TY  - JOUR
PY  - 2024//
TI  - Mortality factors in crush syndrome
JO  - Ulusal travma ve acil cerrahi dergisi
A1  - Onan, Engin
A1  - Torun, Dilek
A1  - Kozanoğlu, Rüya
A1  - Miçözkadıoğlu, Hasan
A1  - Beyaz, Salih
A1  - Özgözen, Levent
A1  - Turgut, Necmettin
A1  - Demiroğlu, Yusuf Ziya
A1  - Karagün, Özlem
A1  - Ergenoğlu, Pınar
A1  - Kuşçu, Özlem Özkan
A1  - Altan, Ege
A1  - Güven, Alper Tuna
A1  - Abdullayev, Alim
A1  - Karluka, İsmail
A1  - Yalçın, Çiğdem
A1  - Mazıcan, Mustafa
A1  - Balcı, İsa Göktürk
A1  - Özkan, Burak
A1  - Parmaksız, Gönül
A1  - Avcı, Begüm
A1  - Noyan, Aytül
A1  - Çolak, Turan
A1  - Tünel, Hüseyin Ali
A1  - Temiz, Abdulkerim
A1  - Gezer, Hasan Özkan
A1  - Erdogan, Cankat
A1  - Bairamoi, Galib
A1  - Yünlüel, Dilek
A1  - Çivi, Soner
A1  - Durdağ, Emre
A1  - Kardeş, Özgür
A1  - Süner, Halil İbrahim
A1  - Tufan, Kadir
A1  - Erkan, Serkan
A1  - Avcı, Tevfik
A1  - Gündoğdu, Ramazan
A1  - Kuş, Murat
A1  - Fındıkçıoğlu, Alper
A1  - Yıldız, Oya
A1  - Alışkan, Eda
A1  - Coşkunoğlu, Cenk
A1  - Haberal, Mehmet
SP  - 174
EP  - 184
VL  - 30
IS  - 3
N2  - 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>
LA  - en
SN  - 1306-696X
UR  - http://dx.doi.org/10.14744/tjtes.2024.20532
ID  - ref1
ER  -