Pediatric Emergency Department, Children's Hospital, Toulouse University Hospital, TSA 70034, 330, Avenue de Grande Bretagne, 31059 Toulouse cedex 9, France.
UMR 1027, INSERM, Paul-Sabatier University, UPS, 31059 Toulouse cedex 9, France.
Arch Pediatr. 2021 Oct;28(7):514-519. doi: 10.1016/j.arcped.2021.08.002. Epub 2021 Sep 10.
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.
如今，每 8 名移民中就有 1 名儿童，每 2 名难民中就有 1 名儿童。由于这一人群的研究比成年人群体少，因此有关儿科移民人口的健康状况以及他们寻求医疗的原因的数据很少。
本研究旨在描述儿科移民人群的社会人口学和医学特征，以便更好地了解他们的特殊需求。
这是一项回顾性观察研究，使用了 2018 年 1 月 1 日至 12 月 31 日期间访问图卢兹儿科急诊部的移民儿童的病历和社会调查数据。
共分析了 203 名移民儿童，即 344 次急诊就诊。儿童的平均年龄为 3.3 岁。超过一半（58.1%）的儿童来自东欧；71%因传染病就诊。就诊原因的严重程度（90%的就诊原因 CCMU（急诊患者临床分类）为 1 或 2）和住院率（9%）在儿科移民人群中并不高于普通儿科人群。我们发现与移民有关的相关诊断（例如，疥疮、贫血、口腔和牙齿疾病）以及由此产生的脆弱性。在分析的 78%的就诊中存在语言障碍，专业口译的使用率低（7%）。
由于他们的旅程，移民儿童可能有特定的健康需求，需要专门的护理。
