Munise YILDIZ, Betül KOZANHAN, Zafer ŞEN, Oğuzhan GÜNENC, Ayşe EĞİLMEZ

Evaluation of Surgical Procedures Needed for Refugees in Turkey:Retrospective study

ABSTRACT Objective: Surgical procedures are critical components of healthcare services; however, they are usually neglected during public health interventions due to misperceived high costs and limited benefits. Estimating surgical needs for refugee individuals in the host country would help humanitarian aid planning and strategical development of national surgery capacity for resource allocation. The present research aimed to analyze the surgical procedures of refugees. Methods: 2703 of 15725 hospitalized refugee patients, underwent a surgical procedure during February 2015 and December 2018. Demographic data of the patients such as age and gender, risk classification according to the American Society of Anesthesiologists (ASA), the anesthesia type, type of the surgical procedures, intraoperative blood transfusion rates, admission incidence to intensive care unit (ICU), and mortality rates were recorded. The surgical procedures divided into groups according to the surgical branches and analyzed. Results: Distribution of two-thirds of the surgical procedures among medical branches was obstetrics and gynecology, orthopedics and traumatology, general surgery and plastic, reconstructive, and aesthetic surgery. The most common surgical procedures were C-section, appendectomy, disorders of bone integrity, and wrist injuries. Conclusion: Approximately one sixth of the refugee patients treated in our hospital underwent various surgical procedures. Our results should be taken into account by governments in planning humanitarian assistance, budgeting sources, and improving surgical capacity for the rapidly growing number of refugees worldwide.

Keywords:

healthcare, refugee, surgery,

PDF

___

REFERENCES Referans1. UNHCR (2018) https://www.unhcr.org/globaltrends2018 (Accesed at 20.12.2019).
Referans2. Kirisci K. Refugee movements and Turkey. International migration (Geneva, Switzerland). 1991; 29(4): 545.
Referans3. Zha Y, Stewart B, Lee E, Remick KN, Rothstein DH, Groen RS, et al. Global estimation of surgical procedures needed for forcibly displaced persons. World journal of surgery 2016; 40(11): 2628-34.
Referans4. Meara JG, Leather AJ, Hagander L, Alkire BC, Alonso N, Ameh EA, et al. Global Surgery 2030: evidence and solutions for achieving health, welfare, and economic development. The Lancet. 2015; 386(9993): 569-624.
Referans5. Turkish Medical Association. Available from: http://www.ttb.org.tr/mevzuat/2005ek/sb_yonerge/044.html.
Referans6. Büyüktiryaki M, Canpolat FE, Dizdar EA, Okur N, Şimşek GK. Neonatal outcomes of Syrian refugees delivered in a tertiary hospital in Ankara, Turkey. Conflict and health 2015; 9(1): 38.
Referans7. Güngör ES, Seval O, İlhan G, Verit FF. Do Syrian refugees have increased risk for worser pregnancy outcomes? Results of a tertiary center in Istanbul. Turkish journal of obstetrics and gynecology 2018; 15(1): 23.
Referans8. Bilgen F, Ural A, Bekerecioglu M. Evaluation of Syrian Patients Treated in Our Clinic. Medical Journal of Kahramanmaras Sütcü İmam Univercity 2018; 14(1): 6-9.
Referans9. Oguz S, Tuygun N, Polat E, Akça H, Karacan CD. War and children: Effect of Syria civil war on a pediatric emergency department, 750 km away from the border. J Pediatr Emerg Intensive Care Med 2016; 3(3): 135.
Referans10. Ozdemir U, Tolunay O, Atmis A, Pehlivan D, Celik T, Kazgan ST, et al. Characteristics of refugee patients followed in the pediatric intensive care. J Pediatr Emerg Intensive Care Med 2016; 3(2): 86.
Referans11. Griffiths BB, Hunter RG. Neuroepigenetics of stress. Neuroscience 2014; 275: 420-35.
Referans12. Simic S, Idrizbegovic S, Jaganjac N, Boloban H, Puvacic J, Gallic A, et al. Nutritional effects of the siege on new-born babies in Sarajevo. European journal of clinical nutrition 1995; 49: S33.
Referans13. Albus C. Psychological and social factors in coronary heart disease. Annals of medicine 2010; 42(7): 487-94.
Referans14. Roohafza H, Talaei M, Sadeghi M, Mackie M, Sarafzadegan N. Association between acute and chronic life events on acute coronary syndrome: a case-control study. Journal of Cardiovascular Nursing 2010; 25(5): E1-E7.
Referans15. Byberg S, Agyemang C, Zwisler AD, Krasnik A, Norredam M. Cardiovascular disease incidence and survival: are migrants always worse off?. European journal of epidemiology 2016; 31(7): 667-77.
Referans16. Bo A, Zinckernagel L, Krasnik A, Petersen, JH, Norredam, M. Coronary heart disease incidence among non-Western immigrants compared to Danish-born people: effect of country of birth, migrant status, and income. European journal of preventive cardiology. 2015; 22(10): 1281-89.
Referans17. Hedlund E, Lange A, Hammar N. Acute myocardial infarction incidence in immigrants to Sweden. Country of birth, time since immigration, and time trends over 20 years. European journal of epidemiology 2007; 22(8): 493-503.
Referans18. Staikou C, Μakris A, Theodoraki K, Τsaroucha A, Douma A, Μoka E, et al. Current practice in obstetric anesthesia and analgesia in public hospitals of Greece: a 2016 national survey. Balkan medical journal 2018; 35(5): 394.
Referans19. Yazar MA, Tire Y, Kozanhan B. Communication difficulties in perioperative anesthesia management for immigrant and refugee patients. Medicine Science 2019; 8: 375-80.
Referans20. Kepekci AB. The Effects of Syrian Immigrants on Our Health System: Kilis State Hospital Operating Room Case Profile Changes over Years. Eurasian Journal of Medical Investigation 2019; 3(2): 127–131.