Evaluating the McMahon score for predicting mortality in earthquake-induced rhabdomyolysis: a retrospective study

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dc.authoridYAMAN, MAHMUT/0000-0002-0783-1419
dc.authoridBelek, Sema/0000-0002-4681-8989
dc.contributor.authorYaman, Mahmut
dc.contributor.authorSen, Abdullah
dc.contributor.authorDurgun, Hasan Mansur
dc.contributor.authorEynel, Eren
dc.contributor.authorBelek, Sema
dc.contributor.authorUlgut, Silan Goger
dc.contributor.authorOrak, Murat
dc.date.accessioned2025-02-22T14:08:54Z
dc.date.available2025-02-22T14:08:54Z
dc.date.issued2024
dc.departmentDicle Üniversitesien_US
dc.description.abstractBackground: In natural disasters like earthquakes, building collapses can trap individuals, causing crush syndrome and rhabdomyolysis. This life-threatening condition often leads to acute kidney injury. We aimed to determine the effectiveness of the McMahon score in predicting mortality due to rhabdomyolysis in patients affected by the earthquake. Methods: This is a retrospective observational study. In this study, the clinical and laboratory data of patients who presented to the emergency department due to the earthquake were analyzed. The McMahon score was calculated by evaluating factors such as creatine kinase, serum creatinine levels, age, and gender. Results: The study included 151 patients, of whom 74 (49.0%) were male and 77 (51.0%) were female. In the univariate model, significant (P < .05) effectiveness was observed in differentiating between patients with and without mortality for McMahon score and the risk of acute kidney injury. At a McMahon score cutoff of 6, significant effectiveness was also observed, with an area under the curve of 0.723. At this cutoff value, the sensitivity was 80.0% and the specificity was 64.5%. Conclusions: The use of the McMahon score in emergency medicine and disaster management plays a crucial role in rapid decision-making processes due to its effectiveness in predicting mortality. Key messages What is already known on this topic center dot Rhabdomyolysis, often associated with crush syndrome and acute renal failure, leads to elevated serum creatinine levels due to muscle breakdown, frequently seen in trauma and earthquake victims. What this study adds center dot The McMahon score helps predict mortality and acute kidney injury in rhabdomyolysis patients, particularly after earthquakes, by evaluating key clinical and demographic factors. How this study might affect research, practice, or policy center dot This study highlights the McMahon score's reliability in predicting mortality in rhabdomyolysis patients, potentially guiding future research on early intervention strategies and trauma management, informing clinical practices for rapid assessment and treatment.en_US
dc.identifier.doi10.1093/postmj/qgae103
dc.identifier.endpage49en_US
dc.identifier.issn0032-5473
dc.identifier.issn1469-0756
dc.identifier.issue1191en_US
dc.identifier.pmid39140606en_US
dc.identifier.scopus2-s2.0-85214053824en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage45en_US
dc.identifier.urihttps://doi.org/10.1093/postmj/qgae103
dc.identifier.urihttps://hdl.handle.net/11468/29702
dc.identifier.volume101en_US
dc.identifier.wosWOS:001291278700001en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherOxford Univ Pressen_US
dc.relation.ispartofPostgraduate Medical Journalen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.snmzKA_WOS_20250222
dc.subjectaccident and emergency medicineen_US
dc.subjectacute renal failureen_US
dc.subjectdialysisen_US
dc.subjecttrauma managementen_US
dc.titleEvaluating the McMahon score for predicting mortality in earthquake-induced rhabdomyolysis: a retrospective studyen_US
dc.typeArticleen_US

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