Publication:
Rates of emergency room visits and hospitalizations among refugee and resident children in a tertiary hospital in Turkey

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dc.contributor.authorBARIŞ, HATİCE EZGİ
dc.contributor.authorBORAN, PERRAN
dc.contributor.authorsBARIŞ H. E., Silahli N. Y., Gul N. A., Qutranji L., Goldhagen J., BORAN P.
dc.date.accessioned2023-06-15T08:42:11Z
dc.date.available2023-06-15T08:42:11Z
dc.date.issued2022-08-01
dc.description.abstractEvaluation of emergency department (ED) presentation by Syrian refugee children might provide important information about their health care needs. For this purpose, we compared ED presentation of refugee and resident children in a tertiary university hospital in Istanbul, Turkey. Electronic medical records of Syrian refugee children≤18 years old presenting to the ED between January 2013 and July 2019 were retrospectively reviewed and compared with resident children. The study population consisted of 7299 refugees and 690,127 resident children admitted to the ED. High-acuity cases were more frequent in Syrian refugees (2.2% vs 1% p<0.001). One-third of Syrian children were under 12 months of age (31% vs 17%, p<0.001). Syrian children were more commonly hospitalized (7.9% vs 3.1% p<0.001). The median age (and interquartile range – IQR) was lower in hospitalized refugee than in resident children [12 (0–83) months vs 41 (8–111) months, p<0.001]. Rate of intensive care unit hospitalization (13% vs 9.4%, p=0.001) and neonatal hospitalization was higher in Syrians compared to resident children (29% vs 12%, p<0.001). The median NICU stay was longer in refugees [6 (IQR 4–17) days vs 3 (IQR 1–9) days, p<0.001]. Conclusion: Refugee children, as compared to resident children, are more likely to present to the ED with high acuity conditions and at a younger age resulting in higher rates of inpatient admissions. Strategies to increase access to preventive health care services for young refugee children should be explored to decrease ED and hospital services and improve health outcomes.
dc.identifier.citationBARIŞ H. E., Silahli N. Y., Gul N. A., Qutranji L., Goldhagen J., BORAN P., "Rates of emergency room visits and hospitalizations among refugee and resident children in a tertiary hospital in Turkey", EUROPEAN JOURNAL OF PEDIATRICS, cilt.181, sa.8, ss.2953-2960, 2022
dc.identifier.doi10.1007/s00431-022-04499-4
dc.identifier.endpage2960
dc.identifier.issn0340-6199
dc.identifier.issue8
dc.identifier.startpage2953
dc.identifier.urihttps://link.springer.com/article/10.1007/s00431-022-04499-4
dc.identifier.urihttps://hdl.handle.net/11424/290291
dc.identifier.volume181
dc.language.isoeng
dc.relation.ispartofEUROPEAN JOURNAL OF PEDIATRICS
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectTıp
dc.subjectSağlık Bilimleri
dc.subjectDahili Tıp Bilimleri
dc.subjectÇocuk Sağlığı ve Hastalıkları
dc.subjectMedicine
dc.subjectHealth Sciences
dc.subjectInternal Medicine Sciences
dc.subjectChild Health and Diseases
dc.subjectPEDİATRİ
dc.subjectKlinik Tıp
dc.subjectKlinik Tıp (MED)
dc.subjectPEDIATRICS
dc.subjectCLINICAL MEDICINE
dc.subjectClinical Medicine (MED)
dc.subjectPediatri
dc.subjectPediatri, Perinatoloji ve Çocuk Sağlığı
dc.subjectPediatrics
dc.subjectPediatrics, Perinatology and Child Health
dc.subjectArmed conflict
dc.subjectChild
dc.subjectEmergency
dc.subjectHealthcare
dc.subjectRefugee
dc.subjectDEPARTMENTS
dc.subjectArmed conflict
dc.subjectChild
dc.subjectEmergency
dc.subjectHealthcare
dc.subjectRefugee
dc.titleRates of emergency room visits and hospitalizations among refugee and resident children in a tertiary hospital in Turkey
dc.typearticle
dspace.entity.typePublication
local.avesis.id291ceb30-8d9a-402f-a989-dcd7f907edfd
local.indexed.atWOS
local.indexed.atPUBMED
local.indexed.atSCOPUS
relation.isAuthorOfPublication700707f0-1267-4acc-90a5-9ba4c25b268f
relation.isAuthorOfPublication5d1cc862-b94a-4828-bfd3-273dc6b9469e
relation.isAuthorOfPublication.latestForDiscovery700707f0-1267-4acc-90a5-9ba4c25b268f

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