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2023 年土耳其-叙利亚地震期间非震中医院的应急响应和临床见解:回顾性分析。

Emergency Response and Clinical Insights from a Non-Epicenter Hospital during the 2023 Turkey-Syria Earthquake: A Retrospective Analysis.

机构信息

Department of Emergency Medicine, Ankara City Hospital, Ankara, Turkey.

Department of Emergency Medicine, Mamak State Hospital, Ankara, Turkey.

出版信息

Med Sci Monit. 2023 Jul 28;29:e941226. doi: 10.12659/MSM.941226.

Abstract

BACKGROUND The Turkey-Syria earthquake of February 6, 2023, impacted 11 provinces and necessitated widespread emergency medical support. Although not at the disaster's epicenter, Ankara Mamak State Hospital in Ankara, Turkey, offered critical multidisciplinary support. This retrospective study evaluates the factors that drove 124 admissions to the hospital's Emergency Department (ED) following the earthquake. MATERIAL AND METHODS We recorded patient demographic data, dates of arrival at the ED, provinces of origin, diagnoses, treatments, consultations during the ED visit, and patient outcomes. The majority of the 124 admissions were due to trauma and multi-organ damage, and the primary diagnostic tools were physical examination and radiological imaging. Of these patients, 85.5% (106) recovered and were discharged directly from the ED, 11 were admitted for continued care, and 7 were referred to another hospital. RESULTS The 124 cases consisted of adults injured within the first 20 days post-earthquake, with a mean age of 46.5±17.4 years, and a higher number of females. A peak in admissions was observed on the third and fourth days following the earthquake, with the most cases originating from the Hatay province. The most frequently injured body region was the lower extremity, and orthopedic consultations significantly outnumbered other surgical consultations. CONCLUSIONS Our findings underscore the vital role of robust, multidisciplinary disaster preparedness in all EDs, especially in regions prone to natural disasters.

摘要

背景

2023 年 2 月 6 日土耳其-叙利亚地震影响了 11 个省份,需要广泛的紧急医疗支持。尽管不在灾难的震中,土耳其安卡拉马马克州立医院(Ankara Mamak State Hospital)在土耳其安卡拉为地震提供了关键的多学科支持。本回顾性研究评估了在地震发生后,导致 124 名患者前往医院急诊部(ED)的因素。

材料和方法

我们记录了患者的人口统计学数据、到达 ED 的日期、原籍省份、诊断、治疗、ED 就诊期间的会诊以及患者的结局。124 例患者中,大多数(85.5%,106 例)因创伤和多器官损伤而入院,主要诊断工具是体格检查和影像学检查。这些患者中,85.5%(106 例)康复并直接从 ED 出院,11 例入院继续治疗,7 例转往其他医院。

结果

124 例患者为地震后 20 天内受伤的成年人,平均年龄为 46.5±17.4 岁,女性人数较多。地震发生后第 3 天和第 4 天入院人数达到高峰,大多数病例来自哈塔伊省。受伤最常见的部位是下肢,骨科会诊明显多于其他外科会诊。

结论

我们的发现强调了所有急诊部,尤其是在易受自然灾害影响的地区,强大的多学科灾难准备的重要作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9041/10392225/1e83feb0e133/medscimonit-29-e941226-g001.jpg

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