Does the BuRN-Tool Score Correctly Predict Cases of Maltreatment in Children Referred for a Child Protection Medical Assessment?

被引：0

作者：

Evans, Eleanor J. ^{[1
]}

Bennett, C. Verity ^{[2
]}

Hollen, Linda ^{[3
]}

Nuttall, Diane ^{[2
]}

Kemp, Alison ^{[2
]}

Mullen, Stephen ^{[4
]}

机构：

[1] Cardiff Univ, Sch Med, Cardiff, Wales

[2] Cardiff Univ, Sch Med, Div Populat Med, Cardiff, Wales

[3] Univ Bristol, Ctr Acad Child Hlth, Bristol, Avon, England

[4] Royal Belfast Hosp Sick Children, Belfast, Antrim, North Ireland

来源：

CHILD ABUSE REVIEW | 2021年

关键词：

burns; paediatrics; paediatric emergency medicine; paediatric injury; non-accidental injury; SCALDS; ABUSE; RISK;

D O I：

10.1002/car.2668

中图分类号：

D669 [社会生活与社会问题]; C913 [社会生活与社会问题];

学科分类号：

1204 ;

摘要：

The BuRN-Tool is a clinical prediction tool designed to indicate child protection (CP) concerns for children attending the emergency department with a burn. Eight weighted factors contribute to a summative score between 0 and 12, a score >= 3 indicates a CP concern. In order to test agreement of the BuRN-Tool score with CP concern and with the social care CP outcome, it was applied retrospectively to 52 children referred for a CP medical evaluation following a burn. Data were collected from case notes using a purpose-designed proforma and a score calculated for each. Outcomes were classified as 'maltreatment-probable' ('physical abuse' or 'neglect') or 'maltreatment-unlikely', according to social care CP outcomes. The BuRN-Tool correctly identified 49/52 (94.2%) as a CP concern, with scores significantly higher in 'maltreatment-probable' (n = 17) than 'maltreatment-unlikely' cases (n = 35, p = 0.01). Scores for 'maltreatment-unlikely' were lower (median [IQR]: 5 [4-7]) than for maltreatment likely for 'physical abuse' cases (median [IQR]: 8 [7-9]; p = 0.005). 'Maltreatment unlikely' scores did not differ from 'neglect' scores (median [IQR]: 7 [5-7]; p = 0.14), a non-parametric trend test confirmed a significant increase in scores across the three ordered groups (p = 0.003). The BuRN-Tool is not a diagnostic, but a screening tool. Consistent with their referral for a CP evaluation, the majority of children scored >3 on the BuRN-Tool. However, for children where 'maltreatment was probable' the BuRN-Tool scores were higher. (c) 2021 John Wiley & Sons, Ltd. Key Practitioner Messages The BuRN-Tool correctly classified 49/52 children who were referred to a CP medical team with a CP concern for assessment following a burn. Cases with an outcome of 'maltreatment-probable' had a significantly higher BuRN-Tool score than those where maltreatment was deemed unlikely. The highest BuRN-Tool scores had the potential to distinguish injuries caused by physical abuse from those where maltreatment was unlikely.

引用

页码：565 / 575

页数：11