关键词: Hospital admissions Hospital morbidity Migrant health Poland Refugee health Ukraine

Mesh : Child Humans Female Adult Transients and Migrants Poland Refugees Hospitals, General Hospitalization Incidence

来  源:   DOI:10.1186/s12889-023-17202-5   PDF(Pubmed)

Abstract:
Considering the rapid influx of Ukrainian migrants and war refugees into Poland, the knowledge of their health condition is becoming increasingly important for health system policy and planning. The aim of the study was to assess war-related changes in the frequency and structure of hospitalizations among Ukrainian migrants and refugees in Poland.
The study is based on the analysis of hospital admission records of Ukrainian patients, which were collected in the Nationwide General Hospital Morbidity Study from 01.01.2014 to 31.12.2022.
In the study period, 13,024 Ukrainians were hospitalized in Poland, 51.7% of whom had been admitted to hospital after February 24, 2022. After the war broke out, the average daily hospital admissions augmented from 2.1 to 21.6 person/day. A noticeable increase in the share of women (from 50% to 62%) and children (from 14% to 51%) was also observed. The average age of patients fell from 33.6 ± 0.2 years to 24.6 ± 0.3 years. The most frequently reported hospital events among the migrants until 23.02.2022 were injuries (S00-T98) - 26.1%, pregnancy, childbirth and the puerperium (O00-O99) - 18.4%, and factors influencing health status and contact with health services (Z00-Z99) - 8.4%. After the war started, the incidence of health problems among migrants and war refugees changed, with pregnancy, childbirth and the puerperium (O00-O99) being the most common - 14.9%, followed by abnormal clinical and lab findings (R00-R99) - 11.9%, and infectious and parasitic diseases (A00-B99) - 11.0%.
Our findings may support health policy planning and delivering adequate healthcare in refugee-hosting countries.
摘要:
背景:考虑到乌克兰移民和战争难民迅速涌入波兰,了解他们的健康状况对于卫生系统政策和规划变得越来越重要。该研究的目的是评估与战争有关的乌克兰移民和波兰难民住院频率和结构的变化。
方法:该研究基于对乌克兰患者入院记录的分析,从01.01.2014至31.12.2022的全国总医院发病率研究中收集。
结果:在研究期间,13,024名乌克兰人在波兰住院,其中51.7%在2022年2月24日之后入院。战争爆发后,平均每日住院人数从2.1人/天增加到21.6人/天。妇女(从50%到62%)和儿童(从14%到51%)的比例也明显增加。患者的平均年龄从33.6±0.2岁下降到24.6±0.3岁。在23.02.2022之前,移民中最常见的医院事件是受伤(S00-T98)-26.1%,怀孕,分娩和产褥期(O00-O99)-18.4%,以及影响健康状况和与卫生服务接触的因素(Z00-Z99)-8.4%。战争开始后,移民和战争难民的健康问题发生了变化,怀孕,分娩和产褥期(O00-O99)是最常见的-14.9%,其次是异常的临床和实验室检查结果(R00-R99)-11.9%,以及传染病和寄生虫病(A00-B99)-11.0%。
结论:我们的研究结果可能支持卫生政策规划和在难民收容国提供适当的医疗保健。
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