Comparison of between Syrian Patients and Turkish Patients Who Admitted to the Pediatric Emergency Department: Experince of Ege University

Introduction: The Syrian Civil War began four years ago, has displaced 7.5 million Syrians. As expected, children have been particularly impacted by the refugee crisis. This study aimed to determine the rate of Syrian children admitted to the emergency department. It is also tried to identify their resource needs and their comparison with Turkish children. Methods: We are a multidisciplinary University Pediatric Emergency Department, and seeing about 55,000 patients per year. All patients admitted to our emergency department are grouped and labeled according to their occupation and country of origin. The database was sought for patients admitted between January 1, 2014 and December 31, 2014. All Syrian patients were included. Baseline demographic data (age, gender) and clinical data (admission date, cause of presentation) were obtained. We also evaluated frequency of resource requirements (laboratory, ECG, treatment, specialty consultation etc.), rate of hospitalization and intensive care admission. Results: Two hundred and seventeen Syrian patients were admitted to our emergency department during the study period. The frequency of Syrian admission was 0.4%. Seventy-two percent (71.9 %, n=156) were male and the mean age was 3.4 ± 4.1 years. We observed that Syrian patients had a significantly higher rate of specialty consultation, hospitalization and intensive care admission compared with Turkish patients, respectively (18% vs. 10%), (14.2% vs. 5.6%) and (4.5% vs.0.3%). Conclusion: Syrian patients presented to emergency department with more serious illness. This can be explained with the main problems of Syrian refugees such as hunger, lack of hygiene and lack of medical care. CAYD 2015;2(3):133-6.

[1]  E. Gualdi-Russo,et al.  Health, growth and psychosocial adaptation of immigrant children. , 2014, European journal of public health.

[2]  Joshua S. Davis,et al.  Use of Royal Darwin Hospital emergency department by immigration detainees in 2011 , 2013, The Medical journal of Australia.

[3]  C. Rousseau,et al.  Uninsured immigrant and refugee children presenting to Canadian paediatric emergency departments: Disparities in help-seeking and service delivery. , 2013, Paediatrics & child health.

[4]  H. Simon,et al.  Effects of Immigration Enforcement Legislation on Hispanic Pediatric Patient Visits to the Pediatric Emergency Department , 2013, Clinical pediatrics.

[5]  Tuğba Karakaş,et al.  Araştırma Makalesi Kahramanmaraş İlinde 2011–2013 Yılları Arasında Tanı Konan Kutanöz Leyişmanyoz Olgularının Retrospektif Olarak Değerlendirilmesi , 2013 .

[6]  A. Exadaktylos,et al.  Acute health problems in African refugees , 2012, Wiener klinische Wochenschrift.

[7]  P. Vivier,et al.  Health Care Utilization of Refugee Children After Resettlement , 2012, Journal of Immigrant and Minority Health.

[8]  Julia Mueller,et al.  Mental health and healthcare utilization in adult asylum seekers. , 2010, Swiss medical weekly.

[9]  S. Saxena,et al.  Impact on and use of health services by international migrants: questionnaire survey of inner city London A&E attenders , 2006, BMC Health Services Research.

[10]  A. Hyder,et al.  Child and young adult injuries among long-term Afghan refugees , 2005, International journal of injury control and safety promotion.

[11]  Raghbir Sandhu,et al.  A health assessment of refugee children from former Yugoslavia in Tarrant County. , 2003, Texas medicine.

[12]  B. Källén,et al.  Hospitalization in Sweden of children born to immigrants , 2003, Acta paediatrica.