This version was machine-translated from German and has not been medically reviewed. The authoritative version is the German version.

TEN-4-FACESp Bruising Clinical Decision Rule

Bruises in children under 4 years: location, age under 5 months and pattern – screening test for possible abuse (Pierce 2021)

Child
Bruise in this region
Shape of the hematoma

Calculation aid for healthcare professionals: the calculator reproduces what the sources cited assign to the inputs. Clinical assessment and every treatment decision remain with the treating physician. Inputs and results are not stored.

Frequently asked questions

TEN-4-FACESp Bruising Clinical Decision Rule: What does this calculator compute?

TEN-4-FACESp (Pierce 2021) for children under 4 years with bruising: positive for bruising on the torso, ear, neck, frenulum, angle of jaw, cheek, eyelid or subconjunctiva, for any bruise under 5 months of age or for a patterned bruise. A screening test: positive means further evaluation, not a diagnosis. Sensitivity 95.6 %, specificity 87.1 %.

TEN-4-FACESp Bruising Clinical Decision Rule: Which sources is this calculator based on?

Pierce MC, Kaczor K, Lorenz DJ, et al.: Validation of a Clinical Decision Rule to Predict Abuse in Young Children Based on Bruising Characteristics (JAMA Netw Open 4:e215832) (2021)