Infant Scalp Score

id

10589

full_title

Infant Scalp Score

short_title

Infant Scalp Score

med_description

Evaluates risk of traumatic brain injury in infants with asymptomatic head injury.

description

The Infant Scalp Score evaluates risk of traumatic brain injury in infants with asymptomatic head injury.

keywords

Infant Scalp Score, infant skull fracture, infant intracranial injury, infant head injury, infant head trauma, infant SF, infant ICI, SF, ICI, craniocerebral trauma, scalp, hematoma, infant, skull fracture, traumatic brain injury, TBI

complaint

[ "Altered Mental Status", "Bleeding", "Headache", "Head Injury", "Injury/Trauma", "Loss of Appetite", "Nausea", "Neurologic Deficit", "Numbness", "Preventive Care/Screening", "Seizure", "Vomiting", "Weakness", "Bone Pain" ]

formula

The Infant Scalp Score is calculated by the addition of the selected points:

evidence

measurements

[]

information

Interpretation: 

refrences

{ "Clinical Practice Guidelines": [], "Manufacturer Website": [], "Original/Primary Reference": [ { "href": "https://pubmed.ncbi.nlm.nih.gov/11334100/", "text": "Greenes DS, Schutzman SA. Clinical significance of scalp abnormalities in asymptomatic head-injured infants: Pediatric Emergency Care. 2001;17(2):88-92." } ], "Other References": [], "Outcomes": [], "Validation": [ { "href": "https://pubmed.ncbi.nlm.nih.gov/20805783/", "text": "Bin SS, Schutzman SA, Greenes DS. Validation of a clinical score to predict skull fracture in head-injured infants: Pediatric Emergency Care. 2010;26(9):633-639." }, { "href": "https://pubmed.ncbi.nlm.nih.gov/32673432/", "text": "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. Cloutier R, ed. Academic Emergency Medicine. 2021;28(1):92-97." } ], "Validations": [] }

pearls

• 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:

  • Loss of consciousness.

  • Lethargy or irritability.

  • Seizures.

  • 3 or more episodes of emesis.

  • Mental status changes.

  • Bulging fontanel.

  • Signs of neurologic injury.

  • Abnormal vital signs.

• It should also not be used in infants who present with suspected nonaccidental trauma.
• Primary outcomes differed in various validation studies, with one using skull fracture and another using the outcome of clinically important traumatic brain injury (ciTBI).

usecase

• Use in infants who are asymptomatic at the time of evaluation but who are at high risk of skull fracture.
• Assists the clinician in determining whether cranial radiology (head X-ray or head CT) is necessary in the workup of intracranial injury.

reasons

Infants may have traumatic brain injury (TBI) even if they show only limited symptoms. 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.

next_advice

next_actions

This tool should not be used in infants for whom nonaccidental trauma is a concern.

next_management

• For patients with a score <4, head imaging may not be necessary.
• For patients with a score ≥4, head imaging (usually with a CT) should be considered.
• Some studies have recommended a cutoff of ≥5 for clinically important TBI.
• As with all risk assessment scores, clinical judgment is essential. 

diseases

[ "Bleeding/Hemorrhage", "Fracture", "Intracranial Hemorrhage", "Trauma", "Traumatic Brain Injury" ]

instructions

published

2024-12-20T15:35:13.381Z

purpose

[ "Prognosis" ]

search_terms

[ "Infant Scalp Score", "infant skull fracture", "infant intracranial injury", "infant head injury", "infant head trauma", "infant SF", "infant ICI", "SF", "ICI", "craniocerebral trauma", "scalp", "hematoma", "infant", "skull fracture", "traumatic brain injury", "TBI" ]

seo

{ "keywords_en": "Infant Scalp Score, infant skull fracture, infant intracranial injury, infant head injury, infant head trauma, infant SF, infant ICI, SF, ICI, craniocerebral trauma, scalp, hematoma, infant, skull fracture, traumatic brain injury, TBI", "meta_description_en": "The Infant Scalp Score evaluates risk of traumatic brain injury in infants with asymptomatic head injury." }

specialty

[ "Critical Care (Neurologic)", "Critical Care (Pediatric)", "Emergency Medicine", "Family Practice", "Internal Medicine", "Neurology", "Neurosurgery", "Pediatrics", "Primary Care", "Surgery (Trauma)" ]

departments

[ "Musculoskeletal", "Neurologic" ]

tags

[]

version_number

1

versions

[]

related

[ { "calcId": 10532, "short_title_en": "NDI", "slug": "neck-disability-index-ndi" }, { "calcId": 10126, "short_title_en": "TLICS", "slug": "thoracolumbar-injury-classification-severity-scale-tlics" }, { "calcId": 10432, "short_title_en": "mBIG", "slug": "modified-brain-injury-guideline-mbig" } ]

ismed

false

section

[ "whenToUseViewed", "pearlsPitfallsViewed", "whyUseViewed", "nextStepsViewed", "evidenceViewed" ]

cleaned_departments

[ "orthopedics", "neurology" ]

cleaned_use

[ "Use in infants who are asymptomatic at the time of evaluation but who are at high risk of skull fracture.", "Assists the clinician in determining whether cranial radiology (head X-ray or head CT) is necessary in the workup of intracranial injury." ]

pub

true