The BuRN-Tool is a clinical prediction tool designed to indicate child protection (CP) concerns for children attending the emergency department with a burn. Eight weighted factors contribute to a summative score between 0 and 12, a score ≥3 indicates a CP concern. In order to test agreement of the BuRN-Tool score with CP concern and with the social care CP outcome, it was applied retrospectively to 52 children referred for a CP medical evaluation following a burn. Data were collected from case notes using a purpose-designed proforma and a score calculated for each. Outcomes were classified as ‘maltreatment-probable’ (‘physical abuse’ or ‘neglect’) or ‘maltreatment-unlikely’, according to social care CP outcomes. The BuRN-Tool correctly identified 49/52 (94.2%) as a CP concern, with scores significantly higher in ‘maltreatment-probable’ (n = 17) than ‘maltreatment-unlikely’ cases (n = 35, p = 0.01). Scores for ‘maltreatment-unlikely’ were lower (median [IQR]: 5 [4–7]) than for maltreatment likely for ‘physical abuse’ cases (median [IQR]: 8 [7–9]; p = 0.005). ‘Maltreatment unlikely’ scores did not differ from ‘neglect’ scores (median [IQR]: 7 [5–7]; p = 0.14), a non-parametric trend test confirmed a significant increase in scores across the three ordered groups (p = 0.003). The BuRN-Tool is not a diagnostic, but a screening tool. Consistent with their referral for a CP evaluation, the majority of children scored >3 on the BuRN-Tool. However, for children where ‘maltreatment was probable’ the BuRN-Tool scores were higher.

中文翻译：

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BuRN-Tool 评分是否正确预测了被转介进行儿童保护医学评估的儿童的虐待案例？

BuRN-Tool 是一种临床预测工具，旨在为因烧伤到急诊室就诊的儿童指出儿童保护 (CP) 问题。八个加权因素有助于得出介于 0 和 12 之间的总分，得分 ≥ 3 表示存在 CP 问题。为了测试 BuRN-Tool 评分与 CP 关注和社会护理 CP 结果的一致性，将其回顾性应用于 52 名烧伤后转诊进行 CP 医学评估的儿童。使用专门设计的形式和为每个形式计算的分数从案例笔记中收集数据。根据社会护理 CP 结果，结果被分类为“可能受到虐待”（“身体虐待”或“忽视”）或“不太可能受到虐待”。BuRN-Tool 正确地将 49/52 (94.2%) 识别为 CP 问题，在“可能遭受虐待”方面的得分明显更高（n = 17) 而不是“不太可能受到虐待”的情况 ( n = 35, p = 0.01)。“不太可能受到虐待”的分数（中位数 [IQR]：5 [4-7]）低于可能发生在“身体虐待”案件中的虐待分数（中位数 [IQR]：8 [7-9]；p = 0.005）。“不太可能受到虐待”分数与“忽视”分数没有区别（中位数 [IQR]：7 [5-7]；p = 0.14），非参数趋势检验证实三个有序组的分数显着增加（p = 0.003）。BuRN-Tool 不是诊断工具，而是筛选工具。与他们转介进行 CP 评估一致，大多数儿童在 BuRN-Tool 上得分 >3。然而，对于“可能遭受虐待”的儿童，BuRN-Tool 分数更高。