Öz
ÖZET
Amaç: Komşu ülkelerdeki iç savaşlar ve kötü yaşam koşulları nedeniyle mülteci sayısı artmaktadır. Bu çalışmada hastanemize başvuran mültecilerin demografik verileri ve başvuru nedenlerinin incelenmesi amaçlanmıştır.
Gereç ve Yöntemler: 2015-2019 yılları arasında ayaktan başvuran ve yatırılarak takip edien tüm mülteci kayıtları hastane otomasyon sisteminden değerlendirildi. Yıllar içinde toplam hasta sayısı ve tekrarlayan başvurular, hastaların yaşı, cinsiyeti, uyruğu gibi parametreler kaydedildi. Enfeksiyon Hastalıkları Kliniğine yatış nedenleri ve aşı ile önlenebilir hastalık olup olmadığı araştırıldı.
Bulgular: 5 yıllık süreçte toplam 92558 hasta 261095 kez hastaneye başvurdu. Tekrarlayan kabul oranı %59 (2017) ile %84 (2019) arasında değişmektedir. Hastaların yarısından fazlası 20-39 yaşları arasındaydı ve %48'i erkekti. Suriyeli mültecilerin oranı her zaman %60'ın üzerindeydi. Polikliniklerde takip edilen hasta sayısı 2015 yılında 1.407 iken 2019 yılında 7.109 oldu. 2019 yılı itibari ile dahili poliklinik başvurularında dört kat, cerrahi poliklinik başvurularında 2,5 kat artış oldu. Doğum sayıları yıllar itibariyle sırasıyla 479, 881, 850, 2651 ve 3091 olarak belirlenmiştir.Erişkin ve çocuk enfeksiyon hastalıkları kliniklerinde en sık yatış nedenleri pnömoni ve gastroenterit idi; hastaların 25'i akut viral hepatit, 21'i aşı ile önlenebilir hastalık, 11'i mukokutanöz leishmaniosis ve dördü sıtma tanısı aldı.
Sonuç: Hastanemize sevk edilen mülteci sayısı artmaktadır. Doğum, hastaneye yatış ve ameliyat sayıları, başvuru sayılarıyla orantılı olarak artmaktadır. Mültecilerin yaşam koşullarının iyileştirilmesi ve gerekli aşıların yapılması koruyucu hekimlik için önemini korumaktadır.
Anahtar Kelimeler
Kaynakça
- References 1. Kavukcu N, Altıntaş KH . The Challenges of the Health Care Providers in Refugee Settings: A Systematic Review. Prehosp Disaster Med. 2019 Apr;34(2):188-196. Epub 2019 Apr 10.
- 2. Tayfur I, Günaydin M , Suner S . Healthcare Service Access and Utilization among Syrian Refugees in Turkey. Ann Glob Health. 2019 Mar 20;85(1).
- 3. https://multeciler.org.tr/turkiyedeki-suriyeli-sayisi. Ulaşım tarihi: 15.06.2019
- 4. Ardic A, Esin MN , Koc S , Bayraktar B , Sunal N .Using the Omaha System to determine health problems of urban Syrian immigrants. Public Health Nurs. 2019 Mar;36(2):126-133. Epub 2018 Nov 22.
- 5. Saleh A., Aydın S., Koçak O. A comparative Study of Syrian Refugees in Turkey, Lebanon, and Jordan: Healthcare Access and Delivery. OPUS © Uluslararası Toplum Araştırmaları Dergisi. Yıl Year : 8 Cilt Volume:8 Sayı Issue :14 Nisan April 2018.
- 6. Baykan N, Aslaner MA. The use of emergency department and outpatient clinics by Syrian refugees. J Glob Health. 2019;9(2):020404. doi:10.7189/jogh.09.020404
- 7. Altıner AO, Tekeli Yeşil S. Emergency Medical Service (EMS) utilization by Syrian refugees residing in Ankara, Turkey. Prehosp Disaster Med. 2018;33(2):160-164.
- 8. Yüzbaşıoğlu Y, Çıkrıkçı Işık G. Retrospective analysis of forensic cases in refugees admitted to emergency department. Am J Emerg Med. 2019 Sep;37(9):1691-1693. doi: 10.1016/j.ajem.2018.12.010. Epub 2018 Dec 8.
- 9. Senadim, S., Uygun, E., Erdogan, M., Koksal, A., Soysal, A., Atakli, D. Profile of Syrian Asylum-Seekers from Neurological Clinic in a Tertiary Center. European Neurology. 2018; 249–253. doi:10.1159/000496807.
- 10. Turktan M, Ak O, Erdem H, Ozcengiz D, Hargreaves S, Kaya S et al. Community acquired infections among refugees leading to Intensive Care Unit admissions in Turkey.Int J Infect Dis. 2017 May;58:111-114. doi: 10.1016/j.ijid.2017.02.022. Epub 2017 Apr 15.
- 11. . https://multeciler.org.tr/turkiyedeki-suriyeli-sayisi. Ulaşım tarihi: 15.06.2019
- 12. Turkay Ü, Aydın Ü, Salıcı M, Çalışkan E, Terzi H, Astepe BS et al. Comparison of pregnant Turkish women and Syrian refugees: Does living as a refugee have an unfavorable effect on pregnancy outcomes? Int J Gynaecol Obstet. 2020 May;149(2):160-165. doi: 10.1002/ijgo.13117. Epub 2020 Mar 6.
- 13. Erenel H, Aydogan Mathyk B, Sal V, Ayhan I, Karatas S, Koc Bebek A. Clinical characteristics and pregnancy outcomes of Syrian refugees: a case-control study in a tertiary care hospital in Istanbul, Turkey. Arch Gynecol Obstet. 2017 Jan;295(1):45- 50. doi: 10.1007/s00404-016-4188-5. Epub 2016 Sep 2. 14. Steel, J.L., Dunlavy, A.C., Harding, C.E. et al. The Psychological Consequences of Pre-Emigration Trauma and Post-Migration Stress in Refugees and Immigrants from Africa. J Immigrant Minority Health 19, 523–532 (2017). https://doi.org/10.1007/s10903-016-0478-z.
- 15. Hamrah MS, Hoang H, Mond J, Pahlavanzade B, Charkazi A, Auckland S.Occurrence and correlates of depressive symptoms among the resettled Afghan refugees in a regional area of Australia. Early Interv Psychiatry. 2020 Apr 3. doi: 10.1111/eip.12957
- 16. Wong YJ, Lee SWH. Prevalence of latent tuberculosis among refugee children in Malaysia. ERJ Open Res. 2020 Mar 9;6(1). pii: 00254-2019. doi: 10.1183/23120541.00254-2019. eCollection 2020 Jan.
- 17. Türe Z, Demiraslan H, Tok T, Doganay M.Measles; One of the Reemerging Diseases. J Microbiol Infect Dis 2016; 06 (01) 19-22 doi:10.5799/jmid2016.01.0208.
- 18. Doganay M, Demiraslan H. Refugees of the Syrian Civil War: Impact on Reemerging Infections, Health Services, and Biosecurity in Turkey. Health Secur. 2016;14(4):220-5. doi: 10.1089/hs.2016.0054.
- 19. Ergönül Ö, Tülek N, Kayı I, Irmak H, Erdem O, Dara M. Profiling infectious diseases in Turkey after the influx of 3.5 million Syrian refugees. Clin Microbiol Infect. 2020;26(3):307‐312. doi:10.1016/j.cmi.2019.06.022
Öz
Abstract
Objectives: Due to the civil wars and bad living conditions in neighboring countries, the number of refugees has been increasing. In this study, it was aimed to examine the demographic data of the refugees who admitted to our hospital, and the reasons for their admissions.
Material and Methods: All refugee records that admitted to outpatient and inpatient clinics between 2015-2019 were evaluated from the hospital automation system. Over the years, parameters such as total number of patients, and repeated admissions, age, gender, and nationality of the patients were recorded. The reasons for the hospitalization in the Infectious Diseases Clinic and whether there were any vaccine-preventable diseases were investigated.
Results: In a 5-year period, a total of 92558 patients admitted to the hospital for 261095 times. Recurrent admission rate ranged from 59% (2017) to 84% (2019). More than half of the patients were between the ages of 20-39 and, 48% were male. The percentage of Syrian refugees was always above 60%. While the number of patients followed in inpatient clinics was 1.407 in 2015, it was 7.109 in 2019. By 2019, there was a four-fold increase in internal outpatient and 2.5-fold increase in surgical outpatient clinic admissions. The number of births has been determined as 479, 881, 850, 2651 and 3091, respectively over the years. Pneumonia and gastroenteritis were the most common reasons for hospitalization in adult and pediatric infectious diseases clinics; of the patients, 25 were diagnosed with acute viral hepatitis, 21 were vaccine-preventable diseases, 11 were diagnosed with mucocutaneous leishmaniosis, and four patients with malaria.
Conclusion: The number of refugees referred to our hospital has been increasing. The number of births, hospitalizations and operations increases in proportion to the admission numbers. The improvement of the living conditions of the refugees and the necessary immunization remain important for preventive medicine.
Anahtar Kelimeler
Kaynakça
- References 1. Kavukcu N, Altıntaş KH . The Challenges of the Health Care Providers in Refugee Settings: A Systematic Review. Prehosp Disaster Med. 2019 Apr;34(2):188-196. Epub 2019 Apr 10.
- 2. Tayfur I, Günaydin M , Suner S . Healthcare Service Access and Utilization among Syrian Refugees in Turkey. Ann Glob Health. 2019 Mar 20;85(1).
- 3. https://multeciler.org.tr/turkiyedeki-suriyeli-sayisi. Ulaşım tarihi: 15.06.2019
- 4. Ardic A, Esin MN , Koc S , Bayraktar B , Sunal N .Using the Omaha System to determine health problems of urban Syrian immigrants. Public Health Nurs. 2019 Mar;36(2):126-133. Epub 2018 Nov 22.
- 5. Saleh A., Aydın S., Koçak O. A comparative Study of Syrian Refugees in Turkey, Lebanon, and Jordan: Healthcare Access and Delivery. OPUS © Uluslararası Toplum Araştırmaları Dergisi. Yıl Year : 8 Cilt Volume:8 Sayı Issue :14 Nisan April 2018.
- 6. Baykan N, Aslaner MA. The use of emergency department and outpatient clinics by Syrian refugees. J Glob Health. 2019;9(2):020404. doi:10.7189/jogh.09.020404
- 7. Altıner AO, Tekeli Yeşil S. Emergency Medical Service (EMS) utilization by Syrian refugees residing in Ankara, Turkey. Prehosp Disaster Med. 2018;33(2):160-164.
- 8. Yüzbaşıoğlu Y, Çıkrıkçı Işık G. Retrospective analysis of forensic cases in refugees admitted to emergency department. Am J Emerg Med. 2019 Sep;37(9):1691-1693. doi: 10.1016/j.ajem.2018.12.010. Epub 2018 Dec 8.
- 9. Senadim, S., Uygun, E., Erdogan, M., Koksal, A., Soysal, A., Atakli, D. Profile of Syrian Asylum-Seekers from Neurological Clinic in a Tertiary Center. European Neurology. 2018; 249–253. doi:10.1159/000496807.
- 10. Turktan M, Ak O, Erdem H, Ozcengiz D, Hargreaves S, Kaya S et al. Community acquired infections among refugees leading to Intensive Care Unit admissions in Turkey.Int J Infect Dis. 2017 May;58:111-114. doi: 10.1016/j.ijid.2017.02.022. Epub 2017 Apr 15.
- 11. . https://multeciler.org.tr/turkiyedeki-suriyeli-sayisi. Ulaşım tarihi: 15.06.2019
- 12. Turkay Ü, Aydın Ü, Salıcı M, Çalışkan E, Terzi H, Astepe BS et al. Comparison of pregnant Turkish women and Syrian refugees: Does living as a refugee have an unfavorable effect on pregnancy outcomes? Int J Gynaecol Obstet. 2020 May;149(2):160-165. doi: 10.1002/ijgo.13117. Epub 2020 Mar 6.
- 13. Erenel H, Aydogan Mathyk B, Sal V, Ayhan I, Karatas S, Koc Bebek A. Clinical characteristics and pregnancy outcomes of Syrian refugees: a case-control study in a tertiary care hospital in Istanbul, Turkey. Arch Gynecol Obstet. 2017 Jan;295(1):45- 50. doi: 10.1007/s00404-016-4188-5. Epub 2016 Sep 2. 14. Steel, J.L., Dunlavy, A.C., Harding, C.E. et al. The Psychological Consequences of Pre-Emigration Trauma and Post-Migration Stress in Refugees and Immigrants from Africa. J Immigrant Minority Health 19, 523–532 (2017). https://doi.org/10.1007/s10903-016-0478-z.
- 15. Hamrah MS, Hoang H, Mond J, Pahlavanzade B, Charkazi A, Auckland S.Occurrence and correlates of depressive symptoms among the resettled Afghan refugees in a regional area of Australia. Early Interv Psychiatry. 2020 Apr 3. doi: 10.1111/eip.12957
- 16. Wong YJ, Lee SWH. Prevalence of latent tuberculosis among refugee children in Malaysia. ERJ Open Res. 2020 Mar 9;6(1). pii: 00254-2019. doi: 10.1183/23120541.00254-2019. eCollection 2020 Jan.
- 17. Türe Z, Demiraslan H, Tok T, Doganay M.Measles; One of the Reemerging Diseases. J Microbiol Infect Dis 2016; 06 (01) 19-22 doi:10.5799/jmid2016.01.0208.
- 18. Doganay M, Demiraslan H. Refugees of the Syrian Civil War: Impact on Reemerging Infections, Health Services, and Biosecurity in Turkey. Health Secur. 2016;14(4):220-5. doi: 10.1089/hs.2016.0054.
- 19. Ergönül Ö, Tülek N, Kayı I, Irmak H, Erdem O, Dara M. Profiling infectious diseases in Turkey after the influx of 3.5 million Syrian refugees. Clin Microbiol Infect. 2020;26(3):307‐312. doi:10.1016/j.cmi.2019.06.022
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Makale |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Aralık 2022 |
| Kabul Tarihi | 24 Kasım 2022 |
| Yayımlandığı Sayı | Yıl 2022 Cilt: 7 Sayı: 3 |
