| Autor: |
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, Günes Keskin, Ayse Jini, Sipahioglu, Murat Hayri, Ozkutlu, Meliha, Dursun, Belda, Oruc, Aysegul, Hasbal, Nuri Baris, Sevinc, Mustafa, Gul, Semih, Ozturk, Seda Safak, Yildiz, Alaattin, Sever, Mehmet Sukru |
| Zdroj: |
Kidney International; November 2024, Vol. 106 Issue: 5 p771-776, 6p |
| Abstrakt: |
This study investigated in-hospital outcomes and related factors in patients diagnosed with postearthquake crush syndrome after the earthquakes in Kahramanmaraş, Türkiye. One thousand twenty-four adult patients diagnosed with crush syndrome were analyzed. Data on demographic characteristics, clinical presentation, laboratory values, treatments, 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. |
| Databáze: |
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