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Article 2024 · 6 citations

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

Abstract

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.

Keywords
crush earthquake mortality renal disaster Tu<spacing diaeresis>rkiye ACUTE COMPARTMENT SYNDROME MARMARA EARTHQUAKE VICTIMS
WoS Categories
Urology & Nephrology
Sustainable Development Goals
Citation
Journal
KIDNEY INTERNATIONAL
Year
2024
Volume
106
Issue
5
Pages
771-776
ISSN
0085-2538
eISSN
1523-1755
DOI
10.1016/j.kint.2024.08.008
WoS UID
WOS:001342504500001
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