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. 2024 Nov 10;40(1):301.
doi: 10.1007/s00383-024-05886-8.

Medical Alert Cards for patients with an anorectal malformation: a useful tool to increase awareness

Elizaveta Bokova  1 , Ismael Elhalaby  1   2 , Ninad Prasade  1 , Margaret Martin-McLain  1 , Wendy E Lewis  1 , Christine N Feira  1 , Irene Isabel P Lim  1   3 , Rebecca M Rentea  4   5
Affiliations

Medical Alert Cards for patients with an anorectal malformation: a useful tool to increase awareness

Elizaveta Bokova et al. Pediatr Surg Int. .

Abstract

Purpose: Anorectal malformations (ARMs) are rare congenital anomalies causing altered anatomy and frequent hospitalizations. Parental awareness and clear communication are crucial in family-centered care. This study assesses the impact of patient-held ARM Medical Alert Cards on healthcare providers and caregivers.

Methods: Caregivers of children with ARMs, including cloacal anomalies, received Medical Alert Cards with (1) contact details; (2) disease-related information; and (3) patient-specific data. A survey evaluated these cards' effectiveness in enhancing ARM awareness among healthcare professionals and caregivers.

Results: Among 33 respondents, 29 (88%) found the cards helpful in increasing ARM awareness. Both caregivers and providers found the content coherent, with a median readability score of 9 (IQR 8-10). The card layout was well-received by 30 out of 32 respondents (94%), and all noted the clarity of the contact details, facilitating patient referrals to specialized care. Most caregivers (13 out of 14, 93%) expressed willingness to use these cards in medical settings. Suggestions for improvement included adding more patient-specific information, enhancing readability, and providing visual anatomy diagram.

Conclusion: Medical Alert Cards for patients with ARMs can enhance understanding of ARMs among caregivers and healthcare providers, serving as a vital tool in patient-centered management strategies tailored to individual needs.

Keywords: Anorectal malformation; Cloaca; Family-centered care; Healthcare communication; Medical Alert Cards; Pediatric surgery.

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