Single Center Data of Kahramanmaraş Earthquake: Bakırköy Dr. Sadi Konuk Training and Research Hospital, Nephrology Department Experience.

Objective: The Kahramanmaraş earthquake resulted in great destruction and death. We presented the characteristics of patients with crush syndrome (CS) and acute kidney injury (AKI) brought to our hospital from this region. Methods: Data of all earthquake victims admitted to our hospital between February 7th, 2023 and February 15th, 2023 were reviewed in this retrospective study. Data of 51 victims over 17 years who were rescued from the rubble were reviewed and the demographic, laboratory, and clinical findings of these patients were investigated. They were evaluated for mortality, AKI, renal replacement therapy (RRT) requirement, and complications, including fasciotomy, amputation, intensive care unit (ICU) hospitalization requirement, microbial growth, antibiotic requirement, and duration of antibiotic treatment days. Results: Twenty patients (39.22%) required ICU hospitalization, 21 patients (41.18%) had AKI, but 10 of the total patients (19.61%) required RRT, 1 patient (1.9%) died. There was a positive correlation between the time of the patients under the dent and the maximum creatine kinase (CK) level, severity of renal failure, number of hemodialysis sessions, number of albumin and erythrocyte replacements, and length of stay in the ICU. A positive correlation was found between CK and creatinine level, as well as between creatinine level and number of complications. Conclusion: Patients with CS should be closely followed in terms of their renal survival, and early treatment should be started. Follow-up of these patients requires a multidisciplinary approach with the contribution of surgeons and nephrologists. [ABSTRACT FROM AUTHOR]

Amaç: Kahramanmaraş depremi büyük bir yıkım ve ölümle sonuçlanmıştır. Bu bölgeden hastanemize getirilen crush sendromu (CS) ve akut böbrek hasarı (ABH) olan hastaların özelliklerini sunmayı amaçladık. Gereç ve Yöntem: Bu retrospektif çalışmada, hastanemize 7 Şubat 2023 ile 15 Şubat 2023 tarihleri arasında başvuran tüm depremzedelerin verileri incelendi. Enkazdan kurtarılan 17 yaş üstü 51 depremzedenin verileri tarandı. Bu hastaların demografik, laboratuvar ve klinik bulguları incelendi. Hastalar; mortalite, ABH, renal replasman tedavisi (RRT) gereksinimi, fasyotomi, amputasyon, yoğun bakım ünitesi (YBÜ) gereksinimi, mikrobiyal üreme, antibiyotik gereksinimi, antibiyotik verilen gün sayısı gibi komplikasyonlar açısından değerlendirildi. Bulgular: Yirmi hastada (%39,22) yoğun bakım ihtiyacı, 21 hastada (%41,18) ABH gelişti, ancak 10 hastada (%19,61) RRT gerekti, 1 hasta (%1,9) öldü. Göçük altında geçen süre ile maksimum kreatinin kinaz (CK) düzeyi, girilen hemodiyaliz seans sayısı, albümin ve eritrosit replasman sayısı ve YBÜ yatış günü arasında pozitif korelasyon saptandı. CK ile kreatinin düzeyi arasında ve kreatinin düzeyi ile de komplikasyonların sayısı arasında pozitif korelasyon bulundu. Sonuç: CS'li hastalar renal sağkalım açısından çok yakından takip edilmeli ve erken tedaviye başlanmalıdır. Aksi takdirde ciddi komplikasyonlar meydana gelebilir. [ABSTRACT FROM AUTHOR]

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