Patient selection: 1 to 13 years of age
Parameters:
(1) total length (sum of maximum dimensions) of bruises on arms in cm
(2) total length (sum of maximum dimensions) of bruises on legs in cm
(3) total length (sum of maximum dimensions) of bruises on chest, abdomen and back (trunk)
(4) total length (sum of maximum dimensions) of bruises on buttocks
(5) total length (sum of maximum dimensions) of bruises on head and neck
(6) identifiable shape (like a steam iron, a hand, etc)
score 1 =
= (2 * (length on arms)) + (3 * (length on legs)) + (4 * (length on trunk)) + (5 * (length on buttocks)) + (9 * (length on head and neck))
score 2 =
= (2 * (length on arms)) + (2 * (length on legs)) + (3 * (length on trunk)) + (3 * (length on buttocks)) + (9 * (length on head and neck)) + (18 if an identifiable shape is present)
Interpretation:
• minimum score: 0
• maximum score: 140+
• The higher the score the more likely that there is abuse.
|
Score
|
Interpretation
|
|
< 20
|
probably not abuse
|
|
20 to 40
|
probably abuse
|
|
40 to 50
|
almost certainly abuse
|
|
> 50
|
abuse
|
Performance:
• At a score of 20 the sensitivity was 94% and specificity 93%.
