Evaluation of the efficacy and impact of a clinical prediction tool to identify maltreatment associated with children's burns
| Autor: | Alison Mary Kemp, Verity Bennett, Linda I. Hollén, D Nuttall, Alan M Emond |
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| Rok vydání: | 2020 |
| Předmět: |
Child abuse
medicine.medical_specialty Referral media_common.quotation_subject Safeguarding Likelihood ratios in diagnostic testing Neglect 03 medical and health sciences burns 0302 clinical medicine 030225 pediatrics Intervention (counseling) Medicine Humans Child Abuse Prospective Studies Prospective cohort study Child Referral and Consultation media_common business.industry neglect 030208 emergency & critical care medicine safeguarding abuse Family medicine Child Preschool Pediatrics Perinatology and Child Health maltreatment business Risk assessment Burns Emergency Service Hospital clinical prediction tool |
| Zdroj: | BMJ Paediatrics Open Hollén, L, Bennett, V C, Nuttall, D, Emond, A M & Kemp, A 2021, ' An evaluation of the efficacy and impact of a clinical prediction tool to identify maltreatment associated with children’s burns ', BMJ Paediatrics Open, vol. 5, no. 1, e000796 . https://doi.org/10.1136/bmjpo-2020-000796 |
| ISSN: | 2399-9772 |
| DOI: | 10.1136/bmjpo-2020-000796 |
| Popis: | BackgroundAn estimated 10%–24% of children attending emergency departments with a burn are maltreated.ObjectiveTo test whether a clinical prediction tool (Burns Risk assessment for Neglect or abuse Tool; BuRN-Tool) improved the recognition of maltreatment and increased the referral of high-risk children to safeguarding services for assessment.MethodsA prospective study of children presenting with burns to four UK hospitals (2015–2018), each centre providing a minimum of 200 cases before and after the introduction of the BuRN-Tool. The proportions of children referred to safeguarding services were compared preintervention and postintervention, and the relationship between referral and the recommended cut-off for concern (BuRN-Tool score (BT-score) ≥3) was explored.ResultsThe sample was 2443 children (median age 2 years). Nurses and junior doctors mainly completed the BuRN-Tool, and a BT-score was available for 90.8% of cases. After intervention, 28.4% (334/1174) had a BT-score ≥3 and were nearly five times more likely to be discussed with a senior clinician than those with a BT-score ConclusionsA BT-score ≥3 encouraged discussion of cases of concern with senior colleagues and increased the referral of |
| Databáze: | OpenAIRE |
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