Çakın Özlem, Yüce Aktepe Melike, Acar Samet, İbze Süleyman
Akdeniz University, Faculty of Medicine, Department of Internal Medicine Intensive Care Unit, Antalya, Türkiye.
Akdeniz University, Faculty of Medicine, Department of Infectious Diseases and Clinical Microbiology, Antalya, Türkiye.
Prehosp Disaster Med. 2024 Feb;39(1):25-31. doi: 10.1017/S1049023X24000062. Epub 2024 Feb 13.
The aim of this study is to determine the demographic, clinical characteristics, and outcomes of the patients who applied to the emergency department (ED) of Akdeniz University Faculty of Medicine Hospital (Antalya, Türkiye) after the Kahramanmaraş-Pazarcık earthquake dated February 6, 2023, as earthquake victims were included in the study. The results of the study could be a guide in terms of emergency health services and the healthy management of disasters.
The study included patients over the age of 18 who presented as earthquake victims to the ED of Akdeniz University Medical Faculty Hospital from February 6, 2023 through March 8, 2023. The demographic data of the patients, including age, gender, earthquake zone, time and manner of arrival to the ED, time under debris, length-of-stay (LOS) in the service and intensive care unit (ICU), infection rates, culture results, and mortality, were retrospectively analyzed using the hospital automation system.
A total of 1,833 earthquake victims presented to the ED. Of these patients, 1,294 were adults and 539 were children. Services and the ICU admitted a total of 137 adult patients. In the first week, 414 (31.99%) of the patients presented to the ED, while 82 (59.85%) of the hospitalized patients were admitted.Hatay ranked first with 573 (44.28%) patients in the distribution of patients presented to the ED according to earthquake regions. In the distribution of hospitalized patients by earthquake regions, the patients requiring the most hospitalization were from the province of Hatay, with 68 (49.63%) patients.During hospital observations, the medical staff took 132 culture samples based on the positive clinic of the patient. The microorganisms detected in the culture studies were different from the flora of the hospital. The mortality at seven days was two (1.45%), and at the end of 30 days, the mortality was six (4.37%).
The ED evaluated all affected cases, with most patients being brought by their relatives using their own means, and had low mortality rates despite presenting with fewer injuries. New environmental conditions that developed after the earthquake caused unexpected results, especially in terms of community-acquired agents.
本研究旨在确定2023年2月6日发生在卡赫拉曼马拉什-帕扎尔吉克地震后前往阿克德尼兹大学医学院医院急诊科（土耳其安塔利亚）的患者的人口统计学、临床特征及预后情况，因为地震受害者被纳入了本研究。本研究结果可为紧急医疗服务及灾害的健康管理提供指导。
本研究纳入了2023年2月6日至2023年3月8日期间以地震受害者身份前往阿克德尼兹大学医学院医院急诊科的18岁以上患者。利用医院自动化系统对患者的人口统计学数据进行回顾性分析，包括年龄、性别、地震区域、到达急诊科的时间和方式、被埋时间、在科室和重症监护病房（ICU）的住院时间、感染率、培养结果及死亡率。
共有1833名地震受害者前往急诊科。其中，1294名是成人，539名是儿童。科室和ICU共收治了137名成年患者。第一周，414名（31.99%）患者前往急诊科，而住院患者中有82名（59.85%）被收治。在按地震区域划分前往急诊科患者的分布中，哈塔伊以573名（44.28%）患者位居第一。在按地震区域划分住院患者的分布中，住院需求最大的患者来自哈塔伊省，有68名（49.63%）患者。在医院观察期间，医护人员根据患者的阳性临床症状采集了132份培养样本。培养研究中检测到的微生物与医院菌群不同。7天死亡率为2例（1.45%），30天末死亡率为6例（4.37%）。
急诊科对所有受影响病例进行了评估，大多数患者由亲属自行送至医院，尽管受伤较少，但死亡率较低。地震后出现的新环境状况导致了意想不到的结果，尤其是在社区获得性病原体方面。
