Common pediatric surgical diseases of refugee children: health around warzone
Idil Rana User1,2, Bulent Hayri Ozokutan3
1Department of Pediatric Surgery, Faculty of Medicine, Gaziantep University, Sahinbey, Turkey. idilranau@yahoo.com.
Insights
Pediatric refugee patients present with unique surgical issues, often preventable and exacerbated by poor living conditions. Early intervention and tailored care are crucial for this vulnerable population.
Area of Science:
- Pediatric Surgery
- Public Health
- Refugee Health
Background:
- Refugee children face unique health challenges due to displacement and limited access to care.
- Understanding their sociodemographic and medical profiles is crucial for effective healthcare provision.
Purpose of the Study:
- To evaluate the sociodemographic and medical features of child refugee patients.
- To identify specific health-related problems and diagnoses in this population.
Main Methods:
- Retrospective review of patient files from a pediatric surgery department (2012-2017).
- Inclusion of refugee children aged 0-16 years admitted during the study period.
Main Results:
- 254 children treated; mean age 4.6 years; male-to-female ratio 1.7.
- Common diagnoses: inguino-scrotal pathologies (19.7%), foreign body ingestion (14.6%), corrosive esophagitis (8.7%).
- 24.4% of admissions due to preventable trauma; 19.3% had comorbidities; 29.1% were underweight.
Conclusions:
- Refugee children's primary diagnoses differ from routine pediatric surgery cases.
- A significant proportion of admissions were for preventable conditions, linked to poor living conditions and migration.
- Comorbidities were frequent, potentially complicating treatment and highlighting the need for targeted interventions.
Purpose:
We aim to evaluate the sociodemographic and medical features of child-aged refugee patients and identify their health-related problems.
Methods:
Refugee 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.
Results:
A total of 254 patients with the mean age of 4.6 ± 4.15 years (0-16 years) 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.
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