PMID: 16528435Mar 11, 2006Paper

Prudent layperson definition of an emergent pediatric medical condition

Clinical Pediatrics
Craig J HuangDaniel J Isaacman

Abstract

This study was designed to assess how well parents rated pediatric medical conditions based on their perceived degree of urgency so as to determine if the "Prudent Layperson Standard'' is reasonable. A self-administered, supervised survey was given to a convenience sample of 340 caregivers in the emergency department of an urban children's hospital. Respondents were asked to rank the urgency of 15 scenarios. A caregiver response within 1 point of the physician score was considered concordant with medical opinion. A 2-week-old infant with a rectal temperature of 103.7 degrees F was the only emergent scenario underestimated by caregivers. A 1 1/2-yr-old child with an upper respiratory tract infection, a 7-year-old child with ringworm, an 8-month-old infant with a simple forehead contusion, and a 4-year-old child with conjunctivitis were the non-urgent scenarios overestimated by caregivers. Laypeople are able to identify cases constructed to represent obvious pediatric medical emergencies. Several patient subgroups frequently overestimate medical urgency.

References

Oct 1, 1980·Annals of Emergency Medicine·M J GiffordG Gibson
Mar 1, 1995·Annals of Emergency Medicine·D W BakerR H Brook
Nov 1, 1996·The American Journal of Emergency Medicine·R C HuntT W Whitley
May 25, 1999·The Journal of Emergency Medicine·R W Derlet, A Ledesma
Nov 30, 1999·Annals of Emergency Medicine·J D Moody-WilliamsJ Athey
Jan 12, 2000·Pediatric Clinics of North America·D Hodge
Jan 25, 2000·The Journal of Emergency Medicine·R BrownM Carey
Feb 26, 2000·Annals of Emergency Medicine·J E Tintinalli

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Citations

Oct 2, 2012·Pediatric Emergency Care·Katrina KubicekMichele D Kipke

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