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.
摘要：
目睹屏气咒语（BHS）可能令人痛苦，并且BHS患者不成比例地消耗了大量的医疗保健资源。在学龄前儿童中很常见，BHS遵循不同的事件顺序。全面的病史是主要的诊断工具。BHS缺乏标准化的诊断标准和指南，直到我们最近发表《儿科学报》。研究斯科恩的519例BHS病例(2004-2018年)，我们发现过度使用心电图（ECG）和脑电图（EEG），以及未充分使用血液检查来治疗缺铁症和贫血，都是已知的BHS贡献者。基于我们的队列分析，我们完善了BHS的定义,并引入了临床管理算法.模拟显示EEG和ECG使用减少，血液检查增加。我们的指导方针不仅简化了诊断流程，而且还优化了医疗资源的分配，以实现更有效和有针对性的干预措施。
