关键词: Accidental Falls Geography Global Burden Of Disease Healthcare disparities

来  源:   DOI:10.1136/tsaco-2023-001308   PDF(Pubmed)

Abstract:
UNASSIGNED: Socio-economic and political events of recent years have caused a significant increase in immigrants attempting to illegally cross the United States (US)-Mexico border. While a 30-foot border wall separates the US and Mexico, immigrants from around the world have used this location as their point of entry to the US. These border crossings have led to a dramatic increase in major trauma resulting in increased inpatient resource utilization and the need for comprehensive hospital services. The aim of this study was to describe the nationality of injured immigrants admitted to a Trauma Center serving a segment of the US-Mexico border wall and to report their ultimate destinations after discharge.
UNASSIGNED: We performed a retrospective review of patients admitted to an academic, Level 1 Trauma Center after injury at the US-Mexico border wall from 2021 to 2022. Demographic information was obtained from the trauma registry. The electronic medical record was searched to identify each patient\'s self-reported country of origin. Patients\' nationality was then stratified by region of the world to understand geographic representation of border injury admissions.
UNASSIGNED: We identified 597 patients injured while crossing the US-Mexico border wall representing 38 different countries. The mean age of patients was 32.2±10.4 years and 446 (75%) were male. Most patients (405, 67.8%) were Mexican, followed by 23 (3.9%) patients from Peru, 17 (2.8%) patients from India, 14 (2.3%) patients from El Salvador, 13 (2.2%) patients from Cuba and 12 (2.0%) patients from Jamaica. When considering regions of the world other than Mexico, patients were most commonly from Africa, South America and Central America.
UNASSIGNED: The increased volume of trauma associated with the US-Mexico border wall is a humanitarian and health crisis.(1) The diverse national origin of patients admitted after injury from border wall falls has shed new light on the social and interpreter services needed to care for these border injury patients and the challenges that exist in their post-discharge care.
摘要:
近年来的社会经济和政治事件导致试图非法越过美国(美国)-墨西哥边境的移民大量增加。虽然30英尺高的边境墙将美国和墨西哥隔开,来自世界各地的移民都把这个地方作为他们进入美国的入口。这些过境点导致重大创伤急剧增加,导致住院资源利用率增加,需要全面的医院服务。这项研究的目的是描述受伤移民的国籍,这些移民被送往为美墨边境墙的一部分服务的创伤中心,并报告出院后的最终目的地。
我们对收治的患者进行了回顾性研究,2021年至2022年在美墨边境墙受伤后的1级创伤中心。从创伤登记处获得了人口统计信息。搜索电子病历以确定每个患者自我报告的原籍国。然后按世界地区对患者的国籍进行分层,以了解边界伤害入院的地理代表。
我们确定了597名患者在穿越美国-墨西哥边界墙时受伤,代表38个不同国家。患者的平均年龄为32.2±10.4岁,男性为446名(75%)。大多数患者(405,67.8%)是墨西哥人,其次是来自秘鲁的23名(3.9%)患者,17名(2.8%)来自印度的患者,来自萨尔瓦多的14名(2.3%)患者,来自古巴的13例(2.2%)患者和来自牙买加的12例(2.0%)患者。考虑到墨西哥以外的其他地区,患者通常来自非洲,南美洲和中美洲。
与美墨边境墙相关的创伤量增加是人道主义和健康危机。(1)因边界墙倒塌而受伤后入院的患者的国籍多样化,为照顾这些边界受伤患者所需的社会和翻译服务以及出院后护理中存在的挑战提供了新的思路。
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