Hatay State Hospital, Department of Pediatrics, Pediatric Intensive Care Unit, Hatay, Turkey.
Hatay State Hospital, Department of Pediatrics, Pediatric Intensive Care Unit, Hatay, Turkey.
Arch Pediatr. 2020 Nov;27(8):428-431. doi: 10.1016/j.arcped.2020.09.003. Epub 2020 Oct 1.
Since the civil war in Syria began, millions of Syrians have left the country and been forced to migrate to other countries. Turkey is the country with the most refugees hosting 3.6 million refugees. This study aimed to compare the PIM-3 score, PELOD-2 score, PELOD-2 predicted death rate (PDR), mortality rates, demographic data, and outcomes of patients admitted to pediatric intensive care units between refugee children living in Turkey, pediatric patients brought directly from the border by the emergency services, and the general Turkish population.
This was a retrospective study performed between February 2018 and February 2019 at Hatay State Hospital, very close to the Syrian border. The study included 158 patients. Patients were divided into three groups: Turkish citizens, those living in Turkey as refugees, and those brought from the border.
Of the patients, 57 were Turkish citizens, 33 were refugees, and 68 were brought from the border. For patients, the mean PIM-3 score was 25.62±27.70, the PELOD-2 score was 8.03±4.72, and PELOD2-PDR was 16.07±23.45. The median scores for PIM-3, PELOD-2, and PELOD2-PDR of patients brought from the Syrian border were higher compared with Turkish citizens and refugees. There was no significant difference between refugees and Turkish citizens. Of the patients, 27 died, with the distribution being 15% Turkish citizens, 26% refugees, and 59% brought from the border. The mortality of patients transported from the border was statistically significant (P=0.03).
We consider that the source of the difference between patients brought from the border and those living in Turkey may be associated with the continuing war beyond our borders and children experiencing insufficient care conditions. In conclusion, it is not just weapons that cause death in war, and children unfortunately suffer because of this situation.
自叙利亚内战开始以来，数以百万计的叙利亚人离开该国，被迫迁移到其他国家。土耳其是接纳难民人数最多的国家，拥有 360 万难民。本研究旨在比较居住在土耳其的难民儿童、由紧急服务部门直接从边境送来的儿科患者和土耳其普通人群的 PIM-3 评分、PELOD-2 评分、PELOD-2 预测死亡率（PDR）、死亡率、人口统计学数据和预后。
这是一项回顾性研究，于 2018 年 2 月至 2019 年 2 月在距离叙利亚边境非常近的哈塔伊州立医院进行。研究纳入了 158 名患者。患者分为三组：土耳其公民、居住在土耳其的难民和从边境送来的患者。
患者中，57 名是土耳其公民，33 名是难民，68 名是从边境送来的。患者的平均 PIM-3 评分为 25.62±27.70，PELOD-2 评分为 8.03±4.72，PELOD2-PDR 为 16.07±23.45。从叙利亚边境送来的患者的 PIM-3、PELOD-2 和 PELOD2-PDR 的中位数评分高于土耳其公民和难民。难民和土耳其公民之间没有显著差异。患者中有 27 人死亡，其中 15%是土耳其公民，26%是难民，59%是从边境送来的。从边境送来的患者的死亡率具有统计学意义（P=0.03）。
我们认为，从边境送来的患者与居住在土耳其的患者之间的差异可能与我们边境以外的持续战争以及儿童经历的护理条件不足有关。总之，战争中造成死亡的不仅仅是武器，儿童也不幸因此受到影响。
