Scopus
YÖKSİS Eşleşti
Epidemiological analysis of the victıms wıth crush syndrome in earthquakes of southeastern Turkey
Journal of Nephrology · Aralık 2024
YÖKSİS Kayıtları
Epidemiological analysis of the victıms wıth crush syndrome in earthquakes of southeastern Turkey
Journal of Nephrology · 2024 SCI
PROFESÖR YASEMİN COŞKUN YAVUZ →
Makale Bilgileri
DergiJournal of Nephrology
Yayın TarihiAralık 2024
Cilt / Sayfa37 · 2589-2599
Scopus ID2-s2.0-85204780422
Özet
Background: Each 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. Methods: This 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. Results: Of 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%. Conclusion: Earthquakes 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.
Yazarlar (51)
1
Ilyas Ozturk
ORCID: 0000-0001-9431-8068
2
Ozkan Gungor
ORCID: 0000-0003-1861-5452
3
Savas Ozturk
ORCID: 0000-0002-0961-3810
4
Refik Olmaz
ORCID: 0000-0002-1167-3628
5
Ayse Jini Gunes Keskin
ORCID: 0000-0003-4078-6039
6
Ismail Kocyigit
ORCID: 0000-0002-6654-4727
7
Murat Hayri Sipahioglu
ORCID: 0000-0003-3293-2104
8
Fatih Dede
ORCID: 0000-0002-5737-9854
9
Sena Ulu
ORCID: 0000-0003-0085-2193
10
Kenan Turgutalp
ORCID: 0000-0003-0245-1844
11
Dilek Torun
ORCID: 0000-0002-6267-3695
12
Tuncay Sahutoglu
ORCID: 0000-0003-2015-4421
13
Fatih Mehmet Erdur
ORCID: 0000-0002-7705-3704
14
Orcun Altunoren
ORCID: 0000-0002-8913-4341
15
Ramazan Danis
ORCID: 0000-0001-7493-7179
16
Gursel Yildiz
ORCID: 0000-0002-2445-1477
17
Ali Gurel
ORCID: 0000-0001-8087-8814
18
Mehmet Horoz
ORCID: 0000-0003-3400-9583
19
Mehmet Kucuksu
ORCID: 0000-0002-6646-2625
20
Suleyman Karakose
ORCID: 0000-0003-4680-7435
21
Tolga Yildirim
ORCID: 0000-0001-7972-8317
22
Mehmet Riza Altiparmak
ORCID: 0000-0002-3579-1100
23
Mehmet Deniz Ayli
ORCID: 0000-0003-3145-1595
24
Murat Tugcu
ORCID: 0000-0002-5307-050X
25
Zehra Eren
ORCID: 0000-0003-4871-3416
26
Eray Eroglu
ORCID: 0000-0003-2571-7385
27
Yasemin Coşkun Yavuz
28
Esra Akcali
ORCID: 0000-0003-0946-0823
29
Dede Sit
ORCID: 0000-0003-1954-9784
30
Mehmet Polat
ORCID: 0000-0003-1952-4237
31
Saliha Yildirim
ORCID: 0000-0002-2693-1167
32
Selma Alagoz
ORCID: 0000-0001-5416-2257
33
Sibel Gokcay Bek
ORCID: 0000-0003-3325-5993
34
Irem Pembegul
ORCID: 0000-0002-4609-1580
35
Tahsin Karaaslan
ORCID: 0000-0002-1529-1790
36
Mustafa Keles
ORCID: 0009-0003-9624-3014
37
Funda Sari
ORCID: 0000-0003-0128-3244
38
Ustun Yilmaz
ORCID: 0000-0003-0237-0278
39
Numan Gorgulu
ORCID: 0000-0003-3776-885X
40
Gulizar Sahin
ORCID: 0000-0002-0409-2710
41
Zeki Aydin
ORCID: 0000-0001-8389-8271
42
Serap Yadigar
ORCID: 0000-0002-3156-4883
43
Ozkan Ulutas
ORCID: 0000-0002-2155-8340
44
Nedim Yilmaz Selcuk
ORCID: 0000-0003-0836-7993
45
Yavuz Ayar
ORCID: 0000-0003-4607-9220
46
Didem Turgut
ORCID: 0000-0001-7474-5927
47
Ozgur Akin Oto
ORCID: 0000-0003-0928-8103
48
Mehmet Koc
49
A. Yildiz
50
Serhan Tuglular
ORCID: 0000-0002-6384-1697
51
Mehmet Sukru Sever
ORCID: 0000-0002-6074-2239
Anahtar Kelimeler
Crush syndrome
Disaster
Earthquake
Epidemiology
Kurumlar
Akdeniz University, Faculty of Medicine
Antalya Turkey
Alanya Alaaddin Keykubat University
Alanya Turkey
Antalya Training and Research Hospital
Antalya Turkey
Bahçeşehir Üniversitesi
Istanbul Turkey
Başkent Üniversitesi
Ankara Turkey
Erciyes University, Faculty of Medicine
Kayseri Turkey
Fethi Sekin City Hospital
Elazig Turkey
Firat Üniversitesi Tip Fakültesi
Elazig Turkey
Gaziantep Üniversitesi
Gaziantep Turkey
Gazi University, Faculty of Medicine
Ankara Turkey
Goztepe Prof. Dr. Suleyman Yalcin City Hospital
Istanbul Turkey
Hacettepe Üniversitesi
Ankara Turkey
Inönü Üniversitesi Tip Fakültesi
Malatya Turkey
İstanbul Tıp Fakültesi
Istanbul Turkey
İstanbul University-Cerrahpaşa Cerrahpaşa Faculty of Medicine
Istanbul Turkey
Kahramanmaras Sütçü Imam Üniversitesi
Kahramanmaras Turkey
Kilis State Hospital
Kilis Turkey
Kocaeli Üniversitesi
İzmit Turkey
Malatya Turgut Ozal University
Malatya Turkey
Marmara Üniversitesi Tip Fakültesi
Istanbul Turkey
Mersin City Training and Research Hospital
Mersin Turkey
Mersin Üniversitesi
Mersin Turkey
Necmettin Erbakan Üniversitesi
Meram Turkey
Nevsehir State Hospital
Nevsehir Turkey
Selçuk Tip Fakültesi
Konya Turkey
Tarsus MMT American Hospital
Mersin Turkey
T. C. Sağlık Bakanlığı, Mersin Devlet Hastanesi
Mersin Turkey
University of Health
Bursa Turkey
University of Health Sciences
Istanbul Turkey
Metrikler
1
Atıf
51
Yazar
4
Anahtar Kelime