Evaluating the McMahon score for predicting mortality in earthquake-induced rhabdomyolysis: a retrospective study.

Autor:	Yaman M; Department of Emergency Medicine, Dicle University Faculty of Medicine, 21280 Diyarbakır, Turkey., Şen A; Department of Emergency Medicine, Dicle University Faculty of Medicine, 21280 Diyarbakır, Turkey., Durgun HM; Department of Emergency Medicine, Dicle University Faculty of Medicine, 21280 Diyarbakır, Turkey., Eynel E; Department of Nephrology, Internal Medicine, University of Health Sciences, Diyarbakır Gazi Yasargil Training and Research Hospital, 21070 Diyarbakır, Turkey., Belek S; Department of Emergency Medicine, Dicle University Faculty of Medicine, 21280 Diyarbakır, Turkey., Ülgüt ŞG; Department of Emergency Medicine, Dicle University Faculty of Medicine, 21280 Diyarbakır, Turkey., Orak M; Department of Emergency Medicine, Dicle University Faculty of Medicine, 21280 Diyarbakır, Turkey., Güloğlu C; Department of Emergency Medicine, Dicle University Faculty of Medicine, 21280 Diyarbakır, Turkey.
Jazyk:	angličtina
Zdroj:	Postgraduate medical journal [Postgrad Med J] 2024 Aug 14. Date of Electronic Publication: 2024 Aug 14.
DOI:	10.1093/postmj/qgae103
Abstrakt:	Background: In natural disasters like earthquakes, building collapses can trap individuals, causing crush syndrome and rhabdomyolysis. This life-threatening condition often leads to acute kidney injury. We aimed to determine the effectiveness of the McMahon score in predicting mortality due to rhabdomyolysis in patients affected by the earthquake. Methods: This is a retrospective observational study. In this study, the clinical and laboratory data of patients who presented to the emergency department due to the earthquake were analyzed. The McMahon score was calculated by evaluating factors such as creatine kinase, serum creatinine levels, age, and gender. Results: The study included 151 patients, of whom 74 (49.0%) were male and 77 (51.0%) were female. In the univariate model, significant (P < .05) effectiveness was observed in differentiating between patients with and without mortality for McMahon score and the risk of acute kidney injury. At a McMahon score cutoff of 6, significant effectiveness was also observed, with an area under the curve of 0.723. At this cutoff value, the sensitivity was 80.0% and the specificity was 64.5%. Conclusions: The use of the McMahon score in emergency medicine and disaster management plays a crucial role in rapid decision-making processes due to its effectiveness in predicting mortality. (© The Author(s) 2024. Published by Oxford University Press on behalf of Fellowship of Postgraduate Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.)
Databáze:	MEDLINE
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