Zhao C, Starke M, Tompson, J, et al. - The intent of this research was to establish an evidence-based likelihood of nonaccidental trauma (NAT) in a child presenting with a fracture. Researchers distinguished all available pediatric inpatients including with an extremity or spine fracture using the 2012 Kids' Inpatient Database. Children with a fracture were subdivided based on the diagnosis of NAT. They applied multivariate analysis using multiple logistic regression to produce odds ratios and create a predictive model for the probability of NAT in a child with a fracture. A total of 57,183 were included in this study. They distinguished an overall prevalence of 1.54% of NAT in children admitted to the hospital with a fracture using a large, national inpatient database. Based on five independent predictors of NAT, they generated a calculated probability chart that can be utilized in the clinical workup of a child with a fracture and possible NAT. This evidence-based algorithm requires to be confirmed in clinical practice.