2023 年土耳其-叙利亚地震期间一家非震中医院的应急响应和临床见解:回顾性分析。

Selahattin Gürü, Süeda Zaman, Mehmet Akif Karamercan
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摘要

背景 2023 年 2 月 6 日发生的土耳其-叙利亚地震波及 11 个省,需要广泛的紧急医疗支持。土耳其安卡拉的安卡拉马马克国立医院虽然不在震中,但也提供了重要的多学科支持。本回顾性研究评估了地震后导致该医院急诊科(ED)收治 124 例患者的因素。材料和方法 我们记录了患者的人口统计学数据、到达急诊室的日期、原籍省份、诊断、治疗、急诊室就诊期间的咨询以及患者的治疗结果。124 名入院患者中的大多数都是因为外伤和多器官损伤,主要诊断手段是体格检查和放射成像。在这些患者中,85.5%(106 人)痊愈后直接从急诊室出院,11 人住院继续治疗,7 人转诊到其他医院。结果 124例患者均为震后20天内受伤的成年人,平均年龄(46.5±17.4)岁,女性患者较多。震后第三天和第四天出现入院高峰,其中来自哈塔伊省的病例最多。最常受伤的身体部位是下肢,骨科就诊人数明显多于其他外科就诊人数。结论 我们的研究结果表明,在所有急诊室,尤其是在自然灾害多发地区,强有力的多学科备灾工作至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Emergency Response and Clinical Insights from a Non-Epicenter Hospital during the 2023 Turkey-Syria Earthquake: A Retrospective Analysis.

BACKGROUND The Turkey-Syria earthquake of February 6, 2023, impacted 11 provinces and necessitated widespread emergency medical support. Although not at the disaster's epicenter, Ankara Mamak State Hospital in Ankara, Turkey, offered critical multidisciplinary support. This retrospective study evaluates the factors that drove 124 admissions to the hospital's Emergency Department (ED) following the earthquake. MATERIAL AND METHODS We recorded patient demographic data, dates of arrival at the ED, provinces of origin, diagnoses, treatments, consultations during the ED visit, and patient outcomes. The majority of the 124 admissions were due to trauma and multi-organ damage, and the primary diagnostic tools were physical examination and radiological imaging. Of these patients, 85.5% (106) recovered and were discharged directly from the ED, 11 were admitted for continued care, and 7 were referred to another hospital. RESULTS The 124 cases consisted of adults injured within the first 20 days post-earthquake, with a mean age of 46.5±17.4 years, and a higher number of females. A peak in admissions was observed on the third and fourth days following the earthquake, with the most cases originating from the Hatay province. The most frequently injured body region was the lower extremity, and orthopedic consultations significantly outnumbered other surgical consultations. CONCLUSIONS Our findings underscore the vital role of robust, multidisciplinary disaster preparedness in all EDs, especially in regions prone to natural disasters.

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