Injury characteristics and management of orthopaedic trauma in refugee children

Bayrak, Alkan; Öztürk, Vedat; Koluman, Alican; Ziroğlu, Nezih; Duramaz, Altuğ

doi:10.1007/s00264-021-04950-5

Cited by 7 publications

(8 citation statements)

References 16 publications

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“…In our study, 20% of the trauma patients required mechanical ventilation, and there was no significant difference between the two groups in terms of mechanical ventilation need. In a trauma study conducted in Turkey, it was reported that hospitalization was longer in refugee children (17). However, there was no significant difference in the length to stay in PICU and hospital between the two groups included in our study.…”

Section: Discussioncontrasting

confidence: 69%

Evaluation of Pediatric Trauma Patients Requiring Pediatric Intensive Care Follow-up and Identifying the Differences in Refugee Children

Emeksiz¹,

Koçkuzu²,

Yildiz³

et al. 2021

Turkish Journal of Pediatric Disease

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Objective: This study aimed to examine the causes and clinical course of trauma in trauma patients requiring pediatric intensive care unit (PICU) follow-up and evaluate possible differences related to demographic characteristics, trauma mechanism, trauma severity, and prognosis in refugee children. Material and Methods:The records of 175 patients admitted to our PICU between May 1, 2020 and April 30, 2021 with a preliminary diagnosis of trauma were retrospectively reviewed. The patients were divided into two groups as Turkish citizens and Syrian citizens (refugee children). The obtained data were compared between these two groups.Results: 119 (68%) were Turkish citizens and 56 (32%) were refugees. The median age of the Turkish citizens was 6 (3-12; IQR) years and the median age of the refugee patients was 4 (2-10; IQR) years (p = 0.092). Further, 70 (58.8%) of the Turkish citizens and 43 (76.8%) of the refugee patients were males (p = 0.027). In-vehicle traffic accidents were observed in 27 (22.7%) of the Turkish citizens and 4 (7.2%) of the refugee patients, with the difference being statistically significant (p = 0.011). The rate of non-vehicle traffic accident in the refugee patients was higher than that in the Turkish citizens (23.2% and 10%, respectively) (p = 0.035). Ten patients died due to trauma, of which 7 (5.8%) patients were Turkish citizens and 3 (5.3%) were refugee patients. Conclusion:In our study, we found that non-vehicle traffic accidents were more common in refugee patients, but there was no clinical difference between Turkish citizens and refugee patients. We think that more careful evaluation of immigrant problems, projects, and studies focused on the child population, improvement of socioeconomic conditions, and regular participation in the education system can reduce injury rates.

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Section: Discussioncontrasting

confidence: 69%

Evaluation of Pediatric Trauma Patients Requiring Pediatric Intensive Care Follow-up and Identifying the Differences in Refugee Children

Emeksiz¹,

Koçkuzu²,

Yildiz³

et al. 2021

Turkish Journal of Pediatric Disease

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“…From this, we could infer that the preferred activities of older children shifted in favor of more sedentary activities such as the use of mobile phones and screens; at the same time, surgical indications have evolved. Young children (1–5 years) seemed to be more active and may have been more involved in physical activities in 2019 compared with 1999 [ 1 , 2 , 3 , 4 , 5 , 6 , 7 , 8 , 9 ].…”

Section: Discussionmentioning

confidence: 99%

“…The epidemiology and distribution of pediatric fractures change over time and are influenced by a multitude of factors including geography, climate, and population characteristics such as lifestyle and demographics [ 1 , 2 , 3 ]. During the past two decades or so, dramatic demographic and socio-cultural modifications have influenced the epidemiology of pediatric fractures.…”

Section: Introductionmentioning

confidence: 99%

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Clinical Characteristics and Distribution of Pediatric Fractures at a Tertiary Hospital in Northern France: A 20-Year-Distance Comparative Analysis (1999–2019)

et al. 2022

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Background and objectives: The epidemiology and distribution of pediatric fractures change over time and are influenced by a multitude of factors including geography, climate, and population characteristics. The aims of our work were to study the distribution of traumatic pediatric orthopedic injuries admitted to the Lille University Hospital (LUH) Pediatric Emergency Department in 1999 and in 2019 and to analyze the epidemiological differences 20 years apart. Materials and methods: This was a retrospective, comparative, monocentric, and epidemiological study involving all children between 0 and 15 years and 3 months of age who consulted the pediatric emergencies of LUH from 1 January 1999 to 31 December 1999 and from 1 January 2019 to 31 December 2019. On admission, the following data were collected: sex, age at the time of injury, month and time of the day the trauma occurred (4:00 a.m to 11:59 a.m, 12:00 p.m. to 19:59 p.m, and 20:00 p.m to 3:59 a.m.), mechanism of injury, laterality (right or left), anatomical location, type of injury, and whether the fracture was closed or open. The type of treatment (orthopedic or surgical) was collected from the medical records. Results: A total of 939 children were included in 1999 compared with 781 in 2019 (21% decrease); the average age of children with fractures was significantly higher in 1999 (8.81 years) than in 2019 (7.19 years). This difference was explained by the majority involvement of older children (10–15 years) in 1999 (43% of fractures in 1999 versus 25% of fractures in 2019). Conversely, small children (1–5 years) had significantly more fractures in 2019 (36%) than in 1999 (24%). Conclusions: Overall, the types and sites of fractures did not change over the studied time despite a change in the population and mechanism of injury. This suggested that the reflexes of breaking a fall still tended to implicate and damage the same bone segments. Finally, the proportion of fractures managed surgically versus orthopedically has not evolved since 1999. Exploring this is a possible area of further research that would complement our study.

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“…Most articles describing treatment of war victims focus either on a specific medical specialty [ 37 – 41 ], or on a certain group of diseases [ 8 , 42 – 48 ], commonly PTSD [ 14 , 49 ]. Surgical trauma case series are a special group of interest in the literautre [ 50 – 53 ].…”

Section: Discussionmentioning

confidence: 99%

Medical aid to war victims in Syria in 2019: a report of organized healthcare support from a charity organization

Przepiórka

Boguszewski

Smuniewski

et al. 2022

BMC Health Serv Res

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Background In 2011, a civil war started in Syria, which is on-going and has reached a death toll of over 400,000 people. Humanitarian organizations, including Aid to The Church in Need (ACN), have strived to provide help and medical support to the civilian victims. Methods We performed a retrospective analysis of data gathered in ACN projects in Syria in 2019. The datasets included descriptions of diseases, treatments, costs, cities, and hospitals. For each patient, we assigned the following additional categories: type of help (treatment, diagnosis, or nonmedical), type of treatment (medical or surgical), medical specialty, gross anatomic region, and presence of trauma. Results A total of 3835 patients benefited from ACN support in Syria in 2019. The majority of financial support went towards treatment (78.4%), while other support went towards nonmedical help (15.7%) or providing a diagnosis (5.9%). Among treatments, 66.6% were medical and 33.4% surgical. The most common medical specialty was internal medicine (48.4%), followed by public health (13.7%) and surgery (7.3%). Anatomic region was undefined in 68.3% of cases and, when defined, was most commonly the abdominal cavity and pelvis (13%). The vast majority of cases 95.1%) were not associated with trauma. Procedural costs were highest in the Valley of Christians region, and lowest in Tartous. Network graphs were used to visualize the three most common diagnoses and treatments for each medical specialty. Conclusions The present report describes the treatment of war victims in Syria in 2019. The patients lacked the most basic medical or surgical healthcare. Charity organizations, like ACN, constitute a valuable source of information about the healthcare of war victims. Unfortunately, the methods of describing medical treatment provided to civilian victims remain underdeveloped. Future studies will require the cooperation of healthcare providers, humanists, and social workers. The present findings can help to optimize the provision of humanitarian help by charity organizations, by tailoring projects to the specific needs of Syrian war victims.

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Injury characteristics and management of orthopaedic trauma in refugee children

Cited by 7 publications

References 16 publications

Evaluation of Pediatric Trauma Patients Requiring Pediatric Intensive Care Follow-up and Identifying the Differences in Refugee Children

Evaluation of Pediatric Trauma Patients Requiring Pediatric Intensive Care Follow-up and Identifying the Differences in Refugee Children

Clinical Characteristics and Distribution of Pediatric Fractures at a Tertiary Hospital in Northern France: A 20-Year-Distance Comparative Analysis (1999–2019)

Medical aid to war victims in Syria in 2019: a report of organized healthcare support from a charity organization

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