Description of a migrant pediatric population visiting the Toulouse Children's Hospital emergency department.
Adolescent
Child
Child, Preschool
Emergency Service, Hospital
/ organization & administration
Female
France
/ epidemiology
Hospitals, Pediatric
/ organization & administration
Humans
Infant
Male
Patient Acceptance of Health Care
/ statistics & numerical data
Retrospective Studies
Transients and Migrants
/ statistics & numerical data
Emergency department
Migrant pediatric population
Journal
Archives de pediatrie : organe officiel de la Societe francaise de pediatrie
ISSN: 1769-664X
Titre abrégé: Arch Pediatr
Pays: France
ID NLM: 9421356
Informations de publication
Date de publication:
Oct 2021
Oct 2021
Historique:
received:
10
11
2020
revised:
20
05
2021
accepted:
09
08
2021
pubmed:
14
9
2021
medline:
30
11
2021
entrez:
13
9
2021
Statut:
ppublish
Résumé
Today, one in eight migrants and one in two refugees are children. Since this population has been less studied than the adult population, there is little data available on the state of health of this pediatric migrant population and the reasons they seek care. The objective of this study was to describe the sociodemographic and medical characteristics of a pediatric migrant population visiting an emergency department in order to better understand their specific needs. This was a retrospective observational study using data from medical records and social surveys of migrant children who had visited the Toulouse pediatric emergency department between 1 January 2018 and 31 December 2018. A total of 203 migrant children, i.e., 344 emergency visits, were analyzed. The average age of the children was 3.3 years old. More than half (58.1%) of the children were from Eastern Europe; 71% visited due to infectious pathologies. The severity of the reasons for visiting (90% of the reasons for visiting had a CCMU (Clinical Classification of Emergency Patients) of 1 or 2) and the hospitalization rate (9%) were not higher in the pediatric migrant population than in the general pediatric population. We discovered associated diagnoses (e.g., scabies, anemia, oral and dental disorders) in connection with migration and/or the resulting vulnerability. There was a language barrier in 78% of the visits analyzed with underuse of professional interpreting (7%). Because of the journey they make, migrant children are likely to have specific health needs and require dedicated care.
Sections du résumé
BACKGROUND
BACKGROUND
Today, one in eight migrants and one in two refugees are children. Since this population has been less studied than the adult population, there is little data available on the state of health of this pediatric migrant population and the reasons they seek care.
OBJECTIVE
OBJECTIVE
The objective of this study was to describe the sociodemographic and medical characteristics of a pediatric migrant population visiting an emergency department in order to better understand their specific needs.
MATERIALS AND METHODS
METHODS
This was a retrospective observational study using data from medical records and social surveys of migrant children who had visited the Toulouse pediatric emergency department between 1 January 2018 and 31 December 2018.
RESULTS
RESULTS
A total of 203 migrant children, i.e., 344 emergency visits, were analyzed. The average age of the children was 3.3 years old. More than half (58.1%) of the children were from Eastern Europe; 71% visited due to infectious pathologies. The severity of the reasons for visiting (90% of the reasons for visiting had a CCMU (Clinical Classification of Emergency Patients) of 1 or 2) and the hospitalization rate (9%) were not higher in the pediatric migrant population than in the general pediatric population. We discovered associated diagnoses (e.g., scabies, anemia, oral and dental disorders) in connection with migration and/or the resulting vulnerability. There was a language barrier in 78% of the visits analyzed with underuse of professional interpreting (7%).
CONCLUSION
CONCLUSIONS
Because of the journey they make, migrant children are likely to have specific health needs and require dedicated care.
Identifiants
pubmed: 34511280
pii: S0929-693X(21)00140-8
doi: 10.1016/j.arcped.2021.08.002
pii:
doi:
Types de publication
Journal Article
Observational Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
514-519Informations de copyright
Copyright © 2021 French Society of Pediatrics. Published by Elsevier Masson SAS. All rights reserved.