Heart Disease in Syrian Refugee Children: Experience at Jordan University Hospital

<p>Background</p><p>Since March 2011, an estimated 600,000 Syrian refugees crossed into Jordan, of which 52% were children. Demand for health care is overwhelming. The burden of heart disease in Syrian refugee children is not known. The aim of this study WAS to describe heart disea...

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Autores principales:	Iyad Al-Ammouri, Fares Ayoub
Formato:	article
Lenguaje:	EN
Publicado:	Ubiquity Press 2016
Materias:	Congenital heart disease heart disease pediatric heart disease Syrian crisis Syrian refugees Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/5574d42c8f1d43ed8d8b969722487654
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spelling	oai:doaj.org-article:5574d42c8f1d43ed8d8b9697224876542021-12-02T04:24:26ZHeart Disease in Syrian Refugee Children: Experience at Jordan University Hospital2214-999610.1016/j.aogh.2015.02.517https://doaj.org/article/5574d42c8f1d43ed8d8b9697224876542016-06-01T00:00:00Zhttps://annalsofglobalhealth.org/articles/747https://doaj.org/toc/2214-9996<p>Background</p><p>Since March 2011, an estimated 600,000 Syrian refugees crossed into Jordan, of which 52% were children. Demand for health care is overwhelming. The burden of heart disease in Syrian refugee children is not known. The aim of this study WAS to describe heart disease in Syrian refugee children in terms of diagnoses, presentation, outcome, and funding sources for treatment.</p><p>Methods</p><p>From April 1, 2012 to April 30, 2014, data on Syrian refugee children who were referred to the Pediatric Cardiology Department at Jordan University Hospital and were found to have heart disease was recorded. In this study, we describe diagnoses, presentations, complications, and mortality. We discuss therapeutic procedures and their funding sources. Patients were followed until July 31, 2014.</p><p>Findings</p><p>In all, 119 children, median age 2 years (6 days to 16 years), were diagnosed with heart disease. At presentation, 37% had failure to thrive, 13% had severe complications, and 32% of cyanotic patients had severe hypoxia with oxygen saturation of <70%. Mortality rate was 14% by end of follow up. Of 73 surgical procedures recommended, only 28 were funded and performed; others have been waiting for a median of 223 days (35-534 days). Funding for procedures came from multiple sources; including the United Nations, governmental and nongovernmental organizations, and individual donations.</p><p>Conclusion</p>Heart disease in Syrian refugee children constitutes a major problem for both patients and health systems of host countries. Late presentation and diagnosis, high rate of complications, suboptimal living conditions, lack of funding, shortage of specialized centers and personnel, and high mortality rates are among the major challenges facing this patient population.Iyad Al-AmmouriFares AyoubUbiquity PressarticleCongenital heart diseaseheart diseasepediatric heart diseaseSyrian crisisSyrian refugeesInfectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENAnnals of Global Health, Vol 82, Iss 2, Pp 300-306 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	Congenital heart disease heart disease pediatric heart disease Syrian crisis Syrian refugees Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
spellingShingle	Congenital heart disease heart disease pediatric heart disease Syrian crisis Syrian refugees Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270 Iyad Al-Ammouri Fares Ayoub Heart Disease in Syrian Refugee Children: Experience at Jordan University Hospital
description	<p>Background</p><p>Since March 2011, an estimated 600,000 Syrian refugees crossed into Jordan, of which 52% were children. Demand for health care is overwhelming. The burden of heart disease in Syrian refugee children is not known. The aim of this study WAS to describe heart disease in Syrian refugee children in terms of diagnoses, presentation, outcome, and funding sources for treatment.</p><p>Methods</p><p>From April 1, 2012 to April 30, 2014, data on Syrian refugee children who were referred to the Pediatric Cardiology Department at Jordan University Hospital and were found to have heart disease was recorded. In this study, we describe diagnoses, presentations, complications, and mortality. We discuss therapeutic procedures and their funding sources. Patients were followed until July 31, 2014.</p><p>Findings</p><p>In all, 119 children, median age 2 years (6 days to 16 years), were diagnosed with heart disease. At presentation, 37% had failure to thrive, 13% had severe complications, and 32% of cyanotic patients had severe hypoxia with oxygen saturation of <70%. Mortality rate was 14% by end of follow up. Of 73 surgical procedures recommended, only 28 were funded and performed; others have been waiting for a median of 223 days (35-534 days). Funding for procedures came from multiple sources; including the United Nations, governmental and nongovernmental organizations, and individual donations.</p><p>Conclusion</p>Heart disease in Syrian refugee children constitutes a major problem for both patients and health systems of host countries. Late presentation and diagnosis, high rate of complications, suboptimal living conditions, lack of funding, shortage of specialized centers and personnel, and high mortality rates are among the major challenges facing this patient population.
format	article
author	Iyad Al-Ammouri Fares Ayoub
author_facet	Iyad Al-Ammouri Fares Ayoub
author_sort	Iyad Al-Ammouri
title	Heart Disease in Syrian Refugee Children: Experience at Jordan University Hospital
title_short	Heart Disease in Syrian Refugee Children: Experience at Jordan University Hospital
title_full	Heart Disease in Syrian Refugee Children: Experience at Jordan University Hospital
title_fullStr	Heart Disease in Syrian Refugee Children: Experience at Jordan University Hospital
title_full_unstemmed	Heart Disease in Syrian Refugee Children: Experience at Jordan University Hospital
title_sort	heart disease in syrian refugee children: experience at jordan university hospital
publisher	Ubiquity Press
publishDate	2016
url	https://doaj.org/article/5574d42c8f1d43ed8d8b969722487654
work_keys_str_mv	AT iyadalammouri heartdiseaseinsyrianrefugeechildrenexperienceatjordanuniversityhospital AT faresayoub heartdiseaseinsyrianrefugeechildrenexperienceatjordanuniversityhospital
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Heart Disease in Syrian Refugee Children: Experience at Jordan University Hospital

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