Mendes Ergun, Adiyeke Ozal, Sarban Onur, Civan Melih, Altas Okyar, Korucu Alperen, Ozcan Funda Gumus, Oksuz Gozen
Department of Anesthesiology and Reanimation, Koç University Faculty of Medicine Hospital, Istanbul 34010, Turkey.
Department of Anesthesiology and Reanimation, University of Health Sciences, Basaksehir Cam and Sakura City Hospital, Istanbul 34480, Turkey.
Diagnostics (Basel). 2024 Nov 27;14(23):2678. doi: 10.3390/diagnostics14232678.
BACKGROUND/OBJECTIVES: After the earthquakes in Turkey, many citizens were injured, and a long ongoing process requiring physiological and psychological treatments began. The aim of this study was to observe the pain and psychological changes in earthquake victims in light of the QoR-15 score.
After approval by the local ethics committee (Decision No. 2023-194), earthquake victims with catheters in trauma and reconstructive surgery were retrospectively evaluated. Demographic and catheterization data were collected. Baseline, 24 h, 72 h QoR-15 (Quality of Recovery-15), and VAS (Visual Analog Scala) scores were compared for changes over time.
A total of 40 catheters were placed in 29 patients (after the exclusion of children, 36 catheters were evaluated in 26 (15 w/11 m) patients). The mean age of the patients was 35.57 ± 13.69 years, and the duration of catheterization was 8 (4.25-12.75) days. An infusion of 0.1% bupivacaine 0.5-1 mg/kg/24 h was started routinely. The QoR-15 scores of the patients at baseline, 24 h, and 72 h were 80.45 ± 17.76, 95.27 ± 15.16, and 101.06 ± 15.52, respectively ( < 0.001). The VAS scores of the patients at baseline, 24 h, and 72 h were 4.61 ± 1.41, 1.79 ± 1.36, and 0.76 ± 0.86, respectively ( < 0.001).
In this study, a significant improvement in QoR-15 and VAS scores was achieved as a result of catheter insertion in earthquake victims. Considering that post-traumatic injuries require repeated surgeries and that pain aggravates the existing psychological state, it can be said that catheterization is beneficial.
背景/目的：土耳其地震后，许多公民受伤，一个长期的生理和心理治疗过程开始了。本研究的目的是根据QoR - 15评分观察地震受害者的疼痛和心理变化。
经当地伦理委员会批准（第2023 - 194号决定），对创伤和重建手术中留置导管的地震受害者进行回顾性评估。收集人口统计学和导管插入数据。比较基线、24小时、72小时时的QoR - 15（恢复质量 - 15）和VAS（视觉模拟量表）评分随时间的变化。
共29例患者放置了40根导管（排除儿童后，对26例（15例女性/11例男性）患者的36根导管进行了评估）。患者的平均年龄为35.57±13.69岁，导管插入持续时间为8（4.25 - 12.75）天。常规开始输注0.1%布比卡因0.5 - 1mg/kg/24h。患者在基线、24小时和72小时时的QoR - 15评分分别为80.45±17.76、95.27±15.16和101.06±15.52（<0.001）。患者在基线、24小时和72小时时的VAS评分分别为4.61±1.41、1.79±1.36和0.76±0.86（<0.001）。
在本研究中，地震受害者插入导管后QoR - 15和VAS评分有显著改善。考虑到创伤后损伤需要重复手术，且疼痛会加重现有的心理状态，可以说导管插入是有益的。
