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我们在 COVID-19 大流行期间对 2020 年爱琴海地震后来到我们大学的地震灾民的临床经验。

Our clinical experiences in the earthquake victims who came to our university after the 2020 Aegean Sea earthquake during the COVID-19 pandemic.

机构信息

Department of Anesthesiology and Reanimation, Ege University Faculty of Medicine, İzmir-Türkiye.

Department of Orthopaedics and Traumatology, Ege University Faculty of Medicine, İzmir-Türkiye.

出版信息

Ulus Travma Acil Cerrahi Derg. 2023 Mar;29(3):310-315. doi: 10.14744/tjtes.2022.39549.

Abstract

BACKGROUND

Earthquakes are natural disasters that threaten human life and cause loss of life and property in a very short time. In our study, we aim to carry out the medical analysis of the earthquake victims who came to our hospital after the Earthquake in the Aegean Sea and to share our clinical experiences.

METHODS

We retrospectively analyzed patients the medical data records of earthquake victims brought to our hospital or the injured who applied due to the Aegean Sea earthquake. Patients demographic data, their complaints and diagnoses, hour of admission, their clinical courses, hospital arrangements (admission, discharge, and transfer), time spent until the operation, anesthesia methods, surgical intervantions, intensive care needs, crush syndrome, presence of acute renal failure, number of dialysis, mortality, and mor-bidity were reviewed.

RESULTS

A total of 152 patients were brought to our hospital due to the earthquake. The most intense period of admission to the emergency department was the 1st 24-36 h. Mortality rate was found to be higher depending on the increase of age. While the most common cause of admission for the mortal earthquake survivors was to be trapped in the wreckage, the survivors applied for other reasons as well such as falling down. The most common type of fracture observed in survivors was the lower extremity fractures.

CONCLUSION

Epidemiological studies can make an important contribution to the management and organization of the future earthquake-related injuries by healthcare institutions.

摘要

背景

地震是一种自然灾害,它在很短的时间内威胁着人类的生命并造成生命和财产的损失。在我们的研究中,我们旨在对爱琴海地震后来到我们医院的地震伤员进行医学分析,并分享我们的临床经验。

方法

我们回顾性分析了因爱琴海地震而被带到我们医院或因地震受伤而前来就诊的地震伤员的医疗数据记录。患者的人口统计学数据、他们的主诉和诊断、入院时间、他们的临床过程、医院安排(入院、出院和转院)、直到手术的时间、麻醉方法、手术干预、重症监护需求、挤压综合征、急性肾衰竭的存在、透析次数、死亡率和发病率。

结果

共有 152 名患者因地震被带到我们医院。急诊科入院最集中的时间段是第 1 个 24-36 小时。死亡率随着年龄的增加而升高。虽然死亡的地震幸存者最常见的入院原因是被埋在废墟下,但幸存者也因其他原因(如摔倒)前来就诊。幸存者中最常见的骨折类型是下肢骨折。

结论

通过医疗机构开展的流行病学研究,可为未来与地震相关的损伤的管理和组织提供重要帮助。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8479/10225835/92d2e14309c1/TJTES-29-310-g001.jpg

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