2012-2016 tarihleri arasında on sekiz yaş altı Suriyeli hastaların acil servis başvurularının değerlendirilmesi: Hatay ili örneği
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Tarih
2019
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info:eu-repo/semantics/openAccess
Özet
Giriş: Savaşlar çok sayıda insanı etkileyebilen ve telafisi mümkün olmayan felaketlerdir. Yaralanma ve ölümler savaşların doğrudan etkisi olarak sayılmakta ve savaş bölgelerine yakın yerlerde bu etkiler daha fazla hissedilmektedir. Göç savaşın kaçınılmaz sonudur ve özellikle de kadınlar ve 18 yaş altı çocuklar savaşın en mağdurlarındandır. Çalışmamız, 18 yaş altı Suriyeli mültecilerin Hatay Mustafa Kemal Üniversitesi Sağlık Uygulama ve Araştırma Hastanesi Acil Servisi’ne, başvuru nedenleri ve epidemiyolojik özelliklerini ortaya koymak amacıyla yapılmıştır. Yöntemler: Hatay Mustafa Kemal Üniversitesi, Sağlık Uygulama ve Araştırma Hastanesi Acil Kliniği’ne 01.07.2012-01.05.2016 tarihleri arasında başvuran 18 yaş altı Suriye uyruklu hastaların acil servis verileri kullanılarak yapılmıştır. Tanımlayıcı bu çalışmada hastaların demografik verileri ve klinik bilgileri geriye dönük olarak incelenmiştir. Bulgular: Çalışmaya toplam 1038 hasta dahil edildi. Olguların 710’u (%68,4) erkek, 328’i (%31,6) kız olarak saptandı. Çalışmaya alınan hastaların ortalama yaşı 10,3±5,2 olarak belirlendi. Hasta başvurularının yıllara göre dağılımına bakıldığında en fazla %31,7 ile 2015 yılında olduğu saptandı. Olguların 552’si (%53,2) ayaktan tedavi edildiği ve diğer hastaların ise gerekli yataklı servise yatırıldığı belirlendi. Yataklı servise devredilen hastaların yatış sürelerinin ortancası 7 gün (1-163 gün) idi. Uluslararası İstatistiksel Sınıflaması10-versiyon 2016’ya göre en yaygın kabul tanısı Y24, ateşli silahla yaralanma diğer tanımlanmamış, (n=568, %54,7) olduğu saptandı. Sonuç: Suriye uyruklu hastaların acil servise çatışma bölgelerinden sevkinin en büyük kanıtı ateşli silah yaralanma tanısı ile gelmeleridir. Suriye’de çatışma ortamının halen sürdüğü varsayıldığında, sınır bölgesine yakın diğer üçüncü basamak hastanelerde Suriyeli olmayan hasta grubunun da dahil edildiği farklı çalışmalarla daha objektif sonuçlara varılabileceği düşünülmektedir
Introduction: Wars are disasters leading to irreversible consequences that affect great numbers of people. Injuries and deaths are considered to be direct effects of wars and these effects are felt more in places near war zones. Immigration is the inevitable result of war and especially women and children are the worst victims of war. Our study was conducted in order to reveal the reasons for intensive care unit admission and epidemiological characteristics of Syrian refugees under 18 years old who presented to Hatay Mustafa Kemal University Health Practice and Research Hospital. Methods: In this descriptive study, records of Syrian patients under 18 years of age, who were admitted to the emergency department at Hatay Mustafa Kemal University Medical Practice and Research Hospital between 01.07.2012 and 01.05.2016, were analyzed. Demographic characteristics and and clinical data of the patients were retrospectively reviewed. Results: A total of 1038 patients with the mean age of 10.3±5.2 years were included in the study. Seven hundred-ten (68.4%) of the patients were male and 328 (31.6%) were female. When the distribution of patient admissions according to the years was examined, it is found that the maximum rate was 31.7% in 2015. 552 of the patients (53.2%) were treated on outpatient basis and the rest were hospitalized. The average length of hospital stay was 7 days (1-163 days). The most common admitting diagnosis according to the International Classification of Diseases-10 2016 was Y24, firearm injury and other unspecified conditions (n=568, 54.7%). Conclusion: Admitting diagnosis of firearm injuries among Syrian nationals was the strongest evidence for referral from conflict areas. Since the conflict in Syria is still ongoing, it is thought that more objective results can be obtained with different studies including nonSyrian patient groups in other tertiary hospitals near the border region.
Introduction: Wars are disasters leading to irreversible consequences that affect great numbers of people. Injuries and deaths are considered to be direct effects of wars and these effects are felt more in places near war zones. Immigration is the inevitable result of war and especially women and children are the worst victims of war. Our study was conducted in order to reveal the reasons for intensive care unit admission and epidemiological characteristics of Syrian refugees under 18 years old who presented to Hatay Mustafa Kemal University Health Practice and Research Hospital. Methods: In this descriptive study, records of Syrian patients under 18 years of age, who were admitted to the emergency department at Hatay Mustafa Kemal University Medical Practice and Research Hospital between 01.07.2012 and 01.05.2016, were analyzed. Demographic characteristics and and clinical data of the patients were retrospectively reviewed. Results: A total of 1038 patients with the mean age of 10.3±5.2 years were included in the study. Seven hundred-ten (68.4%) of the patients were male and 328 (31.6%) were female. When the distribution of patient admissions according to the years was examined, it is found that the maximum rate was 31.7% in 2015. 552 of the patients (53.2%) were treated on outpatient basis and the rest were hospitalized. The average length of hospital stay was 7 days (1-163 days). The most common admitting diagnosis according to the International Classification of Diseases-10 2016 was Y24, firearm injury and other unspecified conditions (n=568, 54.7%). Conclusion: Admitting diagnosis of firearm injuries among Syrian nationals was the strongest evidence for referral from conflict areas. Since the conflict in Syria is still ongoing, it is thought that more objective results can be obtained with different studies including nonSyrian patient groups in other tertiary hospitals near the border region.
Açıklama
Anahtar Kelimeler
Suriye, Mülteci, Çocuk, ICD-10, Acil Servis, Syria, Refugee, Child, Emergency Department
Kaynak
Çocuk Acil ve Yoğun Bakım Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
6
Sayı
3
