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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
Summary
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.
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