First-week analysis after the Turkey earthquakes: Demographic and clinical outcomes of victims

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dc.authorid0000-0002-7466-6628en_US
dc.authorid0000-0002-4797-7017en_US
dc.authorid0000-0002-5714-0499en_US
dc.authorid0000-0001-6705-4079en_US
dc.contributor.authorSarı, Hıdır
dc.contributor.authorÖzel, Mehmet
dc.contributor.authorAkkoç, Mehmet Fatih
dc.contributor.authorŞen, Abdullah
dc.date.accessioned2023-11-01T06:08:17Z
dc.date.available2023-11-01T06:08:17Z
dc.date.issued2023en_US
dc.departmentDicle Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Halk Sağlığı Ana Bilim Dalıen_US
dc.description.abstractBackground: During a major earthquake, escape attempts or collapsed buildings can result in injury, disability, and even death for victims. The aim of this study is to examine the demographic characteristics, clinical outcomes, and injuries of victims admitted to the emergency department within the first week after an earthquake. Methods: This is a retrospective observational study conducted on earthquake victims who were admitted to the emergency services of a tertiary medical faculty and a training and research hospital in the city of Diyarbakir, located in the Southeastern Anatolia Region of Turkey, from February 6 through February 12, 2023. Results: Of the eligible 662 earthquake victims, the mean age was 10.66 (SD = 4.78 [min 0, max 17]) in children, 36.87 (SD = 4.78 [min 18, max 63]) in adults, and 72.85 (SD = 5.83 [min 65, max 84]) in the elderly. Women constituted 52.8% of the victims, 19.7% were children, and 8.0% were elderly. Sixty-one percent (61.0%) of earthquake victims were admitted to emergency services in the first three days following the disaster; 37.7% of all victims were transferred from other affected cities to Diyarbaklr. In all, 80.2% of the victims were admitted as survivors to the emergency services (36.8% were rescued under rubble, 40.1% with injuries while attempting to escape the earthquake, and 3.3% with nontraumatic reasons) and 19.8% were deceased under rubble. The majority of the 131 deceased victims were women (52.7%), 20.6% were children, and 7.6% were elderly. An estimated 38.3% of victims were hospitalized (20.9% in the ward and 17.4% in the intensive care unit [ICU]). For all age groups that survived under the rubble, the extremities were most injured (53.6% for children, 53.1% for adults, and 55.5% for the elderly). Of adult survivors, 26.6% needed only fluid therapy, renal replacement treatment (hemodialysis) was required 20.7%, and 11.8% required amputation. Of children survivors under the rubble, renal replacement treatment (hemodialysis) was required for only four, seven required amputation, and 12 needed only fluid resuscitation for crush injury. Of elderly survivors, two needed only fluid therapy, renal replacement treatment (hemodialysis) was required for two, and no amputation was required. Six patients survived under the rubble and died in the ICU. Conclusion: The definition of the demographic characteristics and clinical outcomes of earthquake patients is critical to the development of preparedness, response, and recovery policies for future disasters.en_US
dc.identifier.citationSarı, H., Özel, M., Akkoç, M. F. ve Şen, A. (2023). First-week analysis after the Turkey earthquakes: Demographic and clinical outcomes of victims. Prehospital and Disaster Medicine, 38(3), 294-300.en_US
dc.identifier.doi10.1017/S1049023X23000493
dc.identifier.endpage300en_US
dc.identifier.issn1049-023X
dc.identifier.issue3en_US
dc.identifier.pmid37165847
dc.identifier.scopus2-s2.0-85163900904
dc.identifier.scopusqualityQ1
dc.identifier.startpage294en_US
dc.identifier.urihttps://www.cambridge.org/core/journals/prehospital-and-disaster-medicine
dc.identifier.urihttps://hdl.handle.net/11468/13005
dc.identifier.volume38en_US
dc.identifier.wosWOS:000986097800001
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorSarı, Hıdır
dc.institutionauthorAkkoç, Mehmet Fatih
dc.institutionauthorŞen, Abdullah
dc.language.isoenen_US
dc.publisherCambridge University Pressen_US
dc.relation.ispartofPrehospital and Disaster Medicine
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectCrush injuryen_US
dc.subjectDisasteren_US
dc.subjectEarthquakeen_US
dc.subjectTurkeyen_US
dc.subjectVictimsen_US
dc.titleFirst-week analysis after the Turkey earthquakes: Demographic and clinical outcomes of victimsen_US
dc.titleFirst-week analysis after the Turkey earthquakes: Demographic and clinical outcomes of victims
dc.typeArticleen_US

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