AI Article Synopsis
- Breath-holding spells (BHS) often occur in preschool children and can cause significant healthcare resource consumption, which can be distressing for families.
- A recent study analyzed 519 BHS cases, revealing excessive use of ECGs and EEGs while blood tests for treatable conditions like iron deficiency were underutilized.
- New guidelines have been developed to refine BHS definitions and create a clinical management algorithm that promotes more efficient diagnostic practices and better resource allocation in healthcare.
Article Abstract
Witnessing breath-holding spells (BHS) can be distressing and patients with BHS disproportionately consume a substantial amount of health care resources. Common among preschool children, BHS follow a distinct sequence of events. A comprehensive patient history is the primary diagnostic tool. BHS lacked standardized diagnostic criteria and guidelines until our recent Acta Paediatrica publication. Studying 519 BHS cases in Skåne (years 2004-2018), we found overuse of electrocardiograms (ECGs) and electroencephalograms (EEGs), and underuse of blood tests for treatable iron deficiency and anemia, both known BHS contributors. Building upon our cohort analysis, we refined the definition of BHS and introduced a clinical management algorithm. Simulations showed reduced EEG and ECG use and an increase in blood tests. Our guideline not only streamlines diagnostic processes, but also optimizes the allocation of healthcare resources for more effective and targeted interventions.
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