Validation of a Prediction Tool for Abusive Head Trauma
- 1 August 2015
- journal article
- research article
- Published by American Academy of Pediatrics (AAP) in Pediatrics
- Vol. 136 (2), 290-298
- https://doi.org/10.1542/peds.2014-3993
Abstract
BACKGROUND AND OBJECTIVES: Abusive head trauma (AHT) may be missed in the clinical setting. Clinical prediction tools are used to reduce variability in practice and inform decision-making. From a systematic review and individual patient data analysis we derived the Predicting Abusive Head Trauma (PredAHT) tool, using multilevel logistic regression to predict likelihood of AHT. This study aims to externally validate the PredAHT tool. METHODS: Consecutive children aged RESULTS: Data included 133 non-AHT cases and 65 AHT cases, 97% of children were CONCLUSIONS: When tested on novel data, the PredAHT tool performed well. This tool has the potential to contribute to decision-making in these challenging cases. An implementation study is needed to explore its performance and utility within the child protection process.Keywords
This publication has 27 references indexed in Scilit:
- Comparison of three screening tools to detect psoriatic arthritis in patients with psoriasis (CONTEST study)British Journal of Dermatology, 2013
- A Bayesian Approach to Complex Clinical Diagnoses: A Case-Study in Child AbuseJournal of the Royal Statistical Society Series A: Statistics in Society, 2012
- Prediction of Inflicted Brain Injury in Infants and Children Using Retinal ImagingPublished by American Academy of Pediatrics (AAP) ,2012
- Estimating the Probability of Abusive Head Trauma: A Pooled AnalysisPediatrics, 2011
- Clinical decision rules for children with minor head injury: a systematic reviewArchives of Disease in Childhood, 2011
- Should a Head-Injured Child Receive a Head CT Scan? A Systematic Review of Clinical Prediction RulesPediatrics, 2009
- Which clinical features distinguish inflicted from non-inflicted brain injury? A systematic reviewArchives of Disease in Childhood, 2009
- Subdural haematoma and effusion in infancy: an epidemiological studyArchives of Disease in Childhood, 2005
- Characteristics That Distinguish Accidental From Abusive Injury in Hospitalized Young Children With Head TraumaPediatrics, 2004
- Annual incidence of shaken impact syndrome in young childrenThe Lancet, 2000