Acute health problems in African refugees: ten years' experience in a Swiss emergency department.
Identifieur interne : 000169 ( Main/Exploration ); précédent : 000168; suivant : 000170Acute health problems in African refugees: ten years' experience in a Swiss emergency department.
Auteurs : Carmen A. Pfortmueller [Suisse] ; Fabienne Graf ; Malek Tabbara ; Malek Tabarra ; Gregor Lindner ; Heinz Zimmermann ; Aristomenis K. ExadaktylosSource :
- Wiener klinische Wochenschrift [ 1613-7671 ] ; 2012.
Descripteurs français
- KwdFr :
- Adolescent (MeSH), Adulte (MeSH), Adulte d'âge moyen (MeSH), Analyse de survie (MeSH), Enfant (MeSH), Enfant d'âge préscolaire (MeSH), Facteurs de risque (MeSH), Femelle (MeSH), Humains (MeSH), Jeune adulte (MeSH), Maladie aigüe (mortalité), Maladie aigüe (thérapie), Mâle (MeSH), Nourrisson (MeSH), Nouveau-né (MeSH), Population d'origine africaine (statistiques et données numériques), Prévalence (MeSH), Réfugiés (statistiques et données numériques), Répartition par sexe (MeSH), Répartition par âge (MeSH), Service hospitalier d'urgences (statistiques et données numériques), Suisse (épidémiologie), Sujet âgé (MeSH), Sujet âgé de 80 ans ou plus (MeSH), Taux de survie (MeSH), Émigrants et immigrants (statistiques et données numériques), Études longitudinales (MeSH).
- MESH :
- mortalité : Maladie aigüe.
- statistiques et données numériques : Population d'origine africaine, Réfugiés, Service hospitalier d'urgences, Émigrants et immigrants.
- thérapie : Maladie aigüe.
- épidémiologie : Suisse.
- Adolescent, Adulte, Adulte d'âge moyen, Analyse de survie, Enfant, Enfant d'âge préscolaire, Facteurs de risque, Femelle, Humains, Jeune adulte, Mâle, Nourrisson, Nouveau-né, Prévalence, Répartition par sexe, Répartition par âge, Sujet âgé, Sujet âgé de 80 ans ou plus, Taux de survie, Études longitudinales.
- Wicri :
- geographic : Suisse.
English descriptors
- KwdEn :
- Acute Disease (mortality), Acute Disease (therapy), Adolescent (MeSH), Adult (MeSH), African Continental Ancestry Group (statistics & numerical data), Age Distribution (MeSH), Aged (MeSH), Aged, 80 and over (MeSH), Child (MeSH), Child, Preschool (MeSH), Emergency Service, Hospital (statistics & numerical data), Emigrants and Immigrants (statistics & numerical data), Female (MeSH), Humans (MeSH), Infant (MeSH), Infant, Newborn (MeSH), Longitudinal Studies (MeSH), Male (MeSH), Middle Aged (MeSH), Prevalence (MeSH), Refugees (statistics & numerical data), Risk Factors (MeSH), Sex Distribution (MeSH), Survival Analysis (MeSH), Survival Rate (MeSH), Switzerland (epidemiology), Young Adult (MeSH).
- MESH :
- geographic , epidemiology : Switzerland.
- mortality : Acute Disease.
- statistics & numerical data : African Continental Ancestry Group, Emergency Service, Hospital, Emigrants and Immigrants, Refugees.
- therapy : Acute Disease.
- Adolescent, Adult, Age Distribution, Aged, Aged, 80 and over, Child, Child, Preschool, Female, Humans, Infant, Infant, Newborn, Longitudinal Studies, Male, Middle Aged, Prevalence, Risk Factors, Sex Distribution, Survival Analysis, Survival Rate, Young Adult.
Abstract
BACKGROUND
Over the last two decades, the total number of applications from Africans for asylum in the countries of the European Union has increased from 578,000 to more than 2.9 million. About 20 % (7,196/36,100) of the asylum seekers in Switzerland originate from Africa. The disease profile of African asylum seekers is remarkably different from that of the native population in the country of application. We have therefore conducted an analysis of African asylum seekers presenting themselves to our emergency department.
METHODS
In a retrospective analysis, the central patient registry database was searched for patients originating from Africa admitted from 1 January 2000 to 30 November 2011 and labelled as "Asylbewerber" (asylum seeker) or "Flüchtling" (refugee).
RESULTS
Three thousand six hundred and seventy-five African asylum seekers were admitted to our emergency department between 2000 and 2010. Thirty-four percent (n = 1,247) were female and 66 % (n = 2,426) male. Eighty percent (n = 1,940) of the men and 70 % (n = 823) of the women were younger than 40 years. Most of our patients originated from Algeria (n = 612). Forty-five percent (n = 1,628) of all patients presented with internal medical problems, 40 % (n = 1,487) with injuries. 3.5 % (n = 130) of all patients presented with psychiatric problems. Admission for psychiatric problems increased steadily from 2 % (n = 4) in 2001 to 10 % (n = 35) in 2011.
CONCLUSION
The causes of presentation are manifold, including internal medical problems and injuries. Admissions for psychiatric problems are increasing. Establishing simple screening scores for somatization should be a key priority in providing more focused treatment in emergency departments.
DOI: 10.1007/s00508-012-0227-9
PubMed: 22893449
Affiliations:
Links toward previous steps (curation, corpus...)
- to stream PubMed, to step Corpus: 000651
- to stream PubMed, to step Curation: 000647
- to stream PubMed, to step Checkpoint: 000675
- to stream Main, to step Merge: 000169
- to stream Main, to step Curation: 000169
Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Acute health problems in African refugees: ten years' experience in a Swiss emergency department.</title>
<author><name sortKey="Pfortmueller, Carmen A" sort="Pfortmueller, Carmen A" uniqKey="Pfortmueller C" first="Carmen A" last="Pfortmueller">Carmen A. Pfortmueller</name>
<affiliation wicri:level="3"><nlm:affiliation>Department of General Internal Medicine, Inselspital Bern, Bern, Switzerland. cpfortmueller@gmail.com</nlm:affiliation>
<country xml:lang="fr">Suisse</country>
<wicri:regionArea>Department of General Internal Medicine, Inselspital Bern, Bern</wicri:regionArea>
<placeName><settlement type="city">Berne</settlement>
<region type="région" nuts="3">Canton de Berne</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Graf, Fabienne" sort="Graf, Fabienne" uniqKey="Graf F" first="Fabienne" last="Graf">Fabienne Graf</name>
</author>
<author><name sortKey="Tabbara, Malek" sort="Tabbara, Malek" uniqKey="Tabbara M" first="Malek" last="Tabbara">Malek Tabbara</name>
</author>
<author><name sortKey="Tabarra, Malek" sort="Tabarra, Malek" uniqKey="Tabarra M" first="Malek" last="Tabarra">Malek Tabarra</name>
</author>
<author><name sortKey="Lindner, Gregor" sort="Lindner, Gregor" uniqKey="Lindner G" first="Gregor" last="Lindner">Gregor Lindner</name>
</author>
<author><name sortKey="Zimmermann, Heinz" sort="Zimmermann, Heinz" uniqKey="Zimmermann H" first="Heinz" last="Zimmermann">Heinz Zimmermann</name>
</author>
<author><name sortKey="Exadaktylos, Aristomenis K" sort="Exadaktylos, Aristomenis K" uniqKey="Exadaktylos A" first="Aristomenis K" last="Exadaktylos">Aristomenis K. Exadaktylos</name>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PubMed</idno>
<date when="2012">2012</date>
<idno type="RBID">pubmed:22893449</idno>
<idno type="pmid">22893449</idno>
<idno type="doi">10.1007/s00508-012-0227-9</idno>
<idno type="wicri:Area/PubMed/Corpus">000651</idno>
<idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000651</idno>
<idno type="wicri:Area/PubMed/Curation">000647</idno>
<idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">000647</idno>
<idno type="wicri:Area/PubMed/Checkpoint">000675</idno>
<idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">000675</idno>
<idno type="wicri:Area/Main/Merge">000169</idno>
<idno type="wicri:Area/Main/Curation">000169</idno>
<idno type="wicri:Area/Main/Exploration">000169</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en">Acute health problems in African refugees: ten years' experience in a Swiss emergency department.</title>
<author><name sortKey="Pfortmueller, Carmen A" sort="Pfortmueller, Carmen A" uniqKey="Pfortmueller C" first="Carmen A" last="Pfortmueller">Carmen A. Pfortmueller</name>
<affiliation wicri:level="3"><nlm:affiliation>Department of General Internal Medicine, Inselspital Bern, Bern, Switzerland. cpfortmueller@gmail.com</nlm:affiliation>
<country xml:lang="fr">Suisse</country>
<wicri:regionArea>Department of General Internal Medicine, Inselspital Bern, Bern</wicri:regionArea>
<placeName><settlement type="city">Berne</settlement>
<region type="région" nuts="3">Canton de Berne</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Graf, Fabienne" sort="Graf, Fabienne" uniqKey="Graf F" first="Fabienne" last="Graf">Fabienne Graf</name>
</author>
<author><name sortKey="Tabbara, Malek" sort="Tabbara, Malek" uniqKey="Tabbara M" first="Malek" last="Tabbara">Malek Tabbara</name>
</author>
<author><name sortKey="Tabarra, Malek" sort="Tabarra, Malek" uniqKey="Tabarra M" first="Malek" last="Tabarra">Malek Tabarra</name>
</author>
<author><name sortKey="Lindner, Gregor" sort="Lindner, Gregor" uniqKey="Lindner G" first="Gregor" last="Lindner">Gregor Lindner</name>
</author>
<author><name sortKey="Zimmermann, Heinz" sort="Zimmermann, Heinz" uniqKey="Zimmermann H" first="Heinz" last="Zimmermann">Heinz Zimmermann</name>
</author>
<author><name sortKey="Exadaktylos, Aristomenis K" sort="Exadaktylos, Aristomenis K" uniqKey="Exadaktylos A" first="Aristomenis K" last="Exadaktylos">Aristomenis K. Exadaktylos</name>
</author>
</analytic>
<series><title level="j">Wiener klinische Wochenschrift</title>
<idno type="eISSN">1613-7671</idno>
<imprint><date when="2012" type="published">2012</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Acute Disease (mortality)</term>
<term>Acute Disease (therapy)</term>
<term>Adolescent (MeSH)</term>
<term>Adult (MeSH)</term>
<term>African Continental Ancestry Group (statistics & numerical data)</term>
<term>Age Distribution (MeSH)</term>
<term>Aged (MeSH)</term>
<term>Aged, 80 and over (MeSH)</term>
<term>Child (MeSH)</term>
<term>Child, Preschool (MeSH)</term>
<term>Emergency Service, Hospital (statistics & numerical data)</term>
<term>Emigrants and Immigrants (statistics & numerical data)</term>
<term>Female (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Infant (MeSH)</term>
<term>Infant, Newborn (MeSH)</term>
<term>Longitudinal Studies (MeSH)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Prevalence (MeSH)</term>
<term>Refugees (statistics & numerical data)</term>
<term>Risk Factors (MeSH)</term>
<term>Sex Distribution (MeSH)</term>
<term>Survival Analysis (MeSH)</term>
<term>Survival Rate (MeSH)</term>
<term>Switzerland (epidemiology)</term>
<term>Young Adult (MeSH)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent (MeSH)</term>
<term>Adulte (MeSH)</term>
<term>Adulte d'âge moyen (MeSH)</term>
<term>Analyse de survie (MeSH)</term>
<term>Enfant (MeSH)</term>
<term>Enfant d'âge préscolaire (MeSH)</term>
<term>Facteurs de risque (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Jeune adulte (MeSH)</term>
<term>Maladie aigüe (mortalité)</term>
<term>Maladie aigüe (thérapie)</term>
<term>Mâle (MeSH)</term>
<term>Nourrisson (MeSH)</term>
<term>Nouveau-né (MeSH)</term>
<term>Population d'origine africaine (statistiques et données numériques)</term>
<term>Prévalence (MeSH)</term>
<term>Réfugiés (statistiques et données numériques)</term>
<term>Répartition par sexe (MeSH)</term>
<term>Répartition par âge (MeSH)</term>
<term>Service hospitalier d'urgences (statistiques et données numériques)</term>
<term>Suisse (épidémiologie)</term>
<term>Sujet âgé (MeSH)</term>
<term>Sujet âgé de 80 ans ou plus (MeSH)</term>
<term>Taux de survie (MeSH)</term>
<term>Émigrants et immigrants (statistiques et données numériques)</term>
<term>Études longitudinales (MeSH)</term>
</keywords>
<keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Switzerland</term>
</keywords>
<keywords scheme="MESH" qualifier="mortality" xml:lang="en"><term>Acute Disease</term>
</keywords>
<keywords scheme="MESH" qualifier="mortalité" xml:lang="fr"><term>Maladie aigüe</term>
</keywords>
<keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>African Continental Ancestry Group</term>
<term>Emergency Service, Hospital</term>
<term>Emigrants and Immigrants</term>
<term>Refugees</term>
</keywords>
<keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Population d'origine africaine</term>
<term>Réfugiés</term>
<term>Service hospitalier d'urgences</term>
<term>Émigrants et immigrants</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Acute Disease</term>
</keywords>
<keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Maladie aigüe</term>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Suisse</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adolescent</term>
<term>Adult</term>
<term>Age Distribution</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Child</term>
<term>Child, Preschool</term>
<term>Female</term>
<term>Humans</term>
<term>Infant</term>
<term>Infant, Newborn</term>
<term>Longitudinal Studies</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Prevalence</term>
<term>Risk Factors</term>
<term>Sex Distribution</term>
<term>Survival Analysis</term>
<term>Survival Rate</term>
<term>Young Adult</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Analyse de survie</term>
<term>Enfant</term>
<term>Enfant d'âge préscolaire</term>
<term>Facteurs de risque</term>
<term>Femelle</term>
<term>Humains</term>
<term>Jeune adulte</term>
<term>Mâle</term>
<term>Nourrisson</term>
<term>Nouveau-né</term>
<term>Prévalence</term>
<term>Répartition par sexe</term>
<term>Répartition par âge</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Taux de survie</term>
<term>Études longitudinales</term>
</keywords>
<keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Suisse</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b>
</p>
<p>Over the last two decades, the total number of applications from Africans for asylum in the countries of the European Union has increased from 578,000 to more than 2.9 million. About 20 % (7,196/36,100) of the asylum seekers in Switzerland originate from Africa. The disease profile of African asylum seekers is remarkably different from that of the native population in the country of application. We have therefore conducted an analysis of African asylum seekers presenting themselves to our emergency department.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>METHODS</b>
</p>
<p>In a retrospective analysis, the central patient registry database was searched for patients originating from Africa admitted from 1 January 2000 to 30 November 2011 and labelled as "Asylbewerber" (asylum seeker) or "Flüchtling" (refugee).</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>Three thousand six hundred and seventy-five African asylum seekers were admitted to our emergency department between 2000 and 2010. Thirty-four percent (n = 1,247) were female and 66 % (n = 2,426) male. Eighty percent (n = 1,940) of the men and 70 % (n = 823) of the women were younger than 40 years. Most of our patients originated from Algeria (n = 612). Forty-five percent (n = 1,628) of all patients presented with internal medical problems, 40 % (n = 1,487) with injuries. 3.5 % (n = 130) of all patients presented with psychiatric problems. Admission for psychiatric problems increased steadily from 2 % (n = 4) in 2001 to 10 % (n = 35) in 2011.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSION</b>
</p>
<p>The causes of presentation are manifold, including internal medical problems and injuries. Admissions for psychiatric problems are increasing. Establishing simple screening scores for somatization should be a key priority in providing more focused treatment in emergency departments.</p>
</div>
</front>
</TEI>
<affiliations><list><country><li>Suisse</li>
</country>
<region><li>Canton de Berne</li>
</region>
<settlement><li>Berne</li>
</settlement>
</list>
<tree><noCountry><name sortKey="Exadaktylos, Aristomenis K" sort="Exadaktylos, Aristomenis K" uniqKey="Exadaktylos A" first="Aristomenis K" last="Exadaktylos">Aristomenis K. Exadaktylos</name>
<name sortKey="Graf, Fabienne" sort="Graf, Fabienne" uniqKey="Graf F" first="Fabienne" last="Graf">Fabienne Graf</name>
<name sortKey="Lindner, Gregor" sort="Lindner, Gregor" uniqKey="Lindner G" first="Gregor" last="Lindner">Gregor Lindner</name>
<name sortKey="Tabarra, Malek" sort="Tabarra, Malek" uniqKey="Tabarra M" first="Malek" last="Tabarra">Malek Tabarra</name>
<name sortKey="Tabbara, Malek" sort="Tabbara, Malek" uniqKey="Tabbara M" first="Malek" last="Tabbara">Malek Tabbara</name>
<name sortKey="Zimmermann, Heinz" sort="Zimmermann, Heinz" uniqKey="Zimmermann H" first="Heinz" last="Zimmermann">Heinz Zimmermann</name>
</noCountry>
<country name="Suisse"><region name="Canton de Berne"><name sortKey="Pfortmueller, Carmen A" sort="Pfortmueller, Carmen A" uniqKey="Pfortmueller C" first="Carmen A" last="Pfortmueller">Carmen A. Pfortmueller</name>
</region>
</country>
</tree>
</affiliations>
</record>
Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/MaghrebDataLibMedV2/Data/Main/Exploration
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000169 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 000169 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien |wiki= Wicri/Sante |area= MaghrebDataLibMedV2 |flux= Main |étape= Exploration |type= RBID |clé= pubmed:22893449 |texte= Acute health problems in African refugees: ten years' experience in a Swiss emergency department. }}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Exploration/RBID.i -Sk "pubmed:22893449" \ | HfdSelect -Kh $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd \ | NlmPubMed2Wicri -a MaghrebDataLibMedV2
This area was generated with Dilib version V0.6.38. |