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A proposed pediatric risk stratification method (PRiSM) for disaster preparedness

Paul E Patterson1, Matthew T Scott1, Jonathan W Chooey1

  • 1Department of Pediatrics and Division of Developmental Behavioral Pediatrics, Madigan Army Medical Center, Joint Base Lewis-McChord, Washington.

American Journal of Disaster Medicine
|December 3, 2020
PubMed

Insights

A new framework, Pediatric Risk Stratification Method (PRiSM), addresses disaster preparedness for children. It integrates medical, educational, and social factors to assess pediatric vulnerability and inform future planning.

Area of Science:

  • Public Health
  • Disaster Medicine
  • Pediatrics

Background:

  • Children represent a uniquely vulnerable population during disasters.
  • Assessing pediatric risk in disasters is complex, extending beyond immediate medical needs.
  • Current disaster preparedness lacks comprehensive tools for children's multifaceted vulnerabilities.

Purpose of the Study:

  • To review existing literature on pediatric risk and disaster preparedness.
  • To identify current methodologies for risk stratification in children.
  • To propose a novel framework for stratifying pediatric risk in disaster scenarios.

Main Methods:

  • Literature review across two databases focusing on pediatric risk and disaster preparedness.
  • Assessment of existing risk stratification methodologies across medical, social, and educational domains.
  • Development of a proposed framework integrating these multiple domains.

Main Results:

  • No existing comprehensive risk stratification tool addresses multiple domains for children.
  • Medical, educational, and social domains are critically interrelated to pediatric disaster vulnerability.
  • A proposed Pediatric Risk Stratification Method (PRiSM) uses a three-digit alphanumeric guide based on integrated data.

Conclusions:

  • The proposed PRiSM framework offers a method for pre-disaster risk stratification of children.
  • This approach can better inform disaster planning and response for pediatric populations.
  • Integrating medical, educational, and social data enhances the assessment of children's disaster preparedness needs.
Abstract

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