Akademik Veri Yönetim Sistemi
MEDICAL JOURNAL OF BAKIRKOY, cilt.20, sa.1, ss.1-6, 2024 (ESCI)
Objective: The Kahramanmaras earthquake resulted in great destruction and death. We presented the characteristics of patients with crush syndrome (CS) and acute kidney injury (AKI) brought to our hospital from this region. Methods: Data of all earthquake victims admitted to our hospital between February 7th, 2023 and February 15th, 2023 were reviewed in this retrospective study. Data of 51 victims over 17 years who were rescued from the rubble were reviewed and the demographic, laboratory, and clinical findings of these patients were investigated. They were evaluated for mortality, AKI, renal replacement therapy (RRT) requirement, and complications, including fasciotomy, amputation, intensive care unit (ICU) hospitalization requirement, microbial growth, antibiotic requirement, and duration of antibiotic treatment days. Results: Twenty patients (39.22%) required ICU hospitalization, 21 patients (41.18%) had AKI, but 10 of the total patients (19.61%) required RRT, 1 patient (1.9%) died. There was a positive correlation between the time of the patients under the dent and the maximum creatine kinase (CK) level, severity of renal failure, number of hemodialysis sessions, number of albumin and erythrocyte replacements, and length of stay in the ICU. A positive correlation was found between CK and creatinine level, as well as between creatinine level and number of complications. Conclusion: Patients with CS should be closely followed in terms of their renal survival, and early treatment should be started. Follow-up of these patients requires a multidisciplinary approach with the contribution of surgeons and nephrologists.