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Kidney Disease Profile of Syrian Refugee Children
Mehtap Akbalik Kara1, Beltinge Demircioglu Kilic, Nilgun Col
1Department of Pediatric Nephrology, School of Medicine, Gaziantep University, Gaziantep, Turkey. mehtapakbalik@hotmail.com.
Insights
Syrian refugee children admitted to the hospital frequently had congenital kidney abnormalities and chronic kidney disease. These findings highlight the impact of crisis on pediatric nephrology care and children
Area of Science:
- Pediatric Nephrology
- Public Health
- Refugee Health
Background:
- Preventative nephrology is crucial for childhood kidney diseases but challenging in crisis settings.
- Documenting kidney disease profiles in vulnerable populations is essential for targeted interventions.
Purpose of the Study:
- To characterize the kidney disease profile of Syrian refugee children admitted to a pediatric nephrology department.
- To identify common kidney morbidities and inform healthcare strategies.
Main Methods:
- Retrospective review of 130 Syrian refugee children admitted between September 2012 and January 2015.
- Data collection included demographics, medical history, clinical findings, laboratory results, diagnoses, and treatment outcomes.
Main Results:
- Congenital abnormalities of the kidney and urinary tract (26.2%) and chronic kidney disease (23.1%) were the most prevalent conditions.
- Nephrotic syndrome (18.5%) and enuresis (9.2%) were also significant morbidities.
- The study included 74 girls (59.6%) with an average age of 6.97 years.
Conclusions:
- Congenital kidney abnormalities and chronic kidney disease are highly prevalent in Syrian refugee children.
- Ongoing political instability may increase healthcare demands and impact children's quality of life.
- Continued provision of free healthcare is vital, but long-term solutions are needed.
Introduction:
Although preventative nephrology is the effective management of childhood kidney diseases, it is hard to provide it in this undesirable conditions. In this study, we aimed to document the kidney disease profile of Syrian refugee children admitted to our hospital.
Materials And Methods:
One hundred and thirty Syrian refugee children were admitted to the Pediatric Nephrology Department of the University of Gaziantep from September 2012 to January 2015. Demographic data, history, symptoms, physical examination findings, laboratory investigations, diagnosis, disease outcome, and therapeutic procedures such as peritoneal dialysis and hemodialysis were obtained from patient files.
Results:
Of the 130 admitted children, 74 were girls (59.6%). The average age was 6.97 ± 4.2 years (range, 1 month to 17 years). Congenital abnormalities of the kidney and urinary tract were found in 34 children (26.2%). Other morbidities were chronic kidney disease in 30 (23.1%), nephrotic syndrome in 24 (18.5%), urolithiasis in 9 (6.9%), acute kidney injury in 4 (3.1%), glomerulonephritis in 5 (3.8%), enuresis in 12 (9.2%), and others in 12 (9.2%).
Conclusions:
Congenital abnormalities of the kidney and urinary tract and chronic kidney disease were highly prevalent in Syrian refugee children. Although free health care have been provided to all of these children, the continuation of political crisis and instability would increase the number of admissions and affect the quality of life of those children in a different environment from the home country.
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