The Relationship Between Admission Characteristics and Prognosis of Patients Diagnosed with Crush Syndrome After Consecutive Kahramanmaraş Earthquakes
Introduction: Crush syndrome (CS) is the systemic manifestation of rhabdomyolysis due to prolonged continuous pressure on muscle tissue. We aimed to discuss the clinical and laboratory characteristics of the children who were diagnosed with CS, after the consecutive Kahramanmaraş earthquakes. Meth...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Galenos Publishing House
2025-08-01
|
| Series: | Journal of Pediatric Emergency and Intensive Care Medicine |
| Subjects: | |
| Online Access: | https://www.caybdergi.com/articles/the-relationship-between-admission-characteristics-and-prognosis-of-patients-diagnosed-with-crush-syndrome-after-consecutive-kahramanmaras-earthquakes/doi/cayd.galenos.2025.04706 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849221875537805312 |
|---|---|
| author | Mehmet Bosnak Çapan Konca Emre Kıymık Mihriban Dağlar Mehtap Akbalık Kara Beltinge Demircioğlu Kılıç |
| author_facet | Mehmet Bosnak Çapan Konca Emre Kıymık Mihriban Dağlar Mehtap Akbalık Kara Beltinge Demircioğlu Kılıç |
| author_sort | Mehmet Bosnak |
| collection | DOAJ |
| description | Introduction: Crush syndrome (CS) is the systemic manifestation of rhabdomyolysis due to prolonged continuous pressure on muscle tissue. We aimed to discuss the clinical and laboratory characteristics of the children who were diagnosed with CS, after the consecutive Kahramanmaraş earthquakes.
Methods: Eleven cases followed in the pediatric intensive care unit with the diagnosis of CS were retrospectively evaluated. The patients’ files were scanned in detail. Demographic, clinical, and laboratory data were recorded from the files.
Results: The mean age of the patients was 10.45±4.92 years. Seven of the patients were girls and four were boys. Patients were extricated from the rubble between 7 and 48 hours. The mean admission time was 29.9±39.2 hours. Acute kidney injury was present in 9 patients. Renal replacement therapy (RRT) was required in 7 patients. At admission, presence of dark urine, high prism score, high blood uric acid, and lactate levels was associated with the need for RRT. The mean age was significantly higher in the RRT group. Three patients died. The mean lactate and D-dimer levels at admission were found to be significantly higher in patients who died.
Conclusion: Our results show that survival is possible in CS cases with effective and timely treatment approaches. Many parameters at the time of admission are associated with the need for RRT and death. We also found that as the time spent under rubble increases, blood D-dimer and creatinine levels increase, and ionized calcium and albumin levels decrease. |
| format | Article |
| id | doaj-art-19c67b5f20cf4a7c98f76439bd042e8e |
| institution | Kabale University |
| issn | 2146-2399 2148-7332 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | Galenos Publishing House |
| record_format | Article |
| series | Journal of Pediatric Emergency and Intensive Care Medicine |
| spelling | doaj-art-19c67b5f20cf4a7c98f76439bd042e8e2025-08-26T11:08:52ZengGalenos Publishing HouseJournal of Pediatric Emergency and Intensive Care Medicine2146-23992148-73322025-08-01122596710.4274/cayd.galenos.2025.04706The Relationship Between Admission Characteristics and Prognosis of Patients Diagnosed with Crush Syndrome After Consecutive Kahramanmaraş EarthquakesMehmet Bosnak0https://orcid.org/0000-0002-8390-5109Çapan Konca1https://orcid.org/0000-0001-8625-9045Emre Kıymık2https://orcid.org/0000-0001-5440-1051Mihriban Dağlar3https://orcid.org/0009-0002-8624-2811Mehtap Akbalık Kara4https://orcid.org/0000-0003-0790-323XBeltinge Demircioğlu Kılıç5https://orcid.org/0000-0001-9408-2139Gaziantep University Faculty of Medicine, Department of Pediatrics, Division of Pediatric Intensive Care Unit, Gaziantep, TürkiyeGaziantep University Faculty of Medicine, Department of Pediatrics, Division of Pediatric Intensive Care Unit, Gaziantep, TürkiyeGaziantep University Faculty of Medicine, Department of Pediatrics, Gaziantep, TürkiyeGaziantep University Faculty of Medicine, Department of Pediatrics, Gaziantep, TürkiyeGaziantep University Faculty of Medicine, Department of Pediatrics, Division of Pediatric Nephrology, Gaziantep, TürkiyeGaziantep University Faculty of Medicine, Department of Pediatrics, Division of Pediatric Nephrology, Gaziantep, TürkiyeIntroduction: Crush syndrome (CS) is the systemic manifestation of rhabdomyolysis due to prolonged continuous pressure on muscle tissue. We aimed to discuss the clinical and laboratory characteristics of the children who were diagnosed with CS, after the consecutive Kahramanmaraş earthquakes. Methods: Eleven cases followed in the pediatric intensive care unit with the diagnosis of CS were retrospectively evaluated. The patients’ files were scanned in detail. Demographic, clinical, and laboratory data were recorded from the files. Results: The mean age of the patients was 10.45±4.92 years. Seven of the patients were girls and four were boys. Patients were extricated from the rubble between 7 and 48 hours. The mean admission time was 29.9±39.2 hours. Acute kidney injury was present in 9 patients. Renal replacement therapy (RRT) was required in 7 patients. At admission, presence of dark urine, high prism score, high blood uric acid, and lactate levels was associated with the need for RRT. The mean age was significantly higher in the RRT group. Three patients died. The mean lactate and D-dimer levels at admission were found to be significantly higher in patients who died. Conclusion: Our results show that survival is possible in CS cases with effective and timely treatment approaches. Many parameters at the time of admission are associated with the need for RRT and death. We also found that as the time spent under rubble increases, blood D-dimer and creatinine levels increase, and ionized calcium and albumin levels decrease.https://www.caybdergi.com/articles/the-relationship-between-admission-characteristics-and-prognosis-of-patients-diagnosed-with-crush-syndrome-after-consecutive-kahramanmaras-earthquakes/doi/cayd.galenos.2025.04706childrencrush syndromekahramanmaraş earthquakespediatricpediatric intensive care unit |
| spellingShingle | Mehmet Bosnak Çapan Konca Emre Kıymık Mihriban Dağlar Mehtap Akbalık Kara Beltinge Demircioğlu Kılıç The Relationship Between Admission Characteristics and Prognosis of Patients Diagnosed with Crush Syndrome After Consecutive Kahramanmaraş Earthquakes Journal of Pediatric Emergency and Intensive Care Medicine children crush syndrome kahramanmaraş earthquakes pediatric pediatric intensive care unit |
| title | The Relationship Between Admission Characteristics and Prognosis of Patients Diagnosed with Crush Syndrome After Consecutive Kahramanmaraş Earthquakes |
| title_full | The Relationship Between Admission Characteristics and Prognosis of Patients Diagnosed with Crush Syndrome After Consecutive Kahramanmaraş Earthquakes |
| title_fullStr | The Relationship Between Admission Characteristics and Prognosis of Patients Diagnosed with Crush Syndrome After Consecutive Kahramanmaraş Earthquakes |
| title_full_unstemmed | The Relationship Between Admission Characteristics and Prognosis of Patients Diagnosed with Crush Syndrome After Consecutive Kahramanmaraş Earthquakes |
| title_short | The Relationship Between Admission Characteristics and Prognosis of Patients Diagnosed with Crush Syndrome After Consecutive Kahramanmaraş Earthquakes |
| title_sort | relationship between admission characteristics and prognosis of patients diagnosed with crush syndrome after consecutive kahramanmaras earthquakes |
| topic | children crush syndrome kahramanmaraş earthquakes pediatric pediatric intensive care unit |
| url | https://www.caybdergi.com/articles/the-relationship-between-admission-characteristics-and-prognosis-of-patients-diagnosed-with-crush-syndrome-after-consecutive-kahramanmaras-earthquakes/doi/cayd.galenos.2025.04706 |
| work_keys_str_mv | AT mehmetbosnak therelationshipbetweenadmissioncharacteristicsandprognosisofpatientsdiagnosedwithcrushsyndromeafterconsecutivekahramanmarasearthquakes AT capankonca therelationshipbetweenadmissioncharacteristicsandprognosisofpatientsdiagnosedwithcrushsyndromeafterconsecutivekahramanmarasearthquakes AT emrekıymık therelationshipbetweenadmissioncharacteristicsandprognosisofpatientsdiagnosedwithcrushsyndromeafterconsecutivekahramanmarasearthquakes AT mihribandaglar therelationshipbetweenadmissioncharacteristicsandprognosisofpatientsdiagnosedwithcrushsyndromeafterconsecutivekahramanmarasearthquakes AT mehtapakbalıkkara therelationshipbetweenadmissioncharacteristicsandprognosisofpatientsdiagnosedwithcrushsyndromeafterconsecutivekahramanmarasearthquakes AT beltingedemircioglukılıc therelationshipbetweenadmissioncharacteristicsandprognosisofpatientsdiagnosedwithcrushsyndromeafterconsecutivekahramanmarasearthquakes AT mehmetbosnak relationshipbetweenadmissioncharacteristicsandprognosisofpatientsdiagnosedwithcrushsyndromeafterconsecutivekahramanmarasearthquakes AT capankonca relationshipbetweenadmissioncharacteristicsandprognosisofpatientsdiagnosedwithcrushsyndromeafterconsecutivekahramanmarasearthquakes AT emrekıymık relationshipbetweenadmissioncharacteristicsandprognosisofpatientsdiagnosedwithcrushsyndromeafterconsecutivekahramanmarasearthquakes AT mihribandaglar relationshipbetweenadmissioncharacteristicsandprognosisofpatientsdiagnosedwithcrushsyndromeafterconsecutivekahramanmarasearthquakes AT mehtapakbalıkkara relationshipbetweenadmissioncharacteristicsandprognosisofpatientsdiagnosedwithcrushsyndromeafterconsecutivekahramanmarasearthquakes AT beltingedemircioglukılıc relationshipbetweenadmissioncharacteristicsandprognosisofpatientsdiagnosedwithcrushsyndromeafterconsecutivekahramanmarasearthquakes |