• Pediatric Brain Injury Probability Calculator
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AHT Definitional Criteria

Patients were sorted as abused if and when any of the following were true.

  • Primary caregiver admission of abusive acts
  • Primary caregiver denial of any head trauma, even though the pre-ambulatory child in his or her care became acutely, clearly and persistently ill with clinical signs subsequently linked to traumatic cranial injuries visible on CT or MR imaging
  • Primary caregiver account of the child’s head injury event that was clearly historically inconsistent with repetition over time
  • Primary caregiver account of the child’s head injury event that was clearly developmentally inconsistent with child’s known (or expected) gross motor skills
  • Two or more categories of extra-cranial injuries considered moderately or highly suspicious for abuse, including:
    • Classic metaphyseal lesion fracture(s) or epiphyseal separation(s)
    • Rib fracture(s)
    • Fracture(s) of the scapula or sternum; fracture(s) of digits
    • Vertebral body fracture(s), dislocation(s) or fracture(s) of spinous process(es)
    • Skin bruising, abrasion(s) or laceration(s) in two or more distinct locations other than knees, shins or elbows
    • Patterned skin bruising or dry contact burn(s)
    • Scalding burn(s) with uniform depth, clear lines of demarcation and paucity of splash marks
    • Confirmed intra-abdominal injuries
    • Retinoschisis confirmed by an ophthalmologist
    • Retinal hemorrhages described by an ophthalmologist as dense, extensive, covering a large surface area and/or extending to the ora serrata.

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