Clinical findings in the renal victims of a catastrophic disaster: the Marmara earthquake

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dc.contributor.authorSever, Mehmet Şükrü
dc.contributor.authorErek, Ekrem
dc.contributor.authorVanholder, Raymond
dc.contributor.authorAkoğlu, Emel
dc.contributor.authorErgin, Hülya Karadayı
dc.contributor.authorTürkmen, Funda Muşerref
dc.contributor.authorKorular, Didem
dc.contributor.authorYenicesu, Müjdat
dc.contributor.authorErbilgin, Dilaver
dc.contributor.authorHoeben, Heidi
dc.contributor.authorLameire, Norbert
dc.contributor.buuauthorYavuz, Mahmut
dc.contributor.departmentUludağ Üniversitesi/Tıp Fakültesi/İç Hastalıkları Anabilim Dalı/Nefroloji Bilim Dalı.tr_TR
dc.date.accessioned2021-06-29T11:56:23Z
dc.date.available2021-06-29T11:56:23Z
dc.date.issued2002-11
dc.description.abstractBackground. The clinical course of acute renal failure (ARF) related to crush syndrome is very complex, because of co-existing surgical and/or medical complications. After the devastating Marmara earthquake that struck Turkey in August 1999, 639 patients were identified with nephrological problems, whose clinical findings have been the subject of this analysis. Methods. Specific questionnaires asking about 63 variables were sent to 35 reference hospitals that treated the victims. Clinical findings of the renal victims were analysed. Results. At admission, high fever was noted in 31.8% of the patients; the temperature of non-survivors was higher (P = 0.027). Mean blood pressure was higher in survivors (P = 0.004) and dialysed victims (P < 0.001). Most (61.4%) patients were oligo-anuric; oliguria lasted for 10.8 +/- 7.2 days. Thoracic and abdominal traumas were associated with a higher risk of mortality. 397 fasciotomies and 121 amputations were performed in 790 traumatized extremities. Fasciotomies were associated with sepsis (P < 0.001) and dialysis needs (P < 0.0001), while amputations were associated with mortality (P < 0.0001). Medical complications, which were associated with dialysis needs (P < 0.0001) and mortality (P < 0.0001), were observed in 51.5% of patients. In a multivariate analysis model of medical complications, disseminated intravascular coagulation (DIC) (P < 0.0001, OR = 5.81), and adult respiratory distress syndrome (ARDS) (P = 0.0001, OR = 4.53) were predictors of mortality. Conclusions. In the aftermath of catastrophic earthquakes, clinical findings of the renal victims can predict the final outcome. While fasciotomies indicate dialysis needs, extremity amputations, abdominal and thoracic traumas are associated with higher rates of mortality in addition to DIC and ARDS.en_US
dc.identifier.citationSever vd. (2002). "Clinical findings in the renal victims of a catastrophic disaster: The Marmara earthquake". Nephrology Dialysis Transplantation, 17(11), 1942-1949.en_US
dc.identifier.endpage11tr_TR
dc.identifier.issn0931-0509
dc.identifier.issue11tr_TR
dc.identifier.pubmed12401851tr_TR
dc.identifier.scopus2-s2.0-0036843639tr_TR
dc.identifier.startpage17tr_TR
dc.identifier.urihttps://doi.org/10.1093/ndt/17.11.1942
dc.identifier.urihttps://academic.oup.com/ndt/article/17/11/1942/1896632
dc.identifier.urihttp://hdl.handle.net/11452/20908
dc.identifier.volume17tr_TR
dc.identifier.wos000179053100014tr_TR
dc.indexed.pubmedPubmeden_US
dc.indexed.scopusScopusen_US
dc.indexed.wosSCIEen_US
dc.language.isoenen_US
dc.publisherOxford Univ Pressen_US
dc.relation.collaborationYurtiçitr_TR
dc.relation.collaborationYurtdışıtr_TR
dc.relation.journalNephrology Dialysis Transplantationen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergitr_TR
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectTransplantationen_US
dc.subjectUrology & nephrologyen_US
dc.subjectClinical featuresen_US
dc.subjectCrush syndromeen_US
dc.subjectMarmara earthquakeen_US
dc.subjectHanshin-awajı-earthquakeen_US
dc.subjectCrush-syndromeen_US
dc.subjectRhabdomyolysisen_US
dc.subjectFailureen_US
dc.subjectInjuryen_US
dc.subject.wosTransplantationen_US
dc.subject.wosUrology & nephrologyen_US
dc.titleClinical findings in the renal victims of a catastrophic disaster: the Marmara earthquakeen_US
dc.typeArticle
dc.wos.quartileQ2 (Transplantation)en_US
dc.wos.quartileQ1 (Urology & nephrology)en_US

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