Table 2.

The PediBIRN-7: Seven variables used to estimate AHT probability after abuse evaluation in acutely head-injured children <3 years hospitalized for intensive care.

• Any clinically-significant respiratory compromise at the scene of injury, during transport, in the Emergency Department, or prior to admission

•Any bruising involving the child’s ear(s), neck OR torso

• Any subdural hemorrhage(s) or fluid collection(s) that are bilateral OR involve the interhemispheric space

• Any skull fracture(s) other than an isolated, unilateral, nondiastatic, linear, parietal skull fracture • Skeletal survey that revealed rib fracture(s), classic metaphyseal lesion fracture(s), epiphyseal separation(s), fracture(s) of the scapula or sternum, fracture(s) of digit(s), vertebral body fracture(s) or dislocation(s), OR fracture(s) of spinous process(es) • Retinal exam by an ophthalmologist that revealed retinoschisis OR retinal hemorrhages described as dense, extensive, covering a large surface area, and/or extending to the ora serrata • Any brain hypoxia, ischemia, OR swelling

Abbreviations: AHT=abusive head trauma