一家大学医院从悲剧到复原:2023 年土耳其地震后患者的特征

IF 1.9 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Disaster Medicine and Public Health Preparedness Pub Date : 2024-04-11 DOI:10.1017/dmp.2024.52
Ömer Taşkın, Nezihat Rana Dişel
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引用次数: 0

摘要

研究目的本研究以受 2023 年 2 月土耳其地震影响的成年人为对象,旨在发现他们的人口统计学特征和临床特征。研究方法对地震发生后 2023 年 2 月 6 日至 2 月 21 日期间寻求急诊治疗的成年患者数据进行回顾性分析。结果在 3072 名患者中,有 1544 人(50.3%)为女性,外伤(31.1%)是急诊就诊的最主要原因。所有患者的中位年龄为 44 岁(四分位数间距 [IQR] 31-61 岁)。哈塔伊省占外伤患者原籍地的 65.2%。大多数患者(66.8%)都是自己到急诊科就诊的,而外伤患者的情况恰恰相反,其中 54.5% 的患者是通过救护车转院的。所有外伤病人中有一半是从废墟中救出的,75.9%的病人四肢受伤。24.7% 的创伤患者患有挤压综合症,9.1% 的患者接受了紧急血液透析,22.8% 的创伤患者接受了紧急手术。总体而言,10.2%的外伤患者没有任何身份证明。与前一年相比,地震发生时因呼吸系统和心血管疾病被送往急诊室的比例更高(P < 0.001)。结论:这项研究对灾难应对策略具有重要意义,强调了做好准备、及时干预和全面护理病人的重要性。
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From Tragedy to Resilience in a University Hospital: Characteristics of Patients in the Aftermath of the 2023 Turkey Earthquake
Objective: This study focuses on adults affected by the February 2023 Turkey earthquakes, aiming to uncover demographic and clinical traits. Methods: A retrospective analysis of data from adult patients who sought emergency care between February 6 and February 21, 2023, following the earthquakes, was conducted. Results: Among 3072 patients, 1544 (50.3%) of whom were women, trauma (31.1%) was the most prevalent cause of emergency department presentations. The median age of all patients was 44 y (interquartile range [IQR] 31-61 y). Hatay province accounted for 65.2% of trauma patients as origin. Most of the patients (66.8%) presented to the emergency department by their own means, while this was opposite for trauma patients, of whom 54.5% was transferred by means of Ambulance Service. Half of the total trauma patients were rescued from the debris, and 75.9% sustained limb injuries. Crush syndrome affected 24.7%, and emergency hemodialysis was performed on 9.1%, whereas emergency surgery was performed on 22.8% of all trauma cases. Overall, 10.2% of trauma patients lacked any identification. The rate of emergency department admittions due to respiratory and cardiovascular diseases was higher at the time of the earthquake compared with the previous year (P < 0.001). Conclusions: The insights gained from this study hold valuable implications for disaster response strategies, emphasizing the importance of preparedness, timely intervention, and comprehensive patient care.
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来源期刊
Disaster Medicine and Public Health Preparedness
Disaster Medicine and Public Health Preparedness PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
4.40
自引率
7.40%
发文量
258
审稿时长
6-12 weeks
期刊介绍: Disaster Medicine and Public Health Preparedness is the first comprehensive and authoritative journal emphasizing public health preparedness and disaster response for all health care and public health professionals globally. The journal seeks to translate science into practice and integrate medical and public health perspectives. With the events of September 11, the subsequent anthrax attacks, the tsunami in Indonesia, hurricane Katrina, SARS and the H1N1 Influenza Pandemic, all health care and public health professionals must be prepared to respond to emergency situations. In support of these pressing public health needs, Disaster Medicine and Public Health Preparedness is committed to the medical and public health communities who are the stewards of the health and security of citizens worldwide.
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