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Erschienen in: Intensive Care Medicine 3/2022

19.01.2022 | Original

Undocumented migrants in French intensive care units in 2011–2018: retrospective nationwide study

verfasst von: Sami Hraiech, Vanessa Pauly, Véronica Orleans, Pascal Auquier, Laurent Boyer, Laurent Papazian, Elie Azoulay

Erschienen in: Intensive Care Medicine | Ausgabe 3/2022

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Abstract

Purpose

Whether undocumented migrants admitted to intensive care units (ICUs) have specific features is unknown. We aimed to determine the features and outcomes of undocumented migrants admitted to French ICUs.

Methods

We retrospectively included all undocumented adult migrants admitted in 2011–2018 and compared them to the general ICU population. We also compared these two groups matched on age, sex, severity, comorbidities, reason for ICU admission and public/private hospital.

Results

We identified 14,554 ICU stays, with an increase from 2 to 4‰ of all ICU admissions over time. Shock (16.7%), post-operative care (13.8%), and trauma (10.5%) were the main reasons for ICU admission. Compared to general ICU patients, migrants were younger and had greater disease severity. After adjustment on age and sex, the following were more common in migrants: shock (OR 1.2 [1.14–1.25]; P < 0.0001), infections (1.48 [1.38–1.54]; P < 0.001), acute respiratory failure (1.09 [1.03–1.15]; P = 0.006), acute kidney injury (1.12 [1.05–1.19]; P < 0.001), obstetric events (1.53 [1.66–1.81]; P < 0.0001), and neurological deficits (1.19 [1.12–1.27]; P < 0.0001). In the matched study, migrants more often required vasopressors, mechanical ventilation, and renal replacement therapy; had longer ICU stays (median 4 [2–8] vs. 4 [2–7] days; P < 0.0001) and hospital stays (10 [5–20] vs. 8 [4–15]; P < 0.0001) and had higher hospital costs (14.2 ± 23.6 vs. 13.4 ± 11.5 K€; P < 0.0001). Hospital mortality was similar (6.7% vs. 6.6%; P = 0.69).

Conclusion

Admissions of undocumented migrants to French ICUs doubled from 2011 to 2018. The patients were younger and, although sicker, achieved similar outcomes to those in general ICU patients.
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Metadaten
Titel
Undocumented migrants in French intensive care units in 2011–2018: retrospective nationwide study
verfasst von
Sami Hraiech
Vanessa Pauly
Véronica Orleans
Pascal Auquier
Laurent Boyer
Laurent Papazian
Elie Azoulay
Publikationsdatum
19.01.2022
Verlag
Springer Berlin Heidelberg
Erschienen in
Intensive Care Medicine / Ausgabe 3/2022
Print ISSN: 0342-4642
Elektronische ISSN: 1432-1238
DOI
https://doi.org/10.1007/s00134-021-06606-9