ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2025
Retrospective analysis of earthquake related crush injurie patients in ICU: 6-February earthquake in Türkiye.
Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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5 citing papers in PubMed.
- Pathophysiology-guided biomarkers and therapeutics for precision trauma medicine in polytrauma with musculoskeletal injuries.Military Medical Research · 2026Review
- Are orthopedists mentally ready for the next disaster? Surgeons who performed amputations after the 2023 Kahramanmaraş earthquakes report high traumatic stress symptoms.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2025Article
- Pediatric earthquake-related amputations: associations with fasciotomy, crush syndrome, and entrapment duration.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- Open fractures associated with earthquakes and high-energy trauma: Clinical outcomes and management strategies.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2025Article
- Limb preservation with radical muscle debridement in crush-related compartment syndrome: a case report from an earthquake survivor.Acta orthopaedica et traumatologica turcica · 2025Article
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17 authors.
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Abstract
backgroundOn February 6, 2023 a devastating earthquake hit the south-eastern region of Türkiye and thousands of people were either injured or died. The aim was to determine the characteristics, treatment and clinical outcomes of critically ill patients with crush injuries in ICU. SUBJECTS/
methodsThis study was performed with a retrospective design in ICU. Patients were included as follows; effected 6 February earthquake, need ICU treatment and being crush syndrome.
resultsA total of 62 patients were included. The mean age was 41 ± 19 years and 47% were male. The median APACHE II score was 14. The most common ICU admission was multitrauma and crush injury. A total of %77 patients were needed surgical procedure (most of them extremities surgery (36%)and fasciotomy 36% due to compartment syndrome) and %24 patients had extremity amputation. AKI was developed in %65 of patients. A total of 26 (%40) patients were received RRT. The mNUTRIC score (p = 0.022), the BUN (p = 0.043) and the blood lactate level (p = 0.012) were identified as independent risk factors for 28-day mortality. An independent risk factor for limb amputation was identified in patients with high APACHE II and SOFA scores (p = 0.026, p = 0.034, respectively). The 28-day mortality was 13%.
conclusionsAs a result of the study, most of the patients need surgical operations and a quarter of patients required extremity amputation. AKI developed at a high rate and 40% of those patients needed RRT. The mNUTRIC score was found to be the most powerful predictor of mortality at 28 days.
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