Common pediatric surgical diseases of refugee children: health around warzone


User İ. R., Ozokutan B. H.

PEDIATRIC SURGERY INTERNATIONAL, vol.35, no.7, pp.803-806, 2019 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 35 Issue: 7
  • Publication Date: 2019
  • Doi Number: 10.1007/s00383-019-04479-0
  • Journal Name: PEDIATRIC SURGERY INTERNATIONAL
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.803-806
  • Hacettepe University Affiliated: Yes

Abstract

PurposeWe aim to evaluate the sociodemographic and medical features of child-aged refugee patients and identify their health-related problems.MethodsRefugee children admitted to pediatric surgery department of a teaching hospital during the years 2012-2017 were included. Patients' files were reviewed retrospectively for sociodemographic and medical features.ResultsA total of 254 patients with the mean age of 4.64.15years (0-16years) were treated. Male-to-female ratio was 1.7. Most common diagnosis were inguino-scrotal pathologies (n=50, 19.7%) followed by foreign body ingestion (n=37, 14.6%) and corrosive esophagitis (n=22, 8.7%). The cause of admission was a potentially preventable trauma in 24.4% of cases. Comorbid medical conditions were present in 49 patients (19.3%). Anemia was detected in 23.2% of cases. Weight according to age and gender were<3 percentile in 29.1% of patients. Difficulties in communication, lack of former medical history and advanced presentation of disease were the challenges faced by caregivers.Conclusion The primary diagnoses for admission of refugee children were different from the routine practice and a significant part were from preventable causes. Comorbidities were common potentially having a negative influence on treatment processes. This can be a result of unfavorable living conditions and lack of medical care during migration.