Clinical Features &Early Treatment Outcomes Of Children With Crush Syndrome After Kahramanmaraş Earthquake
Journal Title: Acta Medica Ruha - Year 2023, Vol 1, Issue 3
Abstract
Objective: Extensive muscle crush injury that results in crush syndrome is often fatal if not treated promptly and vigorously. Although cases of Crush syndrome experienced by adults were frequently published in the previous literature, data on Crush syndrome in children are limited. In this study, we aimed to elucidate the clinical and laboratory findings of children with Crush syndromewho applied to our institution after theearthquake.Methods:Thirty-eight children with crush syndrome who applied to our institution after the earthquake disaster have been enrolled in this retrospective analysis. Demographic, clinical, and laboratory characteristics and early outcomes of children with crush wounds have been evaluated retrospectively. All children with crush wounds have been included in the analysis. Age, sex, height, and weight of the patient, admission and follow-up laboratory parameters, presence of comorbid diseases, and transcutaneous oximetry measurement results have been obtained from the hospital’s electronic database.Results:The stay under wreckage ranged from 4 to 160 hours, averaging 30 hours. The mean length of hospital stay was 13days, and the length of intensive care unit stay was seven days. There was a statistically significant difference between the initial and final measurements of WBC, PLT, CRP, glucose, BUN, creatinine, AST, ALT, LDH, uric acid, CK, and albumin values (p<0.05). Children with multiple extremity involvementhad significantly elevated initiallaboratory measurements, while those with single extremity involvement presented higher values in the final measurements(p<0.05).Conclusion:The high creatine kinase levelsmight indicate the severity of muscle damage in Crush syndrome. Elevated creatine kinase could be used to indicatemortality in these patients. Early assessment of compartment pressure can eliminate the risk of amputation. Rapid diagnosis and aggressive fluid resuscitation in the emergency department can prevent acute kidney injury or failure.
Authors and Affiliations
Yılmaz Mertsoy, Mustafa Altıntaş
Keywords
Related Articles
- EP ID EP722038
- DOI 10.5281/zenodo.8174082
- Views 51
- Downloads 0
Headache, Stiff Neck & Loss Of Consciousness: Differential Diagnosis Between Meningitis And Covid-19
Severe acute respiratory syndrome COVID-19, caused by the coronavirus-2 (SARS-CoV-2) virus, is a pandemic infection that affects the whole world and has a very high mortality rate. This infection, which often has...
Evidence Based Approaches and Nursing Care in the Treatment of Cavernoma
Cavernomas are vascular malformations that are rare in the population and usually present with incidental findings. Treatment of these malformations is performed with conservative treatment, stereotactic radiosurgery (Ga...
Investigation of the Relationship of Wrist Range of Motion with 2D:4D Ratio in Healthy Individuals
Introduction: Range of motion (ROM) is widely used in the diagnosis of musculoskeletal disorders and in the evaluation of treatment prognosis. The 2D:4D ratio is the ratio of the second finger to the fourth finger. Ob...
Radyoterapinin Karotis Arterleri Üzerindeki Etkisi – Gözlemsel Bir Çalışma
Giriş: Son yıllarda, radyoterapide (RT) yeni teknolojiler ve kapsamlı tedavi modalitelerindeki gelişmeler ile baş-boyun kanserleri hastaların sağkalım oranları artmaktadır. Geç yan etkileri de gözlemlemek kaçınılmaz olmu...
Patient Experiences Of Acute Pancreatitis Due To Hypertriglyceridemia
Introduction: Hypertriglyceridemia is also involved in the etiology of acute pancreatitis. Hypertriglyceridemia in addition, plasmapheresis in acute pancreatitis triggered by and/or different treatments such as heparin...