Burden of traumatic brain injury in refugee population: unmet need of care and gaps in knowledge

Main Article Content

Harsh Deora
Amit Agrawal
Ranabir Pal
Luis Rafael Moscote-Salazar
Muhammad Hussam Alothman
Guru Dutta Satyarthee

Abstract

Background and objectives. Due to marked increase in violence, the world is facing problem of refugee population either as a source of refugee population or shelter provider. These refugee population is exposed to prolonged physical and emotional distress over years, may result into spectrum of neuropsychiatric disease conditions including traumatic brain injury (TBI). Although trauma is one of the major events faced by refugee population, the exact details of the injuries still not documented and there is paucity of published literature; further these injuries may be recorded as unspecified.


Methods. The present article is intended to provide a theoretical overview of existing knowledge and gaps on trauma and injuries in the refugee population. Authors analysed all relevant articles available on PubMed and Medline using the keywords: “Refugee”, “Traumatic Brian Injury”, “Head Injury”.


Results. There is a gap in knowledge for this particular demographic population. They suffer a wide range of physical and emotional to social traumatic events. The most common cause of head injury was assault; however, motor vehicle accidents were less prevalent, and there is an ongoing struggle for resources to fulfil basic needs leading to health care taking a backseat. There is high prevalence of post-traumatic stress disorder. Many of the refugees are settled in relative economically poorer countries which further add to the burden of a nation already besotted with internal requirements. There is a need for international collaboration to tackle unique problem.


Conclusion. Authors recommend urgent need to handle the root causes responsible for the generation of refugee population and at the same time it is necessary to identify the epidemiology, patterns, management challenges and consequences of injuries and barriers to seek and provide care in refugee population.

Article Details

How to Cite
Deora, H., Agrawal, A., Pal, R., Moscote-Salazar, L., Alothman, M., & Satyarthee, G. (2019). Burden of traumatic brain injury in refugee population: unmet need of care and gaps in knowledge. Romanian Neurosurgery, 33(4), 449-454. https://doi.org/10.33962/roneuro-2019-071
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Articles
Author Biographies

Harsh Deora

Assistant Professor of Neurosurgery, National Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru, Karnataka, India

Amit Agrawal

Professor of Neurosurgery, Department of Neurosurgery, Narayana Medical College Hospital, Chinthareddypalem, Nellore, AP, India

Ranabir Pal

Department of Community Medicine, MGM Medical College & LSK Hospital, Kishanganj, Bihar, India

Luis Rafael Moscote-Salazar

Neurosurgery-Critical Care, RED LATINO, Organización Latinoamericana de Trauma y cuidado Neurointensivo, Bogota, Colombia

Muhammad Hussam Alothman

University of Hama, Faculty of Medicine, Syria

Guru Dutta Satyarthee

Associate Professor, Department of Neurosurgery, All India Institute of Medical Sciences, New Delhi, India