Health Science University, Adana City Training and Research Hospital, Department of Emergency Medicine, Adana, Turkey.
Karacabey State Hospital, Department of Emergency Medicine, Bursa, Turkey.
Disaster Med Public Health Prep. 2024 Oct 28;18:e201. doi: 10.1017/dmp.2024.177.
This study evaluates the Emergency Medical Service system and overall emergency preparedness by analyzing ambulance-transported patients during the February 6, 2023 earthquakes, focusing on those without earthquake-related injuries (medical emergencies and traumas not caused by earthquakes).
A retrospective, observational case series was conducted, involving patients aged 18 and above transported by ambulance between February 6 and March 6, 2023. Patient demographic characteristics, vital signs, diagnoses, treatments, and outcomes were recorded. Predisposing factors for ambulance transportation including post-earthquake health facility issues, housing problems, hygiene, heating, and smoke exposure were meticulously analyzed.
The study included 1872 patients, with a 55.4% hospitalization rate and a 13.7% mortality rate. Cardiovascular emergencies were the primary reason for admission (28.9%). Patients from the hospital in the study's location form Group 1, whereas those from other earthquake-affected provinces constitute Group 2. Significant predisposing factors for ambulance transportation included post-earthquake health facilities ( < 0.001), housing problems ( < 0.001), hygiene ( < 0.001), heating ( = 0.001), and smoke exposure ( < 0.001). In Group 2, pneumonia ( = 0.001), soft tissue infection ( = 0.002), sepsis ( = 0.004), carbon monoxide poisoning ( < 0.001), and diabetic emergencies ( = 0.013) were statistically significantly more frequent.
Analyzing post-earthquake ambulance-transported patients is vital to comprehend the demand for emergency health care and address post-disaster health care challenges.
通过分析 2023 年 2 月 6 日地震期间通过救护车转运的患者，评估紧急医疗服务系统和整体应急准备情况，重点关注无地震相关损伤（非地震引起的医疗紧急情况和创伤）的患者。
回顾性观察性病例系列研究，纳入 2023 年 2 月 6 日至 3 月 6 日期间通过救护车转运的 18 岁及以上的患者。记录患者的人口统计学特征、生命体征、诊断、治疗和结局。详细分析了导致救护车转运的诱发因素，包括地震后医疗设施问题、住房问题、卫生、供暖和烟雾暴露。
研究共纳入 1872 例患者，住院率为 55.4%，死亡率为 13.7%。心血管急症是主要的入院原因（28.9%）。来自研究地点医院的患者构成第 1 组，而来自其他受地震影响省份的患者构成第 2 组。导致救护车转运的显著诱发因素包括地震后医疗设施（<0.001）、住房问题（<0.001）、卫生（<0.001）、供暖（=0.001）和烟雾暴露（<0.001）。在第 2 组中，肺炎（=0.001）、软组织感染（=0.002）、脓毒症（=0.004）、一氧化碳中毒（<0.001）和糖尿病急症（=0.013）更为频繁。
分析地震后通过救护车转运的患者对于了解紧急医疗保健需求和应对灾后医疗保健挑战至关重要。
