Evidence map›Paper›PMID 28720037›Full record

Observational studyPathogens and global health2017

Emergency department visits of Syrian refugees and the cost of their healthcare.

Umut Gulacti, Ugur Lok, Haci Polat

Abstract readObservational Study
In one paragraph

Observational study in Pathogens and global health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Emergency radiology in displaced populations: imaging and practical challenges.Diagnostic and interventional radiology (Ankara, Turkey) · 2026
    Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Pediatric emergency department use by Afghan refugees at a temporary housing facility.Journal of the American College of Emergency Physicians open · 2023
    Article
  10. Article
  11. Article
  12. Quality of life among Syrian refugees in Germany: a cross-sectional pilot study.Archives of public health = Archives belges de sante publique · 2021
    Article
  13. Observational
  14. Article
  15. Article
  16. Non-urgent adult patients in the emergency department.Turkish journal of emergency medicine · 2018
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Umut Gulactia Department of Emergency Medicine , Adiyaman University Medical Faculty , Adiyaman , Turkey.
Ugur Loka Department of Emergency Medicine , Adiyaman University Medical Faculty , Adiyaman , Turkey.
Haci Polatb Department of Urology , Adiyaman University Medical Faculty , Adiyaman , Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aim of this study was to evaluate the demographic and clinical characteristics of Emergency Department (ED) visits made by Syrian refugees and to assess the cost of their healthcare. This retrospective study was conducted in adult Syrians who visited the ED of Adiyaman University Training and Research Hospital, Adiyaman Province, Turkey, between 01 January and 31 December 2015. We evaluated 10,529 Syrian refugees who visited the ED, of whom 9,842 were included in the study. The number of ED visits significantly increased in 2015 compared with 2010; the increase in the proportion of total ED visits was 8% (n = 11,275, dif: 8%, CI 95%: 7.9- 8.2, p < 0.001). Of this 8%, 6.5% were visits made by Syria refugees and the remaining 1.5% accounted for the visits made by other individuals. Upper respiratory tract infections (URTI) were the diseases most frequently presented (n = 4,656; 47.3%), and 68.5% of ED visits were inappropriate (n = 6,749). The median ED length of stay (LOS) of the Syrian refugees was significantly longer than that of the other individuals visiting the ED (p < 0.001). The total cost of the healthcare of the Syrian refugees who visited the ED was calculated as US$ 773,374.63. This study showed that Syrian refugees have increased the proportion of ED visits and the financial healthcare burden. The majority of ED visits made by Syrian refugees were inappropriate. In addition, their ED LOS was longer than that of other individuals making ED visits.

Indexed as

Health Care CostsRefugeesAdolescentAdultAgedAged, 80 and overEmergency Medical ServicesFemaleHumansMaleMiddle AgedRetrospective StudiesSyriaTurkeyYoung AdultAdiyamanadult patientscostemergency departmentshealth carelength of staySyrian refugeesTurkey

Identifiers

PMID28720037
PMCPMC5560198

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.