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Asylum-Seeking Children with Medical Complexity and Rare Diseases in a Tertiary Hospital in Switzerland
The aim of this study was to assess the characteristics of asylum-seeking children with medical complexity visiting a tertiary care hospital in Switzerland, detailing their underlying medical conditions and management. Asylum-seeking patients with frequent visits between January 2016 and December 20...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer US
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8233290/ https://www.ncbi.nlm.nih.gov/pubmed/33083944 http://dx.doi.org/10.1007/s10903-020-01100-8 |
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author | Buser, S. Brandenberger, J. Gmünder, M. Pohl, C. Ritz, N. |
author_facet | Buser, S. Brandenberger, J. Gmünder, M. Pohl, C. Ritz, N. |
author_sort | Buser, S. |
collection | PubMed |
description | The aim of this study was to assess the characteristics of asylum-seeking children with medical complexity visiting a tertiary care hospital in Switzerland, detailing their underlying medical conditions and management. Asylum-seeking patients with frequent visits between January 2016 and December 2017 were identified using administrative and electronic health records. Of 462 patients, 19 (4%) fulfilled the inclusion criteria with 811 (45%) visits. The age of the 19 patients ranged from 0 to 16.7 years (median of 7 years) with two main age groups identified: < 2 years and > 12 years. Nine (47%) patients originated from Syria. A total of 34/811(4%) visits were hospital admissions, 66/811 (8%) emergency department visits and 320/811(39%) outpatient department visits. In children < 2 years genetic diseases (5/8; 63%) and nutritional problems (6/8; 75%) were most common; in adolescents, orthopedic diseases (4/8; 50%) and mental health problems (4/8; 50%). Asylum-seeking children with medical complexity represent a small but important group of patients requiring frequent medical consultations. The high proportion of young patients with genetic diseases and severe nutritional problems suggests that new strategies are required in the management of this specific group of asylum-seeking children. This could be achieved by improved co-ordination between hospital and non-hospital care exploring options for integrated care. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1007/s10903-020-01100-8) contains supplementary material, which is available to authorized users. |
format | Online Article Text |
id | pubmed-8233290 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Springer US |
record_format | MEDLINE/PubMed |
spelling | pubmed-82332902021-07-09 Asylum-Seeking Children with Medical Complexity and Rare Diseases in a Tertiary Hospital in Switzerland Buser, S. Brandenberger, J. Gmünder, M. Pohl, C. Ritz, N. J Immigr Minor Health Original Paper The aim of this study was to assess the characteristics of asylum-seeking children with medical complexity visiting a tertiary care hospital in Switzerland, detailing their underlying medical conditions and management. Asylum-seeking patients with frequent visits between January 2016 and December 2017 were identified using administrative and electronic health records. Of 462 patients, 19 (4%) fulfilled the inclusion criteria with 811 (45%) visits. The age of the 19 patients ranged from 0 to 16.7 years (median of 7 years) with two main age groups identified: < 2 years and > 12 years. Nine (47%) patients originated from Syria. A total of 34/811(4%) visits were hospital admissions, 66/811 (8%) emergency department visits and 320/811(39%) outpatient department visits. In children < 2 years genetic diseases (5/8; 63%) and nutritional problems (6/8; 75%) were most common; in adolescents, orthopedic diseases (4/8; 50%) and mental health problems (4/8; 50%). Asylum-seeking children with medical complexity represent a small but important group of patients requiring frequent medical consultations. The high proportion of young patients with genetic diseases and severe nutritional problems suggests that new strategies are required in the management of this specific group of asylum-seeking children. This could be achieved by improved co-ordination between hospital and non-hospital care exploring options for integrated care. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1007/s10903-020-01100-8) contains supplementary material, which is available to authorized users. Springer US 2020-10-20 2021 /pmc/articles/PMC8233290/ /pubmed/33083944 http://dx.doi.org/10.1007/s10903-020-01100-8 Text en © The Author(s) 2020 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Original Paper Buser, S. Brandenberger, J. Gmünder, M. Pohl, C. Ritz, N. Asylum-Seeking Children with Medical Complexity and Rare Diseases in a Tertiary Hospital in Switzerland |
title | Asylum-Seeking Children with Medical Complexity and Rare Diseases in a Tertiary Hospital in Switzerland |
title_full | Asylum-Seeking Children with Medical Complexity and Rare Diseases in a Tertiary Hospital in Switzerland |
title_fullStr | Asylum-Seeking Children with Medical Complexity and Rare Diseases in a Tertiary Hospital in Switzerland |
title_full_unstemmed | Asylum-Seeking Children with Medical Complexity and Rare Diseases in a Tertiary Hospital in Switzerland |
title_short | Asylum-Seeking Children with Medical Complexity and Rare Diseases in a Tertiary Hospital in Switzerland |
title_sort | asylum-seeking children with medical complexity and rare diseases in a tertiary hospital in switzerland |
topic | Original Paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8233290/ https://www.ncbi.nlm.nih.gov/pubmed/33083944 http://dx.doi.org/10.1007/s10903-020-01100-8 |
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