@article{ref1,
title="Mortality factors in crush syndrome",
journal="Ulusal travma ve acil cerrahi dergisi",
year="2024",
author="Onan, Engin and Torun, Dilek and Kozanoğlu, Rüya and Miçözkadıoğlu, Hasan and Beyaz, Salih and Özgözen, Levent and Turgut, Necmettin and Demiroğlu, Yusuf Ziya and Karagün, Özlem and Ergenoğlu, Pınar and Kuşçu, Özlem Özkan and Altan, Ege and Güven, Alper Tuna and Abdullayev, Alim and Karluka, İsmail and Yalçın, Çiğdem and Mazıcan, Mustafa and Balcı, İsa Göktürk and Özkan, Burak and Parmaksız, Gönül and Avcı, Begüm and Noyan, Aytül and Çolak, Turan and Tünel, Hüseyin Ali and Temiz, Abdulkerim and Gezer, Hasan Özkan and Erdogan, Cankat and Bairamoi, Galib and Yünlüel, Dilek and Çivi, Soner and Durdağ, Emre and Kardeş, Özgür and Süner, Halil İbrahim and Tufan, Kadir and Erkan, Serkan and Avcı, Tevfik and Gündoğdu, Ramazan and Kuş, Murat and Fındıkçıoğlu, Alper and Yıldız, Oya and Alışkan, Eda and Coşkunoğlu, Cenk and Haberal, Mehmet",
volume="30",
number="3",
pages="174-184",
abstract="BACKGROUND: Crush Syndrome is a major cause of morbidity and mortality following large-scale catastrophic earthquakes. Since there are no randomized controlled studies on Crush Syndrome, knowledge on this subject is limited to expert experience. The primary objective is to analyze the epidemiological and demographic characteristics, clinical outcomes, and mortality factors of earthquake victims after the Pazarcik and Elbistan earthquakes on February 6, 2023. <br><br>METHODS: This cross-sectional and observational retrospective study evaluated 610 earthquake victims who presented to our center between February 6 and April 30, 2023. Among these patients, 128 with Crush Syndrome were included in the study. Patient information was gathered from hospital records during their stay and from national registries upon referral. The primary outcome was to identify risk factors for mortality. Demographic and laboratory data were analyzed by acute kidney injury (AKI) stages; mortality-affecting factors were identified through regression analysis. <br><br>RESULTS: Of the 128 Crush Syndrome patients (100 adults, 28 children), 64 were female. The AKI rate was 32.8%. Among patients with AKI, the frequency of hemodialysis requirement was 69%, and the mortality rate was 14.2%. The overall mortality rate for patients with Crush Syndrome was 4.6%, compared to 3.9% (19/482) in earthquake victims without Crush Syndrome (p=0.705). Notably, low systolic blood pressure at admission was the only factor significantly affecting mortality in Crush Syndrome patients (Hazard Ratio [HR]: 1.088, p=0.021, 95% Confidence Interval [CI]). <br><br>CONCLUSION: Our study highlights low systolic blood pressure upon admission as a significant risk factor for increased mortality in Crush Syndrome patients. This finding may contribute to the literature by emphasizing the importance of monitoring blood pressure under rubble and administering more aggressive fluid therapy to patients with low systolic blood pressure.<p /> <p>Language: en</p>",
language="en",
issn="1306-696X",
doi="10.14744/tjtes.2024.20532",
url="http://dx.doi.org/10.14744/tjtes.2024.20532"
}