
LCAST
TEN-4-FACES p
Free
The Lurie Children’s Child Injury Plausibility Assessment Support Tool (LCAST) is an app based on a validated Bruising Clinical Decision Rule (BCDR) called the TEN-4-FACESp. Use of this tool has the potential to improve recognition of abuse in young children with bruising. This app functions only as a screening tool and cannot be used to diagnose abuse. The app applies to children less than 4.0 years of age with bruising. If the child is older than 4.0 and/or bruising is not present, this tool cannot be used. In those circumstances, alternative methods of screening for abuse are needed.
WHY FOCUS ON BRUISING? Bruising is the most common injury resulting from physical abuse and is the most overlooked or misdiagnosed antecedent injury prior to an abuse-related fatality or near-fatality in a young child. Bruising occurs from both accidental and abusive trauma, but differences identified by the TEN-4-FACESp bruising clinical decision rule may allow improved and earlier recognition of the abused child.
ABOUT THE APP: The app is intended for clinical use by licensed healthcare professionals and providers. The app can inform decision-making and be used as an educational tool for learning about bruising characteristics that commonly result from abusive and accidental injury. The core feature of the app is an interactive 3D body model that allows the user to utilize visual cues of the human body to input clinical observations. The result is the opportunity to compare a child’s bruise findings to the published evidence resulting from a NIH-funded multi-center study. The data that drive the app are based on 2,161 patients of which 410 (19%) were classified by a multi-disciplinary panel of medical experts as abuse and 1,713 (79%) as accident. The TEN-4-FACESp bruising clinical decision rule resulted from analysis of 35 body regions and is 96% specific and 87% sensitive for distinguishing bruising from abuse versus accident. The TEN-4-FACESp has three components based on: 1) specific body regions with bruising, 2) patterned bruising, and 3) bruising anywhere on non-mobile infants. An affirmative finding for any one of the three TEN-4-FACESp components without a clear and reasonable explanation indicates a potential risk for abuse. The child may warrant further evaluation and consultation with an expert in child abuse should be considered.
In addition to using the data in this app, the user should always check with a doctor before making any medical decisions.
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Information
- Size
- 152.9 MB
- Category
- Medical
- Compatibility
Requires iOS 9.0 or later.
- iPhone
Requires iOS 9.0 or later.
• iPhone 5S
• iPhone 6
• iPhone 6 Plus
• iPhone 6S
• iPhone 6S Plus
• iPhone SE (1st generation)
• iPhone 7
• iPhone 7 Plus
• iPhone 8
• iPhone 8 Plus
• iPhone X
• iPhone XS
• iPhone XS Max
• iPhone XR
• iPhone 11
• iPhone 11 Pro
• iPhone 11 Pro Max
• iPhone SE (2nd generation)
• iPhone 12 mini
• iPhone 12
• iPhone 12 Pro
• iPhone 12 Pro Max
• iPhone 13 Pro
• iPhone 13 Pro Max
• iPhone 13 mini
• iPhone 13
• iPhone SE (3rd generation)
• iPhone 14
• iPhone 14 Plus
• iPhone 14 Pro
• iPhone 14 Pro Max
• iPhone 15
• iPhone 15 Plus
• iPhone 15 Pro
• iPhone 15 Pro Max
• iPhone 16
• iPhone 16 Plus
• iPhone 16 Pro
• iPhone 16 Pro Max
• iPhone 16e
• iPhone 17 Pro
• iPhone 17 Pro Max
• iPhone 17
• iPhone Air - iPad
Requires iPadOS 9.0 or later.
• iPad Air
• iPad Air Wi‑Fi + Cellular
• iPad mini 2
• iPad mini 2 Wi‑Fi + Cellular
• iPad Air 2
• iPad Air 2 Wi‑Fi + Cellular
• iPad mini 3
• iPad mini 3 Wi‑Fi + Cellular
• iPad mini 4
• iPad mini 4 Wi‑Fi + Cellular
• iPad Pro (12.9‑inch)
• iPad Pro (12.9‑inch) Wi‑Fi + Cellular
• iPad Pro (9.7‑inch)
• iPad Pro (9.7‑inch) Wi‑Fi + Cellular
• iPad (5th generation)
• iPad (5th generation) Wi‑Fi + Cellular
• iPad Pro (12.9‑inch) (2nd generation)
• iPad Pro (12.9‑inch) (2nd generation) Wi‑Fi + Cellular
• iPad Pro (10.5‑inch)
• iPad Pro (10.5‑inch) Wi‑Fi + Cellular
• iPad (6th generation)
• iPad (6th generation) Wi‑Fi + Cellular
• iPad Pro (11‑inch)
• iPad Pro (11‑inch) Wi‑Fi + Cellular
• iPad Pro (12.9‑inch) (3rd generation)
• iPad Pro (12.9‑inch) (3rd generation) Wi‑Fi + Cellular
• iPad mini (5th generation)
• iPad mini (5th generation) Wi‑Fi + Cellular
• iPad Air (3rd generation)
• iPad Air (3rd generation) Wi‑Fi + Cellular
• iPad (7th generation)
• iPad (7th generation) Wi‑Fi + Cellular
• iPad Pro (11‑inch) (2nd generation)
• iPad Pro (11‑inch) (2nd generation) Wi‑Fi + Cellular
• iPad Pro (12.9‑inch) (4th generation)
• iPad Pro (12.9‑inch) (4th generation) Wi‑Fi + Cellular
• iPad Air (4th generation)
• iPad Air (4th generation) Wi‑Fi + Cellular
• iPad (8th generation)
• iPad (8th generation) Wi‑Fi + Cellular
• iPad Pro (11-inch) (3rd generation)
• iPad Pro (11-inch) (3rd generation) Wi-Fi + Cellular
• iPad Pro (12.9-inch) (5th generation)
• iPad Pro (12.9-inch) (5th generation) Wi-Fi + Cellular
• iPad mini (6th generation)
• iPad mini (6th generation) Wi-Fi + Cellular
• iPad (9th generation)
• iPad (9th generation) Wi-Fi + Cellular
• iPad Air (5th generation)
• iPad Air (5th generation) Wi‑Fi + Cellular
• iPad (10th generation)
• iPad (10th generation) Wi‑Fi + Cellular
• iPad Pro (11‑inch) (4th generation)
• iPad Pro (11‑inch) (4th generation) Wi‑Fi + Cellular
• iPad Pro (12.9‑inch) (6th generation)
• iPad Pro (12.9‑inch) (6th generation) Wi‑Fi + Cellular
• iPad Air 11-inch (M2)
• iPad Air 11-inch (M2) Wi-Fi + Cellular
• iPad Air 13-inch (M2)
• iPad Air 13-inch (M2) Wi-Fi + Cellular
• iPad Pro 11-inch (M4)
• iPad Pro 11-inch (M4) Wi-Fi + Cellular
• iPad Pro 13-inch (M4)
• iPad Pro 13-inch (M4) Wi-Fi + Cellular
• iPad mini (A17 Pro)
• iPad mini (A17 Pro) Wi-Fi + Cellular
• iPad (A16)
• iPad (A16) Wi-Fi+ Cellular
• iPad Air 11-inch (M3)
• iPad Air 11-inch (M3) Wi-Fi + Cellular
• iPad Air 13-inch (M3)
• iPad Air 13-inch (M3) Wi-Fi + Cellular
• iPad Pro 11-inch (M5)
• iPad Pro 11-inch (M5) Wi-Fi + Cellular
• iPad Pro 13-inch (M5)
• iPad Pro 13-inch (M5) Wi-Fi + Cellular - iPod touch
Requires iOS 9.0 or later.
• iPod touch (6th generation)
• iPod touch (7th generation) - Apple Vision
Requires visionOS 1.0 or later.
- Age Rating
16+
- 16+
- Frequent
Medical Treatment Information
- Provider
igNew, LLC.
- igNew, LLC. has not identified itself as a trader for this app. If you are a consumer in the European Economic Area, consumer rights do not apply to agreements between you and the provider.
- Copyright
- © 2021 Ann & Robert H. Lurie Children's Hospital of Chicago