Evidence map›Paper›PMID 39536252›Full record

ArticleRevista da Associacao Medica Brasileira (1992)2024

Radiological perspective on earthquake trauma: differences in children and adults.

Gökhan Mert Özyurt, Sarhun Zirek

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Article in Revista da Associacao Medica Brasileira (1992), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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3 · Its place in the literature

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2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

2 authors.

Gökhan Mert ÖzyurtMersin City Hospital, Department of Radiology - Mersin, Turkey.ORCID http://orcid.org/0000-0002-5382-6696
Sarhun ZirekMersin City Hospital, Department of Radiology - Mersin, Turkey.ORCID http://orcid.org/0000-0002-6373-2167

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveFebruary 2023 saw major earthquakes in Pazarcık and Elbistan, causing significant devastation in Turkey. Patients were transferred to hospitals in neighboring provinces, with multiple traumas-especially fractures and organ injuries-forming the main reasons for hospital admissions. This study aimed to examine earthquake-related injuries in pediatric and adult populations to understand differences.

methodsThis study analyzed 1,220 adults and 590 pediatric patients with radiological imaging out of 8,704 earthquake trauma cases. Radiological images were assessed independently by two radiologists. Statistical analysis using SPSS examined relationships between variables such as age group and injury type.

resultsResults showed 40% of adults and 64% of children had normal radiological findings. Cerebral and extremity traumas were most common in pediatrics, while adults showed more extremity, thoracic, and spinal traumas. Significant differences between adult and pediatric groups were observed in cranial fractures, thoracic and lumbar vertebral fractures, hemopneumothorax, lung contusions, rib fractures, femur and talocalcaneal fractures, and compartment syndrome (p<0.001).

conclusionEarthquake-related injuries may vary between children and adults. Due to children's more flexible anatomical structure, it is believed that earthquake-related injuries occur less frequently in children. In this study, head traumas were more common in children compared to adults. The rate of cranial fractures was significantly higher in children, with a higher incidence of epidural hematoma compared to adults. Spinal traumas were more frequent in adults than in children, attributed to children's greater flexibility reducing the risk of entrapment under rubble. Pediatric thoracic compliance being significantly higher than in adults often resulted in milder chest traumas. However, compartment syndrome was more common in children, with a lower rate of accompanying bone fractures compared to adults. No significant difference was observed between children and adults in maxillofacial, abdominal, and pelvic traumas. These findings provide insights for future disaster healthcare planning and management.

Indexed as

EarthquakesAdolescentAdultAgedAged, 80 and overAge DistributionAge FactorsChildChild, PreschoolFemaleFractures, BoneHumansInfantMaleMiddle AgedMultiple Trauma

Identifiers

PMID39536252
PMCPMC11554324

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