Characteristics of Patients Treated in the Pediatric Surgery Clinic after the Kahramanmaraş and Hatay Earthquakes: Example of a University Hospital
Öz
Objective: In this study, it was aimed to determine the characteristics of the patients treated in the Pediatric Surgery Clinic after the earthquake on February 6 2023.
Method: This retrospective descriptive study was conducted with 43 patients who were affected by the earthquake and admitted to the Mersin University Hospital Pediatric Surgery Clinic between February 6 and 20, 2023. Data were collected with a questionnaire. Data were analyzed using the SPSS package.
Results: The mean age was 10.97±4.65 years, 55.8% of them were girls. The mean time to stay under the dent is 16.44±19.12. All of the patients had extremity, abdomen, and thorax trauma, 37.2% had soft tissue crushing in the extremity, 74.4% had skin dermabrasion of the abdominal wall, 46.5% had thoracic wall skin dermabrasion, 55.8% underwent a surgical procedure, 48.8% complications developed in of them, dialysis was applied to 9.3%, and erythrocyte suspension was applied to 18.6%. In addition, no significant relationship was found between the duration of being under the dent, and the occurrence of complications (p>.05).
Conclusion: Earthquake traumas have a special place among general body traumas. Even in cases with mild trauma after the earthquake, results that may cause morbidity can be encountered. Therefore, diagnosis and treatment processes should be planned by considering possible complications specific to earthquake trauma.
Anahtar Kelimeler
Proje Numarası
-
Kaynakça
- 1. Kapisiz A, et al. Observations and experiences of pediatric surgeons working on the field in the first 7 days of the Kahramanmaraş earthquake. Annals of Surgical Treatment and Research 2023;105(2):114.
- 2. Gibney RT, Sever MS, Vanholder RC. Disaster nephrology: crush injury and beyond. Kidney International 2014;85:1049-57.
- 3. Grindlay J, Breeze KM. Planning for disasters involving children in Australia: a practical guide. Journal of Paediatrics and Child Health 2016;52:204-12.
- 4. Bulut M, et al. Medical experience of a university hospital in Turkey after the 1999 Marmara earthquake. Emerg Med J 2005;2:494-8.
- 5. Büyükünal SNC. Türkiye’de çocuk cerrahisinin tarihçesi. Çocuk Cerrahisi Dergisi 2010;24(2):55-66. 6. Alsancak S. Ortez ve Protez Tarihçesi. ASHD 2000;1:27-33.
- 7. Chen TW, et al. Earthquake-related crush injury versus non-earthquake injury in abdominal trauma patients on emergency multidetector computed tomography: a comparative study. Journal of Korean Medical Science 2011;26(3):438-43.
- 8. Ergin M, Yeğinsu A, Gürlek K. Göğüs tüpü takılması. Ulusal Cerrahi Dergisi 2010;26(2):115-21.
- 9. Mundy AR, Andrich DE. Urethral trauma. Part I: introduction, history, anatomy, pathology, assessment and emergency management. BJU Int 2011;108(3):310-27.
- 10. Hughes CD, et al. The impact of natural disaster on pediatric surgical delivery: a review of Haiti six months before and after the 2010 earthquake. Journal of Health Care for The Poor and Underserved 2012;23(2):523-33.
- 11. Lynch T, Kilgar J, Al Shibli A. Pediatric Abdominal Trauma. Current Pediatric Reviews 2018;14(1):59-63.
- 12. Kanchan KC, et al. A study of surgical cases during earthquake disaster in a medical college. Journal of Nepal Medical Association 2019;57(215):20-4.
- 13. Dube A, et al. Health Outcomes for Children in Haiti Since the 2010 Earthquake: A Systematic Review. Prehospital and Disaster Medicine 2018;33(1):77-88.
- 14. Gueri M. Health implications of the Tomaco earthquake, Colombia, 1979. Disasters 1983;7:174-179.
- 15. Stevenson A, et al. Emergency department organisation of critical care transfers in the UK. The Journal of Emergency Medicine 2005;22(11):795-98.
- 16. Sever MS, Vanholder R, Lameire N. Management of Crush-Related Injuries after Disasters. New England Journal of Medicine 2006; 354:1052-63.
- 17. Peleg K, Reuveni H, Stein M. Earthquake disasters--lessons to be learned. Isr Med Assoc J 2002;4(5):361-5.
- 18. Bastos R, Calhoon JH, Baisden CE. Flail chest and pulmonary contusion. Seminars in Thoracic and Cardiovascular Surgery 2008;20:39-45.
- 19. Guo J, et al. Acute compartment syndrome: Cause, diagnosis, and new viewpoint. Medicine (Baltimore) 2019;98(27):e16260.
- 20. Oda J, et al. Analysis of 372 patients with Crush syndrome caused by the Hanshin-Awaji earthquake. Journal of Trauma 1997;42(3):470-76.
- 21. Ellidokuz H, et al. Risk factors for death and injuries in earthquake: cross-sectional study from Afyon, Turkey. Croatian Medical Journal 2005 Aug;46(4):613-8.
- 22. Dover M, et al. Factors associated with persistent sequelae after fasciotomy for acute compartment syndrome. Journal of orthopaedic surgery (Hong Kong) 2012;20(3):312-5.
Kahramanmaraş ve Hatay Depremleri Sonrasında Çocuk Cerrahisi Kliniği’nde Tedavi Edilen Hastaların Özellikleri: Bir Üniversite Hastanesi Örneği
Öz
Amaç: Bu araştırmada 6 Şubat 2023 tarihinde yaşanan deprem sonrasında Çocuk Cerrahisi Kliniği’nde tedavisi yapılan hastaların özelliklerinin belirlenmesi amaçlanmıştır.
Yöntem: Retrospektif tanımlayıcı tipteki araştırma, 6 Şubat- 20 Şubat 2023 tarihleri arasında depremden etkilenip, Mersin Üniversitesi Hastanesi Çocuk Cerrahisi Kliniği’ne kabul edilen 43 hasta ile gerçekleştirilmiştir. Veriler anket formu ile toplanmıştır. Veriler SPSS paket program kullanılarak analiz edilmiştir.
Bulgular: Yaş ortalaması 10.97±4.65 olup, %55.8’i kızdır. Göçük altında kalma süresi ortalama 16.44±19.12’dir. Hastaların tamamında ekstremite, batın ve toraks travması olup, %37.2’sinde ekstremitede yumuşak doku ezilmesi, %74.4’ünde batın duvarı cilt dermabrazyonu, %46.5’inde ise toraks duvarı cilt dermabrazyonu olmuş, %55.8’inde cerrahi işlem uygulanmış, %48.8’inde komplikasyon gelişmiş, %9.3’üne diyaliz, %18.6’sına eritrosit süspansiyonu uygulanmıştır. Ayrıca araştırmada göçük altında kalma süresi ile komplikasyon görülme durumu arasında anlamlı ilişki tespit edilmemiştir (p>.05).
Sonuç: Deprem travmaları genel vücut travmaları içerisinde özellikli bir yere sahiptir. Deprem sonrası gelişen hafif travmalı olgularda dahi morbiditeye neden olabilecek sonuçlar ile karşılaşılabilmektedir. Bu nedenle, tanı ve tedavi süreçleri, deprem travmasına özgü olası komplikasyonlar dikkate alınarak planlanmalıdır.
Anahtar Kelimeler
Destekleyen Kurum
yoktur
Proje Numarası
-
Teşekkür
-
Kaynakça
- 1. Kapisiz A, et al. Observations and experiences of pediatric surgeons working on the field in the first 7 days of the Kahramanmaraş earthquake. Annals of Surgical Treatment and Research 2023;105(2):114.
- 2. Gibney RT, Sever MS, Vanholder RC. Disaster nephrology: crush injury and beyond. Kidney International 2014;85:1049-57.
- 3. Grindlay J, Breeze KM. Planning for disasters involving children in Australia: a practical guide. Journal of Paediatrics and Child Health 2016;52:204-12.
- 4. Bulut M, et al. Medical experience of a university hospital in Turkey after the 1999 Marmara earthquake. Emerg Med J 2005;2:494-8.
- 5. Büyükünal SNC. Türkiye’de çocuk cerrahisinin tarihçesi. Çocuk Cerrahisi Dergisi 2010;24(2):55-66. 6. Alsancak S. Ortez ve Protez Tarihçesi. ASHD 2000;1:27-33.
- 7. Chen TW, et al. Earthquake-related crush injury versus non-earthquake injury in abdominal trauma patients on emergency multidetector computed tomography: a comparative study. Journal of Korean Medical Science 2011;26(3):438-43.
- 8. Ergin M, Yeğinsu A, Gürlek K. Göğüs tüpü takılması. Ulusal Cerrahi Dergisi 2010;26(2):115-21.
- 9. Mundy AR, Andrich DE. Urethral trauma. Part I: introduction, history, anatomy, pathology, assessment and emergency management. BJU Int 2011;108(3):310-27.
- 10. Hughes CD, et al. The impact of natural disaster on pediatric surgical delivery: a review of Haiti six months before and after the 2010 earthquake. Journal of Health Care for The Poor and Underserved 2012;23(2):523-33.
- 11. Lynch T, Kilgar J, Al Shibli A. Pediatric Abdominal Trauma. Current Pediatric Reviews 2018;14(1):59-63.
- 12. Kanchan KC, et al. A study of surgical cases during earthquake disaster in a medical college. Journal of Nepal Medical Association 2019;57(215):20-4.
- 13. Dube A, et al. Health Outcomes for Children in Haiti Since the 2010 Earthquake: A Systematic Review. Prehospital and Disaster Medicine 2018;33(1):77-88.
- 14. Gueri M. Health implications of the Tomaco earthquake, Colombia, 1979. Disasters 1983;7:174-179.
- 15. Stevenson A, et al. Emergency department organisation of critical care transfers in the UK. The Journal of Emergency Medicine 2005;22(11):795-98.
- 16. Sever MS, Vanholder R, Lameire N. Management of Crush-Related Injuries after Disasters. New England Journal of Medicine 2006; 354:1052-63.
- 17. Peleg K, Reuveni H, Stein M. Earthquake disasters--lessons to be learned. Isr Med Assoc J 2002;4(5):361-5.
- 18. Bastos R, Calhoon JH, Baisden CE. Flail chest and pulmonary contusion. Seminars in Thoracic and Cardiovascular Surgery 2008;20:39-45.
- 19. Guo J, et al. Acute compartment syndrome: Cause, diagnosis, and new viewpoint. Medicine (Baltimore) 2019;98(27):e16260.
- 20. Oda J, et al. Analysis of 372 patients with Crush syndrome caused by the Hanshin-Awaji earthquake. Journal of Trauma 1997;42(3):470-76.
- 21. Ellidokuz H, et al. Risk factors for death and injuries in earthquake: cross-sectional study from Afyon, Turkey. Croatian Medical Journal 2005 Aug;46(4):613-8.
- 22. Dover M, et al. Factors associated with persistent sequelae after fasciotomy for acute compartment syndrome. Journal of orthopaedic surgery (Hong Kong) 2012;20(3):312-5.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Toplum Çocuk Sağlığı |
| Bölüm | Araştırma Makalesi |
| Yazarlar | |
| Proje Numarası | - |
| Erken Görünüm Tarihi | 28 Eylül 2023 |
| Yayımlanma Tarihi | 28 Eylül 2023 |
| Gönderilme Tarihi | 16 Ağustos 2023 |
| Yayımlandığı Sayı | Yıl 2023 Cilt: 13 Sayı: 3 |
Kaynak Göster
Bu Dergi Creative Commons Attribution-NonCommercial 4.0 International License ile lisanslanmıştır.
Mersin Üniversitesi Tıp Fakültesi’nin süreli bilimsel yayınıdır. Kaynak gösterilmeden kullanılamaz. Makalelerin sorumlulukları yazarlara aittir
Kapak
Ayşegül Tuğuz
İlter Uzel’in “Dioskorides ve Öğrencisi” adlı eserinden
Adres
Mersin Üniversitesi Tıp Fakültesi Tıp Tarihi ve Etik Anabilim Dalı Çiftlikköy Kampüsü
Yenişehir/ Mersin