениями. Термин «быстро разрешившееся необъяснимое событие» сменил термины «очевидное жизнеугрожающее событие» и «абортивный синдром внезапной смерти младенцев». Приводятся данные клинических руководств Американской академии педиатрии и Итальянского педиатрического общества, посвященные данным событиям. Акцентируется взгляд на жизнеугрожаемости и стратификации риска неблагоприятного исхода. Приводятся критерии определения низкого риска реализации угрозы жизни ребенка после перенесенного события. Авторский коллектив данной публикации приглашает отечественное педиатрическое медицинское сообщество к дискуссии по проблеме возможной жизнеугрожаемости быстро разрешившихся необъяснимых событий (БРаНС) у детей 1-го года жизни и определения тактических мероприятий, касающихся необходимости госпитализации и объема диагностического поиска причины события.

This article presents the view expressed in contemporary scientific literature on the evolution of definitions, diagnostic approaches and risk stratification for suddenly occurred life-threatening conditions accompanied by cardiorespiratory disorders in children of the first year of life. The term “brief resolved unexplained event (BRUE)” has replaced the terms “apparent life-threatening event” and “aborted sudden infant death syndrome”. The provided information is derived from clinical guidelines of the American Academy of Pediatrics and the Italian Society of Pediatrics dealing with the above clinical conditions. The authors’ view is focused on the life-threatening situations and risk stratification for adverse outcome. The criteria for classifying infants’ condition as a low risk of life-threatening condition following the occurred event are provided. The authors’ collective invites the national pediatric community for a discussion on the issue of a life-threatening nature of BRUE among children of the first year of life in order to build a strategic action plan dealing with the necessity of hospitalization and scope of diagnostic insight into the cause of the event.

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The authors declare that there are no conflicts of interest present.