Profile of Syrian Asylum-Seekers from Neurological Clinic in a Tertiary Center

Abstract

Background: The humanitarian response for Syria has been largely managed either from within Syria or from neighboring countries, particularly Turkey. This study was aimed at determining the sociodemographic and clinical profiles of Syrian asylum-seekers admitted to our clinic, changes in patient number across years, and the percentage of patients on follow-ups. Methods: Syrian patients who were admitted to the neurology outpatient clinics, neurology emergency department (ED), and hospitalized in the neurology clinics were included in the study. Age, gender, number of admissions, year of admissions, chief complaints, diagnoses, and follow-up percentages of patients were recorded. Results: The total number of Syrian patients who were first admitted to our hospital and consulted from other clinics, were found to be 763 (ED: 609 [79.8%], outpatient: 134 [17.6%] consultation: 20 [2.6%]). A total of 543 (96.1%) of the patients with a neurological disorder did not come to the follow-ups even though their conditions required regular follow-ups. The most common complaints were headache (24.2%), fainting (16.1%), weakness (11.9%), and dizziness (10%). Conclusion: Most of the patients admitted to our hospital did not come to the follow-ups and information regarding their treatments could not be obtained. Even though the Republic of Turkey provided the Syrian asylum-seekers with free medical care, utilization of these resources may be limited because of socioeconomic issues.

Neurologic Care of Forcibly Displaced Persons

“…In addition, FDPs have more frequent multimorbidity and higher incidences of headaches, musculoskeletal pains, and malnutrition-related conditions such as peripheral neuropathy. [17][18][19][20] Previously treated conditions, such as hypertension, may be more difficult to control during forced displacement. 16 There is a growing burden of traumatic and posttraumatic conditions in FDPs.…”

Importierte Infektionen des Zentralnervensystems

“…MigrantInnen/Flüchtlinge aus tropischen und/ oder subtropischen Regionen können sich -im Krankheitsfall -mit einer Vielzahl lokaler und regionaler Besonderheiten präsentieren; diese zu erkennen und richtig einzuordnen setzt detailliertes klinisches und epidemiologisches Wissen voraus. Neben "exotischen" Infektionskrankheiten muss bei neurologischen Symptomen auch an Malnutrition, Wasser-und Elektrolytmangel gedacht werden und besonders während der Migration oder in Flüchtlingslagern Nordafrikas oder des Vorderen Orients an physische und psychische Gewalt [4,5,6,7,8,9,10,11,12,13,14]. Eine detaillierte Anamnese bez.…”

“…Demgegenüber präsentieren sich MigrantInnen, AsylwerberInnen oder Flüchtlinge häufig spät und mit chronifizierten Beschwerden [5,9,15,16,17,18]. Allerdings kann natürlich jede/r MigrantIn akut an einer lokal erworbenen Infektion des ZNS (z.…”

Profile of neurological disorders in a tertiary center of education in orthopedics

“…10 Studies of neurological profiles of diagnoses in tertiary hospitals of another medical subspecialty are rare. [9][10][11] Moreover, neurology education is part of the medical residency program in orthopedics in Canada and Brazil. 12,13 The objective of this study was to describe the profile of neurological disorders in a tertiary center of education in orthopedics of the Brazilian Unified Health System (SUS, in the Portuguese acronym) in the metropolitan region of Rio de Janeiro.…”

“…10 Studies of neurological profiles of diagnoses in tertiary hospitals of another medical subspecialty are rare. 9 10 11 Moreover, neurology education is part of the medical residency program in orthopedics in Canada and Brazil. 12 13…”