Epidemiological analysis of the victıms wıth crush syndrome in earthquakes of southeastern Turkey

Basit Öğe Kaydı
dc.authorid0000-0003-4078-6039
dc.authorid0000-0002-0961-3810
dc.authorid0000-0002-2693-1167
dc.authorid0000-0001-9431-8068
dc.authorid0000-0002-2155-8340
dc.authorid0000-0003-3325-5993
dc.authorid0000-0002-1529-1790
dc.contributor.authorOzturk, Ilyas
dc.contributor.authorGungor, Ozkan
dc.contributor.authorOzturk, Savas
dc.contributor.authorOlmaz, Refik
dc.contributor.authorKeskin, Ayse Jini Gunes
dc.contributor.authorKocyigit, Ismail
dc.contributor.authorSipahioglu, Murat Hayri
dc.date.accessioned2026-01-24T12:31:02Z
dc.date.available2026-01-24T12:31:02Z
dc.date.issued2024
dc.departmentAlanya Alaaddin Keykubat Üniversitesi
dc.description.abstractBackgroundEach year, millions face natural disasters, encountering mass fatalities and severe medical issues such as crush injuries and crush syndrome. Crush syndrome, marked by acute kidney injury (AKI) and hyperkalemia, correlates with mortality. This study focuses on presenting epidemiological data on kidney disease resulting from the February 6, 2023 earthquakes centered in Kahramanmaras.MethodsThis retrospective analysis included patients diagnosed with crush syndrome after the 2023 Kahramanmaras earthquakes, treated in regional hospitals or referred elsewhere in Turkey. Patient data were documented using the web-based system developed by the Turkish Nephrology Association Renal Disaster Working Group.ResultsOf the 1024 analyzed patients from 46 centers, 515 (50.3%) were women. The mean age was 41 +/- 16 years, with a median duration of 12 h under rubble, and the median presentation time to the first health facility was 4 h after extrication from the rubble. Upon admission, 79.8% received intravenous fluid therapy, all potassium-free. Initial serum creatinine, K+, and creatinine kinase levels averaged 2.59 +/- 2 mg/dl, 5.1 +/- 1 mmol/L 38,305 +/- 54,303 U/L, respectively. Intensive care unit (ICU) admissions were 53.6%, with mean hospital and ICU stays of 20 and 11 days, respectively. Compartment syndrome occurred in 40.8% of patients, with 75.8% undergoing fasciotomy. Acute kidney injury developed in 67.9% of patients, with 70.3% undergoing hemodialysis, totaling 3016 sessions on 488 patients. The overall in-hospital mortality rate was 9.8%.ConclusionEarthquakes have a significant impact on kidney health. Although our study indicates some progress compared to previous earthquake responses, there remains a crucial need for drills emphasizing post-earthquake initial response, fluid-electrolyte balance management, and emergency dialysis protocols.
dc.identifier.doi10.1007/s40620-024-02051-1
dc.identifier.endpage2599
dc.identifier.issn1121-8428
dc.identifier.issn1724-6059
dc.identifier.issue9
dc.identifier.pmid39320667
dc.identifier.scopus2-s2.0-85204780422
dc.identifier.scopusqualityQ1
dc.identifier.startpage2589
dc.identifier.urihttps://doi.org/10.1007/s40620-024-02051-1
dc.identifier.urihttps://hdl.handle.net/20.500.12868/5611
dc.identifier.volume37
dc.identifier.wosWOS:001319454600001
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherSpringer Heidelberg
dc.relation.ispartofJournal of Nephrology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_WoS_20260121
dc.subjectCrush syndrome
dc.subjectDisaster
dc.subjectEarthquake
dc.subjectEpidemiology
dc.titleEpidemiological analysis of the victıms wıth crush syndrome in earthquakes of southeastern Turkey
dc.typeArticle

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