Can TEN4 distinguish bruises from abuse, inherited bleeding disorders or accidents?
Alison Mary KempSabine Ann MaguireDianne E NuttallPeter CollinsFrank D DunstanDaniel FarewellPublished in: Archives of disease in childhood (2021)
These data support further child protection investigations of a positive TEN4 screen in any pre-mobile children with a bruise and in mobile children with more than one bruise. TEN4 did not discriminate between IBD and abuse, thus IBD needs to be excluded in these children. Estimated sensitivity and specificity of TEN4 was appreciably lower than previously reported.