Clinical Prediction Rule for Pediatric Abusive Head Trauma

Here’s the paper Dr. Foster mentioned about predicting abusive head trauma. She helped author the study which includes VCU patients.

A brief summary of the decision rule:

To minimize missed cases, every acutely head-injured infant or young childahospitalized for intensive care who presents with ≥1 of these 4 predictor variables should be thoroughly evaluated for abuse:
• Any clinically significant respiratory compromiseb at the scene of injury, during transport, in the emergency department, or before admission
• Any bruising involving the child’s ears, neck, or torsoc
• Any subdural hemorrhages or fluid collections that are bilateral or involve the interhemispheric space
• Any skull fractures other than an isolated, unilateral, nondiastatic, linear, parietal skull fracture