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Pediatric Hospitalizations from Immigration Detention in Texas, 2015-2018
Joseph Nwadiuko1, Karla Fredricks2, Sarah Polk3
1Division of General Internal Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA; Department of Health Policy and Management, Fielding School of Public Health, University of California, Los Angeles, CA.
Insights
Hospitalizations for children in immigration detention are poorly understood. Infectious diseases were the primary cause for 60% of these pediatric hospitalizations, with many requiring intensive care.
Area of Science:
- Pediatric Health
- Public Health
- Immigration Health
Background:
- Limited data exist on the health status and hospital utilization of children within immigration detention settings.
- Previous research highlights general concerns about children's well-being in detention, but specific medical needs remain under-documented.
Observation:
- Analysis of Texas inpatient data from 2015-2018 identified 95 hospitalizations involving children in immigration detention.
- The study focused on pediatric inpatient encounters within a specific geographic and temporal scope.
Findings:
- Infectious causes were the predominant reason for hospitalization, accounting for 60% of all cases.
- A significant proportion, 37%, of these hospitalized children required admission to a critical care unit, such as an intensive care unit (ICU).
Implications:
- Findings underscore the substantial burden of infectious diseases among detained children, necessitating targeted public health interventions.
- The high rate of intensive care unit admissions suggests severe illness presentations, highlighting the need for enhanced medical surveillance and care within detention facilities.
- This study provides crucial data to inform policy and practice aimed at improving health outcomes for children in immigration detention.
Abstract:
Although there are concerns regarding children's health in immigration detention, there are little data regarding hospitalizations in this population. Using 2015-2018 Texas inpatient data, we identified 95 hospitalizations of children in detention and found that most (60%) were driven by infectious causes, and that 37% of these children were admitted to an intensive care unit (ICU) or intermediate ICU.
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