Détail du document
Identifiant
doi:10.1007/s00467-024-06307-7...
Auteur
Döven, Serra Sürmeli Tezol, Özlem Yeşil, Edanur Durak, Fatma Mısırlıoğlu, Merve Alakaya, Mehmet Karahan, Feryal Kıllı, İsa Akça, Mehtap Erdoğan, Semra Can, Mevlüt Delibaş, AliLangue
enEditeur
Springer
Catégorie
Urology
Année
2024
Date de référencement
21/02/2024
Mots clés
acute kidney injury crush syndrome earthquake myoglobin injury victims increase p < 0 001 myoglobin pediatric patients levels [iqr cs vsRésumé
Background On February 6th, 2023, two consecutive earthquakes struck southeastern Türkiye with magnitudes of 7.7 and 7.6, respectively.
This study aimed to analyze the clinical and laboratory findings, as well as management of pediatric victims with Crush Syndrome (CS) and Acute Kidney Injury (AKI).
Methods The study included pediatric earthquake victims who were presented to Mersin University Hospital.
Clinical and laboratory characteristics of the patients were collected retrospectively.
Results Among 649 patients, Crush injury (CI), CS and AKI was observed in 157, 59, and 17 patients, respectively.
White blood cell count (12,870 [IQR: 9910–18700] vs. 10,545 [IQR: 8355–14057] /µL, P < 0.001), C-reactive protein (51.27 [IQR: 14.80–88.78] vs. 4.59 [1.04–18.25] mg/L, P < 0.001) and myoglobin levels (443.00 [IQR: 198.5–1759.35] vs. 17 [11.8–30.43] ng/ml) were higher in patients with CS, while their sodium (IQR: 134 [131–137] vs. 136 [134–138] mEq/L, P < 0.001) levels were lower compared to non-CS patients.
An increase in myoglobin levels was identified as an independent risk factor for developing CS (OR = 1.017 [1.006–1.027]).
Intravenous fluid replacement was administered to the patients with CS at a dose of 4000 cc/m^2/day.
Hypokalemia was observed in 51.9% of the CS patients on the third day.
All patients with AKI showed improvement and no deaths were reported.
Conclusions Hyponatremia and increase in inflammation markers associated with CS may be observed.
An increase in myoglobin levels was identified as a risk factor for CS.
Hypokalemia may be seen as a complication of vigorous fluid therapy during hospitalization.
Graphical abstract A higher resolution version of the Graphical abstract is available as Supplementary information
Döven, Serra Sürmeli,Tezol, Özlem,Yeşil, Edanur,Durak, Fatma,Mısırlıoğlu, Merve,Alakaya, Mehmet,Karahan, Feryal,Kıllı, İsa,Akça, Mehtap,Erdoğan, Semra,Can, Mevlüt,Delibaş, Ali, 2024, The 2023 Türkiye-Syria earthquakes: analysis of pediatric victims with crush syndrome and acute kidney Injury, Springer
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