Pediatric kidney care experience after the 2023 Türkiye earthquake

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dc.contributor.authorBakkaloglu, SA
dc.contributor.authorDelibas, A
dc.contributor.authorDöven, SS
dc.contributor.authorTaner, S
dc.contributor.authorYavuz, S
dc.contributor.authorErfidan, G
dc.contributor.authorVatansever, ED
dc.contributor.authorAynaci, F
dc.contributor.authorYílmaz, K
dc.contributor.authorTasdemir, M
dc.contributor.authorAkaci, O
dc.contributor.authorAkinci, N
dc.contributor.authorGüven, S
dc.contributor.authorÇiçek, N
dc.contributor.authorDursun, I
dc.contributor.authorKelesoglu, E
dc.contributor.authorSancaktar, M
dc.contributor.authorAlaygut, D
dc.contributor.authorSaygili, S
dc.contributor.authorYavascan, Ö
dc.contributor.authorYilmaz, A
dc.contributor.authorGülleroglu, K
dc.contributor.authorErtan, P
dc.contributor.authorDemir, BK
dc.contributor.authorPoyrazoglu, H
dc.contributor.authorPinarbasi, S
dc.contributor.authorGençler, A
dc.contributor.authorBastug, F
dc.contributor.authorGünay, N
dc.contributor.authorÇelegen, K
dc.contributor.authorNoyan, A
dc.contributor.authorParmaksiz, G
dc.contributor.authorAvci, B
dc.contributor.authorÇayci, FS
dc.contributor.authorBayrakçi, U
dc.contributor.authorÖzlü, SG
dc.contributor.authorAksoy, ÖY
dc.contributor.authorYel, S
dc.contributor.authorInal, GA
dc.contributor.authorKöse, S
dc.contributor.authorBayazit, AK
dc.contributor.authorAtmis, B
dc.contributor.authorSaribas, E
dc.contributor.authorÇagli, Ç
dc.contributor.authorTabel, Y
dc.contributor.authorElmas, AT
dc.contributor.authorSelçuk, SZ
dc.contributor.authorKiliç, BD
dc.contributor.authorKara, MA
dc.contributor.authorBüyükçelik, M
dc.contributor.authorBalat, A
dc.contributor.authorTiryaki, BD
dc.contributor.authorErdogdu, B
dc.contributor.authorAksu, B
dc.contributor.authorMahmudova, G
dc.contributor.authorDursun, H
dc.contributor.authorCandan, C
dc.contributor.authorGöknar, N
dc.contributor.authorMutlubas, F
dc.contributor.authorÇamlar, SA
dc.contributor.authorBasaran, C
dc.contributor.authorAkbulut, BB
dc.contributor.authorDüzova, A
dc.contributor.authorGülhan, B
dc.contributor.authorOruç, Ç
dc.contributor.authorPeru, H
dc.contributor.authorAlpay, H
dc.contributor.authorTürkkan, ÖN
dc.contributor.authorGülmez, R
dc.contributor.authorÇelakil, M
dc.contributor.authorDogan, K
dc.contributor.authorBilge, I
dc.contributor.authorPehlivanoglu, C
dc.contributor.authorBüyükkaragöz, B
dc.contributor.authorLeventoglu, E
dc.contributor.authorAlpman, N
dc.contributor.authorZeybek, C
dc.contributor.authorTülpar, S
dc.contributor.authorGülsan, RYÇ
dc.contributor.authorKara, A
dc.contributor.authorGürgöze, MK
dc.contributor.authorÖnder, ENA
dc.contributor.authorAtikel, YÖ
dc.contributor.authorPul, S
dc.contributor.authorSönmez, F
dc.contributor.authorYildiz, G
dc.contributor.authorAkman, S
dc.contributor.authorElmaci, M
dc.contributor.authorKüçük, N
dc.contributor.authorYüksel, S
dc.contributor.authorKavaz, A
dc.contributor.authorNalçacioglu, H
dc.contributor.authorAlparslan, C
dc.contributor.authorDinçel, N
dc.contributor.authorElhan, AH
dc.contributor.authorSever, L
dc.date.accessioned2024-07-18T12:08:46Z
dc.date.available2024-07-18T12:08:46Z
dc.description.abstractBackground. Two earthquakes on 6 February 2023 destroyed 10 cities in Turkiye. We report our experience with pediatric victims during these catastrophes, with a focus on crush syndrome related-acute kidney injury (Crush-AKI) and death. Method. Web-based software was prepared. Patient demographics, time under rubble (TUR), admission laboratory data, dialysis, and kidney and overall outcomes were recorded. Results. A total of 903 injured children (median age 11.62 years) were evaluated. Mean TUR was 13 h (interquartile range 32.5, max 240 h). Thirty-one of 32 patients with a TUR of >120 h survived. The patient who was rescued after 10 days survived. Two-thirds of the patients were given 50 mEq/L sodium bicarbonate in 0.45% sodium chloride solution on admission day. Fifty-eight percent of patients were given intravenous fluid (IVF) at a volume of 2000-3000 mL/m(2) body surface area (BSA), 40% at 3000-4000 mL/m(2) BSA and only 2% at >4000 mL/m(2) BSA. A total of 425 patients had surgeries, and 48 suffered from major bleeding. Amputations were recorded in 96 patients. Eighty-two and 66 patients required ventilator and inotropic support, respectively. Crush-AKI developed in 314 patients (36% of all patients). In all, 189 patients were dialyzed. Age >15 years, creatine phosphokinase (CK) >= 20 950 U/L, TUR >= 10 h and the first-day IVF volume <3000-4000 mL/m2 BSA were associated with Crush-AKI development. Twenty-two deaths were recorded, 20 of 22 occurring in patients with Crush-AKI and within the first 4 days of admission. All patients admitted after 7 days survived. Conclusions. These are the most extensive pediatric kidney disaster data obtained after an earthquake. Serum CK level was significantly associated with Crush-AKI at the levels of >20 950 U/L, but not with death. Adolescent age and initial IVF of less than 3000-4000 mL/m(2) BSA were also associated with Crush-AKI. Given that mildly injured victims can survive longer periods in the disaster field, we suggest uninterrupted rescue activity for at least 10 days.
dc.identifier.issn0931-0509
dc.identifier.other1460-2385
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/11066
dc.language.isoEnglish
dc.publisherOXFORD UNIV PRESS
dc.subjectMARMARA EARTHQUAKE
dc.subjectDISASTER NEPHROLOGY
dc.subjectCRUSH-SYNDROME
dc.subjectRENAL-FAILURE
dc.subjectVICTIMS
dc.subjectCHILDREN
dc.subjectMANAGEMENT
dc.subjectTRAUMA
dc.subjectIRAN
dc.subjectBAM
dc.titlePediatric kidney care experience after the 2023 Türkiye earthquake
dc.typeArticle; Early Access

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