ArticlePloS one2016
Consultations by Asylum Seekers: Recent Trends in the Emergency Department of a Swiss University Hospital.
Article in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 27 citations in OpenAlex.
- Pooled it
- Exploring differences in the utilization of the emergency department between migrant and non-migrant populations: a systematic review.BMC public health · 2024Pooled it
- Trial
- [Black box: Attenders with psychosocial needs in the emergency department].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2024Article
- Article
- Asylum Seekers and Swiss Nationals with Low-Acuity Complaints: Disparities in the Perceived level of Urgency, Health Literacy and Ability to Communicate-A Cross-Sectional Survey at a Tertiary Emergency Department.International journal of environmental research and public health · 2020Article
- Vitamin D Deficiency and Unclear Abdominal Pain in Patients from Low- and Middle-Income Countries.International journal of environmental research and public health · 2019Observational
- Profile and Motivation of Patients Consulting in Emergency Departments While not Requiring Such a Level of Care.International journal of environmental research and public health · 2019Article
- Acute and mixed alcohol intoxications in asylum seekers presenting to an urban emergency department in Switzerland.BMC public health · 2019Article
- Emergency Department Discharge Outcome and Psychiatric Consultation in North African Patients.International journal of environmental research and public health · 2018Article
- Verbal and Non-Verbal Aggression in a Swiss University Emergency Room: A Descriptive Study.International journal of environmental research and public health · 2018Article
- Physical Trauma among Refugees: Comparison between Refugees and Local Population Who Were Admitted to Emergency Department-Experience of a State Hospital in Syrian Border District.Journal of environmental and public health · 2017Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLarge-scale war-related migration to Switzerland and other European countries is currently challenging European health systems. Little is known about recent patterns and trends in Emergency Department (ED) consultations by Asylum Seekers (AS).
methodsA retrospective single-centre analysis was performed of the data from all adult patients with the official status of "Asylum Seeker" or "Refugee" who consulted the ED of Bern University Hospital, Switzerland, between June 2012 and June 2015. Patient characteristics and clinical information, such as triage category, type of referral and discharge, violence-related injury and diagnostic group on discharge, were extracted from the computerised database or determined from the medical reports. Changes in categorical variables between the three studied years were described.
resultsA total of 1,653 eligible adult patients were identified in the 3-year period. Between the first (06/12-06/13) and third periods (06/14-06/15), the number of presentations per year increased by about 45%. The AS came from 62 different nations, the most common countries being Eritrea (13%), Somalia (13%) and Syria (11%). The mean age was 33.3 years (SD 12.3) and two thirds (65.7%) were male. The proportion of women increased over time. Moreover the relative proportions shifted from patients between 20 and 50 years to patients of under 20 or over 60 years. Nearly two thirds of the patients were walk-in emergencies and this proportion increased over time. The mean triage score was 2.9 (SD 0.7), with more than 90% presenting as "urgent consultation". About half of the patients were treated for trauma (17.2%), infections (16.8%) or psychiatric problems (14.2%). Trauma was seen in a higher proportion of male than female patients. About 25% of the patients were admitted for in-hospital treatment.
conclusionsThe recent rise in AS in the population has lead to an increase in AS presenting to EDs. This changes the composition of ED patients and should raise awareness that changes in procedures may be needed. Infectious diseases and psychiatric problems remain a heavy burden for AS presenting in the ED. A trend towards an increasing proportion of walk-in patients to the ED could not be explained by this study. Further studies and surveillance are needed to investigate this trend.
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