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Adult hospitalizations from immigration detention in Louisiana and Texas, 2015–2018

Poor health conditions within immigration detention facilities have attracted significant concerns from policymakers and activists alike. There is no systematic data on the causes of hospitalizations from immigration detention facilities or their relative morbidity. The objective of this study, ther...

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Autores principales: Nwadiuko, Joseph, Diaz, Chanelle, Yun, Katherine, Fredricks, Karla, Polk, Sarah, Shah, Sural, Mitra, Nandita, Long, Judith A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10022120/
https://www.ncbi.nlm.nih.gov/pubmed/36962489
http://dx.doi.org/10.1371/journal.pgph.0000432
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author Nwadiuko, Joseph
Diaz, Chanelle
Yun, Katherine
Fredricks, Karla
Polk, Sarah
Shah, Sural
Mitra, Nandita
Long, Judith A.
author_facet Nwadiuko, Joseph
Diaz, Chanelle
Yun, Katherine
Fredricks, Karla
Polk, Sarah
Shah, Sural
Mitra, Nandita
Long, Judith A.
author_sort Nwadiuko, Joseph
collection PubMed
description Poor health conditions within immigration detention facilities have attracted significant concerns from policymakers and activists alike. There is no systematic data on the causes of hospitalizations from immigration detention facilities or their relative morbidity. The objective of this study, therefore, was to analyze the causes of hospitalizations from immigration detention facilities, as well as the percentage of hospitalizations necessitating ICU or intermediate-ICU (i.e, “step-down”) admission and the types of surgical and interventional procedures conducted during these hospitalizations. We conducted a cross-sectional study of statewide adult (age 18 and greater) hospitalization data, with hospitalizations attributed to immigration facilities via payor designations (from Immigration and Customs Enforcement) and geospatial data in Texas and Louisiana from 2015–2018. Our analysis identified 5,215 hospitalizations of which 887 met inclusion criteria for analysis. Average age was 36 (standard deviation, 13.7), and 23.6% were female. The most common causes of hospitalization were related to infectious diseases (207, 23.3%) and psychiatric illness (147, 16.6%). 340 (38.3%) hospitalizations required a surgical or interventional procedure. Seventy-two (8.1%) hospitalizations required ICU admission and 175 (19.5%) required intermediate ICU. In this relatively young cohort, hospitalizations from immigration detention were accompanied with significant morbidity. Policymakers should mitigate the medical risks of immigration detention by improving access to medical and psychiatric care in facilities.
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spelling pubmed-100221202023-03-17 Adult hospitalizations from immigration detention in Louisiana and Texas, 2015–2018 Nwadiuko, Joseph Diaz, Chanelle Yun, Katherine Fredricks, Karla Polk, Sarah Shah, Sural Mitra, Nandita Long, Judith A. PLOS Glob Public Health Research Article Poor health conditions within immigration detention facilities have attracted significant concerns from policymakers and activists alike. There is no systematic data on the causes of hospitalizations from immigration detention facilities or their relative morbidity. The objective of this study, therefore, was to analyze the causes of hospitalizations from immigration detention facilities, as well as the percentage of hospitalizations necessitating ICU or intermediate-ICU (i.e, “step-down”) admission and the types of surgical and interventional procedures conducted during these hospitalizations. We conducted a cross-sectional study of statewide adult (age 18 and greater) hospitalization data, with hospitalizations attributed to immigration facilities via payor designations (from Immigration and Customs Enforcement) and geospatial data in Texas and Louisiana from 2015–2018. Our analysis identified 5,215 hospitalizations of which 887 met inclusion criteria for analysis. Average age was 36 (standard deviation, 13.7), and 23.6% were female. The most common causes of hospitalization were related to infectious diseases (207, 23.3%) and psychiatric illness (147, 16.6%). 340 (38.3%) hospitalizations required a surgical or interventional procedure. Seventy-two (8.1%) hospitalizations required ICU admission and 175 (19.5%) required intermediate ICU. In this relatively young cohort, hospitalizations from immigration detention were accompanied with significant morbidity. Policymakers should mitigate the medical risks of immigration detention by improving access to medical and psychiatric care in facilities. Public Library of Science 2022-08-03 /pmc/articles/PMC10022120/ /pubmed/36962489 http://dx.doi.org/10.1371/journal.pgph.0000432 Text en © 2022 Nwadiuko et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Nwadiuko, Joseph
Diaz, Chanelle
Yun, Katherine
Fredricks, Karla
Polk, Sarah
Shah, Sural
Mitra, Nandita
Long, Judith A.
Adult hospitalizations from immigration detention in Louisiana and Texas, 2015–2018
title Adult hospitalizations from immigration detention in Louisiana and Texas, 2015–2018
title_full Adult hospitalizations from immigration detention in Louisiana and Texas, 2015–2018
title_fullStr Adult hospitalizations from immigration detention in Louisiana and Texas, 2015–2018
title_full_unstemmed Adult hospitalizations from immigration detention in Louisiana and Texas, 2015–2018
title_short Adult hospitalizations from immigration detention in Louisiana and Texas, 2015–2018
title_sort adult hospitalizations from immigration detention in louisiana and texas, 2015–2018
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10022120/
https://www.ncbi.nlm.nih.gov/pubmed/36962489
http://dx.doi.org/10.1371/journal.pgph.0000432
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