Patient selection: pediatric patient with scald
Parameters:
(1) previously known to social care
(2) burn severity
(3) concern about the explanation for burn injury (inconsistent, does not fit burn pattern, bath scald)
(4) age of the child in years
(5) concerns about supervision
(6) uncommon body site (back, buttock, groin, within hairline)
(7) pattern
|
Parameter
|
Finding
|
Points
|
|
previously known to social care
|
no
|
0
|
|
|
yes
|
3
|
|
burn severity
|
not full thickness
|
0
|
|
|
full thickness
|
2
|
|
concerning explanation
|
no
|
0
|
|
|
yes
|
2
|
|
age of the child
|
> 5 years old
|
0
|
|
|
<= 5 years old
|
2
|
|
concerns about supervision of the child
|
no
|
0
|
|
|
yes
|
1
|
|
uncommon body site
|
no
|
0
|
|
|
yes
|
1
|
|
pattern
|
unilateral
|
0
|
|
|
bilateral
|
1
|
total score =
= SUM(points for all 7 parameters)
Interpretation:
• minimum score: 0
• maximum score: 12
• A score >=3 is associated with a burn that should be investigated.
Performance:
• The sensitivity was 71% for the derivation cohort and 88% for the validation cohort.
• The specificity was 73% for the derivation cohort and 82% for the validation cohort.
• The area under the ROC curve is 0.87.
