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

Crush syndrome Disaster Earthquake Epidemiology

Journal

Journal of nephrology

ISSN: 1724-6059

Titre abrégé: J Nephrol

Pays: Italy

ID NLM: 9012268

Informations de publication

Date de publication:
25 Sep 2024

Historique:

received: 14 04 2024

accepted: 21 07 2024

medline: 25 9 2024

pubmed: 25 9 2024

entrez: 25 9 2024

Statut: aheadofprint

Résumé

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. 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. 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 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.

Sections du résumé

BACKGROUND BACKGROUND

METHODS 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 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

CONCLUSION CONCLUSIONS

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.

Identifiants

DOI: 10.1007/s40620-024-02051-1 PMID: 39320667

pubmed: 39320667

doi: 10.1007/s40620-024-02051-1

pii: 10.1007/s40620-024-02051-1

doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

Informations de copyright

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