Pediatric kidney care experience after the 2023 Türkiye earthquake

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dc.authorid0000-0002-4011-6919en_US
dc.contributor.authorBakkaloglu, Sevcan A.
dc.contributor.authorDelibaş, Ali
dc.contributor.authorDöven, Serra Sürmeli
dc.contributor.authorTaner, Sevgin
dc.contributor.authorYavuz, Sevgi
dc.contributor.authorErfidan, Gökçen
dc.contributor.authorElmacı, Ahmet Midhat
dc.date.accessioned2024-07-18T06:55:10Z
dc.date.available2024-07-18T06:55:10Z
dc.date.issued2024en_US
dc.departmentKMÜ, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümüen_US
dc.descriptionWOS:001183242500001 PubMed ID:38327222en_US
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.en_US
dc.identifier.citationBakkaloğlu, S. A., Delibaş, A., Sürmeli Döven, S., Taner, S., Yavuz, S., Erfidan, G., ... & Sever, L. (2024). Pediatric kidney care experience after the 2023 Türkiye earthquake. Nephrology Dialysis Transplantation. DOI10.1093/ndt/gfae033en_US
dc.identifier.doi10.1093/ndt/gfae033
dc.identifier.issn0931-0509
dc.identifier.issn1460-2385
dc.identifier.pmid38327222
dc.identifier.scopus2-s2.0-85202906365
dc.identifier.scopusqualityQ1
dc.identifier.urihttps://doi.org/10.1093/ndt/gfae033
dc.identifier.urihttps://hdl.handle.net/11492/8479
dc.identifier.wosWOS:001183242500001
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Sceince
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorElmacı, Ahmet Midhat
dc.language.isoen
dc.publisherOxford Univ Press Inc.en_US
dc.relation.journalNephrology Dialysis Transplantationen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAcute Kidney Injuryen_US
dc.subjectChildrenen_US
dc.subjectCrush Syndromeen_US
dc.subjectEarthquakeen_US
dc.subjectTürkiyeen_US
dc.titlePediatric kidney care experience after the 2023 Türkiye earthquakeen_US
dc.typeArticle

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