Triemstra Justin
Pediatr Ann. 2017 Jul 1;46(7):e262-e264. doi: 10.3928/19382359-20170619-02.
The modern health care system continues to expand at a meteoric rate with ever-increasing technological advancements. However, with these advancements come unsustainably rising costs and occasionally unintended, avoidable harm. In this article, we use a brief resolved unexplained event (BRUE) to illustrate how recent guidelines can help physicians practice value in this modern health care system. A BRUE is a common pediatric problem that is seen in ambulatory and emergency department settings. Infants presenting with a BRUE can be separated into low- and high-risk groups per recent guidelines. Most low-risk infants who present with a BRUE can be discharged home with anticipatory guidance, whereas high-risk infants should undergo further testing and admission to determine the cause of their event. [Pediatr Ann. 2017;46(7):e262-e264.].
随着技术进步不断加速，现代医疗保健系统持续以惊人的速度扩张。然而，这些进步带来了成本不可持续的上升，偶尔还会造成意外的、可避免的伤害。在本文中，我们使用一个简短的不明原因事件（BRUE）来说明近期的指南如何帮助医生在这个现代医疗保健系统中践行价值医疗。BRUE是在门诊和急诊科常见的儿科问题。根据近期指南，出现BRUE的婴儿可分为低风险和高风险组。大多数出现BRUE的低风险婴儿可以在接受预期指导后出院回家，而高风险婴儿则应接受进一步检查并住院，以确定其事件的原因。[《儿科年鉴》。2017年；46(7):e262 - e264。]
