Comparison of COVID-19 Positive Turkish Citizens and Refugees Presenting to the Emergency Department Acil Servise Başvuran COVİD-19 Pozitif Olan Türkiye Cumhuriyeti Vatandaşları ile Mültecilerin Karşılaştırılması
Journal of Uludag University Medical Faculty, cilt.50, sa.2, ss.151-156, 2024 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 50 Sayı: 2
- Basım Tarihi: 2024
- Doi Numarası: 10.32708/uutfd.1444343
- Dergi Adı: Journal of Uludag University Medical Faculty
- Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.151-156
- Anahtar Kelimeler: Co-morbidity, Cost, COVID-19, Syrian refugees, Turkish citizens
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
We aimed to compare the socio-economic status, background, clinical course, treatment, and outcomes of Republic of Turkey citizens and refugees who were found to be positive for coronavirus disease (COVID-19) and admitted to the emergency department and to guide health services in possible new pandemics with new decisions that can be taken in the light of the data we found aimed to show. Retrospective data of patients admitted to the Emergency Department of Bursa Yüksek İhtisas Training and Research Hospital for four months were obtained through patient files and the hospital information management system. Age, gender, date of presentation to the emergency department, presence of comorbidities, use of favipiravir, acetylsalicylic acid, heparin, antibiotics, steroids, hydroxychloroquine, emergency department admission bill values and laboratory findings, emergency department discharge and mortality in the first six months were compared. The study included 4733 patients. Of these patients, 78.7% were Turkish citizens. 54.3% of the patients were male, and 12.9% were hypertensive. After the emergency department outcome, 76.5% were discharged with the recommendation of home quarantine. There was a statistically significant relationship between gender, comorbidities, and nationality of the patients. While age and fibrinogen levels were significantly lower in foreign nationals (p<0.001), invoice amount and ferritin levels were significantly lower in Turkish citizens (p<0.001). No significant difference was found between the patient's clinical outcome, hospitalization, and discharge. Foreign patients had fewer chronic diseases and were followed up with polypharmacy. We think that the existing language barrier may have led physicians to polypharmacy.