2023 catastrophic Turkey earthquake: clinical outcomes of pediatric patients rescued under the rubble.

Postgraduate medicine Pub Date : 2024-05-01 Epub Date: 2024-05-17 DOI:10.1080/00325481.2024.2354654
Ayşe Hitay Telefon, Ümit Çelik, Elif Afat Turgut, Tuğba Kandemir Gülmez, Merve Kılıç Çil, Gülsüm Sönmez, Sevgin Taner
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Abstract

Objectives: Children are the most vulnerable population affected by the earthquake. We aimed to examine the characteristics, morbidity, mortality, and the factors affecting these pediatric earthquake victims to guide the follow-up of pediatric patients who were rescued under the rubble in possible future disasters.

Methods: This is a retrospective observational study. The files of pediatric earthquake victims aged 0-18 years who were admitted to Adana City Training and Research Hospital between 6 February-30 April 2023 were analyzed. 318 patients were included in the study.

Results: Of all patients 48.7% (n = 155) were female and 51.3% (n = 163) were male. The mean age of the patients was 114.8 months. 65.4% (n = 208) of the patients were discharged from our hospital, eighteen patients (5.7%) died. Information on the hour when the patients were rescued under the rubble could be reached in 117 (36.8%) patients. The mean rescue time of these patients was 50.5 hours. 62 (53%) victims were rescued in the first 24 hours after the earthquake. There were 111 patients (34.9%) with fractures. There were 118 patients (37.1%) who underwent fasciotomy surgery. The total number of patients with amputation was 48 (15.1%). There were 36 patients (11.3%) with one limb amputated, 12 patients (%3.7) with more than one limb amputation. Internal organ injury was present in 30.5% (n = 97) of the patients. Of these patients, 85.6% (n = 83) had single organ trauma and 14.4% (n = 14) had multiple organ trauma. There were 58 patients (18.2%) with acute renal failure in follow-up. The mean rescue time for patients with amputation was 83.65 ± 62.9 hours, and for patients without amputation was 36.44 ± 50.6 hours. This difference was statistically significant (p = 0.001). No statistically significant difference was found when the ages of the patients were compared to fasciotomy, amputation, and fracture status.

Conclusion: While evaluating earthquake-induced trauma, pediatric patients should be approached carefully.

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2023 年土耳其灾难性地震:在废墟中获救的儿科病人的临床结果。
目标:儿童是地震中最易受伤害的人群。我们旨在研究这些小儿地震受害者的特征、发病率、死亡率和影响因素,以指导在未来可能发生的灾难中对从废墟中救出的小儿患者进行随访:这是一项回顾性观察研究。方法:这是一项回顾性观察研究,分析了 2023 年 2 月 6 日至 4 月 30 日期间阿达纳市培训与研究医院收治的 0-18 岁地震小儿患者的档案。研究共纳入 318 名患者:在所有患者中,48.7%(n = 155)为女性,51.3%(n = 163)为男性。患者的平均年龄为 114.8 个月。65.4%(n = 208)的患者出院,18 名患者(5.7%)死亡。有 117 名患者(36.8%)能够提供在废墟中获救的时间信息。这些患者的平均获救时间为 50.5 小时。62名(53%)灾民是在震后24小时内获救的。有 111 名患者(34.9%)骨折。118名患者(37.1%)接受了筋膜切开手术。截肢患者共有 48 人(15.1%)。其中 36 名患者(11.3%)被截去一肢,12 名患者(3.7%)被截去一肢以上。30.5%(97 人)的患者存在内脏损伤。在这些患者中,85.6%(n = 83)为单器官创伤,14.4%(n = 14)为多器官创伤。有 58 名患者(18.2%)在随访中出现急性肾功能衰竭。截肢患者的平均抢救时间为(83.65 ± 62.9)小时,无截肢患者的平均抢救时间为(36.44 ± 50.6)小时。这一差异具有统计学意义(P = 0.001)。将患者的年龄与筋膜切开术、截肢和骨折状况进行比较,未发现有统计学意义的差异:结论:在评估地震所致创伤时,应谨慎对待儿童患者。
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