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Clinical properties and rehabilitation needs of earthquake survivors in a subacute rehabilitation setting [Ulus Travma Acil Cerrahi Derg]
Ulus Travma Acil Cerrahi Derg. 2024; 30(4): 297-304 | DOI: 10.14744/tjtes.2024.27553

Clinical properties and rehabilitation needs of earthquake survivors in a subacute rehabilitation setting

Emine Esra Bilir1, Pinar Borman2, Ayşe Merve Ata1, Ebru Alemdaroğlu2, Hatice Bodur3, Burcu Yanık1, Fatma Yurdakul2, bilge kesikburun2, Tuba Güler2, Bedriye Başkan1, Selami Akkuş3, Oznur Uzun4, Evren Yaşar2
1Departmant of Physical Medicine and Rehabilitation, Ankara Bilkent City Hospital, Ankara-Türkiye
2Department of Physical Medicine and Rehabilitation, Univercity of Health Sciences Gulhane Faculty of Medicine, Ankara City Hospital, Ankara-Türkiye
3Departmant of Physical Medicine and Rehabilitation, Yıldırım Beyazıt Univercity, Ankara Bilkent City Hospital, Ankara-Türkiye
4Departmant of Physical Medicine and Rehabilitation, Sincan Doctor Nafiz Körfez State Hospital, Ankara-Türkiye

BACKGROUND: This descriptive analysis examines the victims of the February 6, 2023, earthquakes in Kahramanmaraş and Elbistan, Türkiye. It aims to detail the injury profiles related to neuro-musculoskeletal trauma, assess the rehabilitation needs of patients, and propose a comprehensive rehabilitation approach.
METHODS: The study included patients injured in the Kahramanmaraş-centered earthquake on February 6, 2023, who were transported to our hospital based on their rehabilitation needs. Data from patients treated at our hospital were recorded retrospectively. This included demographic information, accompanying pathologies, laboratory findings, rehabilitation programs, and treatments received during their hospital stay. Statistical analyses were conducted to examine the data.
RESULTS: A total of 141 patients with musculoskeletal injuries were admitted due to injuries sustained from the earthquake. The mean age of the participants was 39.76 years, with a slight female predominance (56.7%). The majority of patients sustained injuries while trapped under debris (90.1%), with an average duration of 10 hours under rubble. Fractures were the most common form of injury (53.2%), predominantly affecting the lower extremities. Peripheral nerve injuries were present in 41.1% of patients, and amputations were observed in 30.5%. Complications included compartment syndrome (46.1%), crush syndrome (36.2%), and various infections. Pain was prevalent among patients, with somatic pain being the most reported type. Individualized rehabilitation programs were implemented, incorporating physical therapy, wound care, pain management, and psychosocial support.
CONCLUSION: This study highlights the critical rehabilitation needs of earthquake survivors and emphasizes the importance of early and comprehensive rehabilitation interventions. Multidisciplinary rehabilitation programs were crucial in addressing medical issues, functional limitations, and psychological challenges faced by the survivors. The findings contribute to a deeper understanding of earthquake-related injuries and underscore the significance of well-coordinated rehabilitation strategies in disaster responses.

Keywords: Earthquake injuries, demographic and clinical parameters, rehabilitation.

Subakut rehabilitasyon sürecinde depremzedelerin klinik özellikleri ve rehabilitasyon ihtiyaçları

Emine Esra Bilir1, Pinar Borman2, Ayşe Merve Ata1, Ebru Alemdaroğlu2, Hatice Bodur3, Burcu Yanık1, Fatma Yurdakul2, bilge kesikburun2, Tuba Güler2, Bedriye Başkan1, Selami Akkuş3, Oznur Uzun4, Evren Yaşar2
1Ankara Bilkent Şehir Hastanesi Fizik Tedavi ve Rehabilitasyon Kliniği, Ankara, Türkiye
2Sağlık Bilimleri Üniversitesi Gülhane Tıp Fakültesi Fiziksel Tıp ve Rehabilitasyon Anabilimdalı, Ankara Şehir Sağlık Uygulama Araştırma Merkezi, Ankara, Türkiye
3Yıldırım Beyazıt üniversitesi Fizik Tedavi ve Rehabilitasyon Kliniği, Ankara Bilkent Şehir Hastanesi, Ankara, Türkiye
4Sincan Doktor Nafiz Körfez Devlet Hastanesi Fizik Tedavi ve Rehabilitasyon Kliniği, Ankara, Türkiye

BACKGROUND: This descriptive analysis examines the victims of the February 6, 2023, earthquakes in Kahramanmaraş and Elbistan, Türkiye. It aims to detail the injury profiles related to neuro-musculoskeletal trauma, assess the rehabilitation needs of patients, and propose a comprehensive rehabilitation approach.
METHODS: The study included patients injured in the Kahramanmaraş-centered earthquake on February 6, 2023, who were transported to our hospital based on their rehabilitation needs. Data from patients treated at our hospital were recorded retrospectively. This included demographic information, accompanying pathologies, laboratory findings, rehabilitation programs, and treatments received during their hospital stay. Statistical analyses were conducted to examine the data.
RESULTS: A total of 141 patients with musculoskeletal injuries were admitted due to injuries sustained from the earthquake. The mean age of the participants was 39.76 years, with a slight female predominance (56.7%). The majority of patients sustained injuries while trapped under debris (90.1%), with an average duration of 10 hours under rubble. Fractures were the most common form of injury (53.2%), predominantly affecting the lower extremities. Peripheral nerve injuries were present in 41.1% of patients, and amputations were observed in 30.5%. Complications included compartment syndrome (46.1%), crush syndrome (36.2%), and various infections. Pain was prevalent among patients, with somatic pain being the most reported type. Individualized rehabilitation programs were implemented, incorporating physical therapy, wound care, pain management, and psychosocial support.
CONCLUSION: This study highlights the critical rehabilitation needs of earthquake survivors and emphasizes the importance of early and comprehensive rehabilitation interventions. Multidisciplinary rehabilitation programs were crucial in addressing medical issues, functional limitations, and psychological challenges faced by the survivors. The findings contribute to a deeper understanding of earthquake-related injuries and underscore the significance of well-coordinated rehabilitation strategies in disaster responses.

Anahtar Kelimeler: Deprem yaralanmaları, demografik ve klinik bulgular, rehabilitasyon.

Emine Esra Bilir, Pinar Borman, Ayşe Merve Ata, Ebru Alemdaroğlu, Hatice Bodur, Burcu Yanık, Fatma Yurdakul, bilge kesikburun, Tuba Güler, Bedriye Başkan, Selami Akkuş, Oznur Uzun, Evren Yaşar. Clinical properties and rehabilitation needs of earthquake survivors in a subacute rehabilitation setting. Ulus Travma Acil Cerrahi Derg. 2024; 30(4): 297-304

Corresponding Author: Emine Esra Bilir, Türkiye
Manuscript Language: English