Can TEN4 distinguish bruises from abuse, inherited bleeding disorders or accidents?
نویسندگان
چکیده
Objective Does TEN4 categorisation of bruises to the torso, ear or neck any bruise in <4-month-old children differentiate between abuse, accidents inherited bleeding disorders (IBDs)? Design Prospective comparative longitudinal study. Setting Community. Patients Children <6 years old. Interventions The number and location compared for 2568 data collections from 328 community, 1301 106 with IBD 342 abuse cases. Main outcome measures Likelihood ratios (LRs) within TEN non-TEN locations pre-mobile mobile children: vs accidental injury, accident, IBD. Results Any a child was more likely be abuse/IBD than accident. had, higher LR A single not supportive abuse/IBD. For one bruise, including at least locations, favouring increased. Applying abused group <48 months age gave estimated sensitivity 69% specificity 74%. Conclusions These support further protection investigations positive screen bruise. did discriminate thus needs excluded these children. Estimated appreciably lower previously reported.
منابع مشابه
Bruises in children: normal or child abuse?
Bruises in active children are common and often are considered "normal" childhood injuries. However, bruises also may be the result of physical abuse or other conditions. The evaluation of a child with bruising should include a thorough history and physical examination to determine the cause. When abuse is suspected, prompt reporting is necessary to protect the child from further injury. This a...
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ژورنال
عنوان ژورنال: Archives of Disease in Childhood
سال: 2021
ISSN: ['1468-2044', '0003-9888']
DOI: https://doi.org/10.1136/archdischild-2020-320491