McDonnell and Jacobs classified adverse drug reactions (ADRs) based on their severity. The authors are from Temple University in Philadelphia.
Parameters:
(1) duration of symptoms or injury
(2) impact on hospital stay
(3) specific therapy required
(4) life-threatening or fatal
Parameter
Severe (any of the following)
Moderate
Minor (all of the following)
duration
permanent
>= 24 hours
< 24 hours
impact on hospital stay
requires intensive care (admission to the ICU)
prolongs hospital stay by > 24 hours; requires hospital admission but not to ICU
does not prolong hospital stay (or does not require admission)
specific therapy or antidote required
NA
yes
no
life-threatening or fatal
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Purpose: To grade the severity of an adverse drug reaction (ADR) based on the classification of McDonnell and Jacobs.
Specialty: Toxicology, Emergency Medicine, Critical Care
Objective: severity, prognosis, stage, adverse effects
ICD-10: T36-T50,