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Description of a migrant pediatric population visiting the Toulouse Children's Hospital emergency department - 10/09/21

Doi : 10.1016/j.arcped.2021.08.002 
L. Zunino a, H. Colineaux b, I. Claudet a, C. Bréhin a, c,
a Pediatric Emergency Department, Children's Hospital, Toulouse University Hospital, TSA 70034, 330, Avenue de Grande Bretagne, 31059 Toulouse cedex 9, France 
b UMR 1027, INSERM, Paul-Sabatier University, UPS, 31059 Toulouse cedex 9, France 
c UMR 1416, INSERM, IRSD, 31059 Toulouse cedex 9, France 

Corresponding author at: Pediatric Emergency Department, Children's Hospital, Toulouse University Hospital, TSA 70034, 330, Avenue de Grande Bretagne, 31059 Toulouse cedex 9, France.Pediatric Emergency DepartmentChildren's HospitalToulouse University HospitalTSA 70034, 330, Avenue de Grande BretagneToulouse cedex 931059France
En prensa. Pruebas corregidas por el autor. Disponible en línea desde el Friday 10 September 2021
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Abstract

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

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

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

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

Because of the journey they make, migrant children are likely to have specific health needs and require dedicated care.

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Keywords : Migrant pediatric population, Emergency department


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 Conflict of interest: None.


© 2021  French Society of Pediatrics. Publicado por Elsevier Masson SAS. Todos los derechos reservados.
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