Infant_scalp_score v.0.1.0
An assessment score used to evaluate risk of traumatic brain injury in infants with asymptomatic head injury.
To calculate and interpret the total sum for the Infant scalp score.
The Infant scalp score is used in infants who are asymptomatic at the time of evaluation but who are at high risk of skull fracture. It can also assist the clinician in determining whether cranial radiology (head X-ray or head CT) is necessary in the workup of intracranial injury. This score assists in determining the risk of intracranial injury based on patient age and hematoma characteristics. If the patient is found to be low risk, head imaging may not be necessary.
This tool was studied in patients who were asymptomatic and should be applied only to patients in that population. This tool should not be used in patients who have any of the following: 1. Loss of consciousness. 2. Lethargy or irritability. 3. Seizures. 4. Three or more episodes of emesis. 5. Mental status changes. 6. Bulging fontanel. 7. Signs of neurologic injury. 8. Abnormal vital signs. It should also not be used in infants who present with suspected nonaccidental trauma.
Greenes DS, Schutzman SA. Clinical significance of scalp abnormalities in asymptomatic head-injured infants. Pediatr Emerg Care. 2001 Apr;17(2):88–92. PMID: 11334100. doi: 10.1097/00006565-200104000-00002. Bin SS, Schutzman SA, Greenes DS. Validation of a clinical score to predict skull fracture in head-injured infants. Pediatr Emerg Care. 2010 Sep;26(9):633–9. PMID: 20805783. doi: 10.1097/PEC.0b013e3181ef0440. Schutzman SA, Nigrovic LE, Mannix R. The Infant Scalp Score: a validated tool to stratify risk of traumatic brain injury in infants with isolated scalp hematoma. Acad Emerg Med. 2021 Jan;28(1):92–7. Epub 2020 Aug 19. PMID: 32673432. doi: 10.1111/acem.14087.
openEHR-EHR-EVALUATION.health_risk, openEHR-EHR-OBSERVATION.infant_scalp_score
