Heart Disease in Adult Syrian Refugees: Experience at Jordan University Hospital

Background: Since 2011, 1.26 million Syrians have immigrated to Jordan, increasing demands on Healthcare service. Information about cardiovascular disease (CVD) in Syrian refugees in general, and specifically in Jordan, is unknown. Objectives: The study aimed to describe CVD in Syrian refugee adults...

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Autores principales:	Amjad Bani Hani, Mahmoud Abu Abeeleh, Moaath Al Smady, Mamoun Shaban, Murad Al Kharabsheh, Zahraa Al-Tamimi, Sandra Eifert
Formato:	article
Lenguaje:	EN
Publicado:	Ubiquity Press 2019
Materias:	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/b6d674c7661048df977e638918b2cd3f
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spelling	oai:doaj.org-article:b6d674c7661048df977e638918b2cd3f2021-12-02T06:20:48ZHeart Disease in Adult Syrian Refugees: Experience at Jordan University Hospital2214-999610.5334/aogh.2474https://doaj.org/article/b6d674c7661048df977e638918b2cd3f2019-03-01T00:00:00Zhttps://annalsofglobalhealth.org/articles/2474https://doaj.org/toc/2214-9996Background: Since 2011, 1.26 million Syrians have immigrated to Jordan, increasing demands on Healthcare service. Information about cardiovascular disease (CVD) in Syrian refugees in general, and specifically in Jordan, is unknown. Objectives: The study aimed to describe CVD in Syrian refugee adults who were referred to Jordan University Hospital (JUH) in terms of diagnosis, presentation, outcome, sources of funding for treatment, and to follow these patients after their discharge. Methods: From January 2012 to October 2016, retrospective analysis was performed on the data of Syrian patients who were referred to JUH. This study describes the diagnoses, treatment, and outcome. It also discusses the funding sources; a follow-up was conducted until January 2017. Results: There were 969 patients referred to JUH with CVD; median age was 56 years, 686 (72.2%) of them were males and 283 (27.8%) were females. Of the patients, 584 had hypertension (60%), 308 (31%) had diabetes mellitus, 281 (29.0%) suffered from dyslipidemia, and 237 were smokers (24%). There were 69.6% who had coronary artery disease (CAD) and 20 patients (2%) had valvular heart disease. Treatment was offered to 489 patients (49.5%), but only 322 (65.8% of treatment offered and 33.2% of referrals) of them received the intended treatment. Mortality rate was 3% and loss of follow-up was 49.2%. Funding for procedures mostly came from the Jordanian Health Aid Organization, the United Nations, NGOs, and charities. Sixty-four (13.3% of referred) patients were denied any funding during the time frame of this study. Conclusions: CVD is a major issue for both Syrian refugee patients and the Jordanian healthcare system. CAD and classic cardiovascular risk factors (specifically arterial hypertension, diabetes, and dyslipidemia) are most common in this specific population. Inadequate primary healthcare, suboptimal living conditions, lack of funding, and loss of patient contact are among the major challenges facing this vulnerable population.Amjad Bani HaniMahmoud Abu AbeelehMoaath Al SmadyMamoun ShabanMurad Al KharabshehZahraa Al-TamimiSandra EifertUbiquity PressarticleInfectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENAnnals of Global Health, Vol 85, Iss 1 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
spellingShingle	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270 Amjad Bani Hani Mahmoud Abu Abeeleh Moaath Al Smady Mamoun Shaban Murad Al Kharabsheh Zahraa Al-Tamimi Sandra Eifert Heart Disease in Adult Syrian Refugees: Experience at Jordan University Hospital
description	Background: Since 2011, 1.26 million Syrians have immigrated to Jordan, increasing demands on Healthcare service. Information about cardiovascular disease (CVD) in Syrian refugees in general, and specifically in Jordan, is unknown. Objectives: The study aimed to describe CVD in Syrian refugee adults who were referred to Jordan University Hospital (JUH) in terms of diagnosis, presentation, outcome, sources of funding for treatment, and to follow these patients after their discharge. Methods: From January 2012 to October 2016, retrospective analysis was performed on the data of Syrian patients who were referred to JUH. This study describes the diagnoses, treatment, and outcome. It also discusses the funding sources; a follow-up was conducted until January 2017. Results: There were 969 patients referred to JUH with CVD; median age was 56 years, 686 (72.2%) of them were males and 283 (27.8%) were females. Of the patients, 584 had hypertension (60%), 308 (31%) had diabetes mellitus, 281 (29.0%) suffered from dyslipidemia, and 237 were smokers (24%). There were 69.6% who had coronary artery disease (CAD) and 20 patients (2%) had valvular heart disease. Treatment was offered to 489 patients (49.5%), but only 322 (65.8% of treatment offered and 33.2% of referrals) of them received the intended treatment. Mortality rate was 3% and loss of follow-up was 49.2%. Funding for procedures mostly came from the Jordanian Health Aid Organization, the United Nations, NGOs, and charities. Sixty-four (13.3% of referred) patients were denied any funding during the time frame of this study. Conclusions: CVD is a major issue for both Syrian refugee patients and the Jordanian healthcare system. CAD and classic cardiovascular risk factors (specifically arterial hypertension, diabetes, and dyslipidemia) are most common in this specific population. Inadequate primary healthcare, suboptimal living conditions, lack of funding, and loss of patient contact are among the major challenges facing this vulnerable population.
format	article
author	Amjad Bani Hani Mahmoud Abu Abeeleh Moaath Al Smady Mamoun Shaban Murad Al Kharabsheh Zahraa Al-Tamimi Sandra Eifert
author_facet	Amjad Bani Hani Mahmoud Abu Abeeleh Moaath Al Smady Mamoun Shaban Murad Al Kharabsheh Zahraa Al-Tamimi Sandra Eifert
author_sort	Amjad Bani Hani
title	Heart Disease in Adult Syrian Refugees: Experience at Jordan University Hospital
title_short	Heart Disease in Adult Syrian Refugees: Experience at Jordan University Hospital
title_full	Heart Disease in Adult Syrian Refugees: Experience at Jordan University Hospital
title_fullStr	Heart Disease in Adult Syrian Refugees: Experience at Jordan University Hospital
title_full_unstemmed	Heart Disease in Adult Syrian Refugees: Experience at Jordan University Hospital
title_sort	heart disease in adult syrian refugees: experience at jordan university hospital
publisher	Ubiquity Press
publishDate	2019
url	https://doaj.org/article/b6d674c7661048df977e638918b2cd3f
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Heart Disease in Adult Syrian Refugees: Experience at Jordan University Hospital

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