Pediatric kidney care experience after the 2023 Türkiye earthquake

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dc.contributor.authorBakkaloǧlu, Sevcan Azime
dc.contributor.authorDelibaş, Ali
dc.contributor.authorSürmeli Döven, Serra
dc.contributor.authorTaner, Sevgin
dc.contributor.authorYavuz, Sevgi
dc.contributor.authorYavaşcan, Önder
dc.contributor.authorArslansoyu Çamlar, Seçil
dc.date.accessioned2025-03-26T12:30:53Z
dc.date.available2025-03-26T12:30:53Z
dc.date.issued2024
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü
dc.description.abstractBackground. Two earthquakes on 6 February 2023 destroyed 10 cities in Türkiye. 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/m2 body surface area (BSA), 40% at 3000-4000 mL/m2 BSA and only 2% at > 4000 mL/m2 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/m2 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.citationBakkaloǧlu, S. A., Delibaş, A., Sürmeli Döven, S., Taner, S., Yavuz, S., Yavaşcan, Ö. ... Arslansoyu Çamlar, S. (2024). Pediatric kidney care experience after the 2023 Türkiye earthquake. Nephrology Dialysis Transplantation, 39(9), 1514-1522. http://dx.doi.org/10.1093/ndt/gfae033
dc.identifier.doi10.1093/ndt/gfae033
dc.identifier.endpage1522
dc.identifier.issn0931-0509
dc.identifier.issn1460-2385
dc.identifier.issue9
dc.identifier.pmid38327222
dc.identifier.scopus2-s2.0-85202906365
dc.identifier.scopusqualityQ1
dc.identifier.startpage1514
dc.identifier.urihttp://dx.doi.org/10.1093/ndt/gfae033
dc.identifier.urihttps://hdl.handle.net/20.500.12511/12917
dc.identifier.volume39
dc.identifier.wosWOS:001183242500001
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorYavaşcan, Önder
dc.institutionauthorid0000-0002-3582-5075
dc.language.isoen
dc.relation.ispartofNephrology Dialysis Transplantation
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectAcute Kidney Injury
dc.subjectChildren
dc.subjectCrush Syndrome
dc.subjectEarthquake
dc.subjectTürkiye
dc.titlePediatric kidney care experience after the 2023 Türkiye earthquake
dc.typeArticle

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