在难民和寻求庇护者头部外伤:系统回顾

背景和目的:难民和寻求庇护者头部创伤的风险。他们忍受打击头部由于紧急情况下需要安置(例如,酷刑,战争,人际暴力),以及在危险的旅程的避难所。我们的目标是评估全球难民和寻求庇护者头部创伤患病率并描述其临床特点在这个人口。

方法:普洛斯彼罗的协议注册国际准注册的系统评价(CRD42020173534)。PubMed / MEDLINE, PsycInfo、网络科学、Embase,谷歌学术搜索数据库寻找相关的研究。我们包括所有研究英语,包括任何年龄的难民和寻求庇护者和检查头部创伤的发病率或特征。我们不排除研究的同行评议的原始研究。信息被记录在头部外伤的流行,方法确定头部创伤,严重程度,损伤机制,其他创伤暴露和并发症。进行了描述性分析和叙述合成。

结果共有22个研究均包括在内,其中13 6038名难民和寻求庇护者头部创伤患病率。估计患病率从9%到78%不等。杜绝荟萃分析之间的异质性研究。大多数研究是美国- - - - - -based (n=9, 41%), followed by the Middle East (n=5, 23%). Most refugees or asylum-seekers were from the Middle East (n=9, 41%), with those from Latin America least represented (n=3, 14%). Studies disproportionately involved younger (pooled mean age=29 years), adult samples comprised of men. Recruitment settings were predominantly hospitals/clinics (n=14, 64%), followed by refugee camps (n=3, 14%). The most common mechanism of injury was direct impact via a beating or blow to the head. Studies varied greatly in how head trauma was defined and ascertained; no study used a validated traumatic brain injury (TBI)-specific screening tool. Similarly, TBI severity was not uniformly assessed, although hospital-based samples captured more moderate-to-severe head injuries. Mental health comorbidities were more frequently documented rather than physical health ones. Only two studies included a comparison to local populations.

结论和相关性难民和寻求庇护者很容易头部创伤但研究使用系统的方法筛选缺乏。注意头部创伤增加流离失所的人群将允许优化公平照顾这个增长,脆弱的人口。