Cakmak Umit, Akkaya Suleyman, Danis Ramazan, Yuksel Enver, Kilic Jehat, Merhametsiz Ozgur
Antalya Memorial Hospital, Nephrology Clinic, Antalya, Turkey.
Cardiology Department, University of Health Sciences, Gazi Yasargil Training and Research Hospital, Diyarbakir, Turkey.
Int J Inj Contr Saf Promot. 2025 Jun;32(2):172-178. doi: 10.1080/17457300.2025.2488040. Epub 2025 Apr 3.
Earthquakes are among the most devastating natural disasters, often resulting in significant loss of life and widespread injuries. Crush syndrome (CS), a systemic manifestation of muscle injury due to prolonged compression, is a critical condition commonly seen in earthquake survivors. This study examines the clinical outcomes of patients with crush syndrome (CS) and acute kidney injury (AKI) following the 2023 Kahramanmaras earthquake in Turkey. Of the 321 survivors hospitalized, 143 required intensive care. The study found that children were more likely to develop CS, while adults had longer hospital stays. CS was associated with higher rates of complications, including compartment syndrome, the need for fasciotomy, and mortality. The findings highlight the importance of early detection and treatment of CS and AKI in disaster survivors to improve outcomes and reduce mortality in future earthquakes.
地震是最具毁灭性的自然灾害之一，常常导致重大人员伤亡和广泛受伤。挤压综合征（CS）是由于长时间受压导致肌肉损伤的一种全身表现，是地震幸存者中常见的危急情况。本研究调查了2023年土耳其卡赫拉曼马拉什地震后挤压综合征（CS）和急性肾损伤（AKI）患者的临床结局。在321名住院幸存者中，143人需要重症监护。研究发现，儿童更易发生挤压综合征，而成人住院时间更长。挤压综合征与更高的并发症发生率相关，包括骨筋膜室综合征、需要进行筋膜切开术以及死亡率。这些发现凸显了在灾难幸存者中早期发现和治疗挤压综合征及急性肾损伤对于改善预后和降低未来地震中的死亡率的重要性。
