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Article 2024 · 6 atıf

Patients with crush syndrome and kidney disease: lessons learned from the earthquake in Kahramanmaras,, Türkiye

Ozturk, Savas, Tuglular, Serhan, Olmaz, Refik, Kocyigit, Ismail, Kibar, Muge Uzerk, Turgutalp, Kenan, Torun, Dilek, Sahutoglu, Tuncay, Usalan, Ozlem, Gungor, Ozkan, Danis, Ramazan, Yildiz, Gursel, Gurel, Ali, Horoz, Mehmet, Kucuksu, Mehmet, Karakose, Suleyman, Yildirim, Tolga, Altiparmak, Mehmet Riza, Ayli, Mehmet Deniz, Tugcu, Murat, Eren, Zehra, Eroglu, Eray, Yavuz, Yasemin Coskun, Akcali, Esra, Sit, Dede, Polat, Mehmet, Yildirim, Saliha, Alagoz, Selma, Bek, Sibel Gokcay, Pembegul, Irem, Karaaslan, Tahsin, Keles, Mustafa, Sari, Funda, Inci, Ayca, Gorgulu, Numan, Sahin, Gulizar, Aydin, Zeki, Yadigar, Serap, Ulutas, Ozkan, Selcuk, Nedim Yilmaz, Ayar, Yavuz, Bal, Zeynep, Altunok, Murat, Keskin, Ayse Jini Gunes, Sipahioglu, Murat Hayri, Ozkutlu, Meliha, Dursun, Belda, Oruc, Aysegul, Hasbal, Nuri Baris, Sevinc, Mustafa, Gul, Semih, Ozturk, Seda Safak, Yildiz, Alaattin, Sever, Mehmet Sukru

Özet

This study investigated in-hospital outcomes and related factors in patients diagnosed with postearthquake crush syndrome after the earthquakes in Kahramanmaras,, T & uuml;rkiye. One thousand twenty-four adult patients diagnosed with crush syndrome were analyzed. and outcomes were collected. A total of 9.8% of patients died during their hospital stay. Nonsurvivors were generally older, more likely to have preexisting chronic kidney disease, and faced more severe injuries and complications, including hypotension-shock, arrhythmias, elevated markers of renal dysfunction, and higher rates of acute kidney injury (AKI) and compartment syndrome. In addition, intensive care unit needs were higher. Multivariate analysis confirmed that age, injury severity, shock, high potassium, uric acid, and lactate levels on admission, development of AKI, compartment syndrome, and intensive care unit admission were significant predictors of mortality. Better disaster preparedness and improved health care infrastructure could be potential explanations for improved in-hospital mortality in the current era, as compared to previous earthquakes.

Anahtar Kelimeler
crush earthquake mortality renal disaster Tu<spacing diaeresis>rkiye ACUTE COMPARTMENT SYNDROME MARMARA EARTHQUAKE VICTIMS
WoS Kategorileri
Urology & Nephrology
Sürdürülebilir Kalkınma Amaçları
Künye
Dergi
KIDNEY INTERNATIONAL
Yıl
2024
Cilt
106
Sayı
5
Sayfa
771-776
ISSN
0085-2538
eISSN
1523-1755
DOI
10.1016/j.kint.2024.08.008
WoS UID
WOS:001342504500001
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