Ulus Travma Acil Cerrahi Derg. 2023; 29(3): 310-315 | DOI: 10.14744/tjtes.2022.39549

COVID-19 pandemisi sýrasýnda gerçekleþen 2020 Ege Denizi depremi sonrasý üniversitemize baþvuran depremzedelerde klinik deneyimlerimiz

Zeynep Çaðýran¹, Nezih Sertöz¹, Semra Karaman¹, Didem Özen¹, Mesut Demirkoparan², Meltem Uyar¹, Kemal Aktuglu^2
1Ege Üniversitesi Týp Fakültesi, Anesteziyoloji ve Reanimasyon Anabilim Dalý, Ýzmir
²Ege Üniversitesi Týp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalý, Ýzmir

AMAÇ: Depremler insan yaþamýný tehdit eden çok kýsa sürede can ve mal kaybýna yol açan doðal afedlerdir. Çalýþmamýzda Ege Denizi depremi sonrasý hastanemize baþvuran depremzedelerin týbbi analizini gerçekleþtirmeyi ve klinik deneyimlerimizi paylaþmayý amaçladýk.
GEREÇ VE YÖNTEM: Ege Denizi depremi nedeniyle hastanemize getirilen depremzedelerin veya deprem nediyle baþvuran yaralýlarýn týbbi veri kayýtlarýný geriye dönük olarak inceledik. Hastalarýn demografik verileri, þikayet ve tanýlarý, baþvuru saatleri, klinik seyirleri, hastane düzenlemeleri (yatýþ, taburculuk, nakil), ameliyata kadar geçen süre, anestezi yöntemleri, cerrahi müdahaleler, yoðun bakým ihtiyaçlarý, ezilme sendromu, akut böbrek yetersizliði varlýðý, diyaliz, mortalite ve morbidite gözden geçirildi.
BULGULAR: Deprem nedeniyle hastanemize toplam 152 hasta getirildi. Acil servise baþvurunun en yoðun olduðu dönem ilk 24–36 saatti. Mortalite oraný yaþ artýþýna baðlý olarak daha yüksek saptandý. Mortal seyreden depremzedelerin en sýk baþvuru nedeni göçük altýnda kalma iken sað kalanlar göçük altýnda kalmanýn dýþýnda düþme gibi baþka nedenlerle de baþvurmuþtu. Sað kalan hastalarda en sýk görülen fraktür þekli alt ekstremite fraktürleriydi.
TARTIÞMA: Epidemiyolojik çalýþmalar, gelecekteki depreme baðlý yaralanmalarýn saðlýk kurumlarý tarafýndan yönetimine ve organizasyonuna önemli katký saðlayabilir.

Anahtar Kelimeler: Anestezi, crush yaralanma; deprem; morbidite; mortalite.

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Our clinical experiences in the earthquake victims who came to our university after the 2020 Aegean Sea earthquake during the COVID-19 pandemic

Zeynep Çaðýran¹, Nezih Sertöz¹, Semra Karaman¹, Didem Özen¹, Mesut Demirkoparan², Meltem Uyar¹, Kemal Aktuglu^2
1Department of Anesthesiology and Reanimation, Ege University Faculty of Medicine, Ýzmir-Türkiye
²Department of Orthopaedics and Traumatology, Ege University Faculty of Medicine, Ýzmir-Türkiye

BACKGROUND: Earthquakes are natural disasters that threaten human life and cause loss of life and property in a very short time. In our study, we aim to carry out the medical analysis of the earthquake victims who came to our hospital after the Earthquake in the Aegean Sea and to share our clinical experiences.
METHODS: We retrospectively analyzed patients the medical data records of earthquake victims brought to our hospital or the injured who applied due to the Aegean Sea earthquake. Patients demographic data, their complaints and diagnoses, hour of admission, their clinical courses, hospital arrangements (admission, discharge, and transfer), time spent until the operation, anesthesia methods, surgical intervantions, intensive care needs, crush syndrome, presence of acute renal failure, number of dialysis, mortality, and mor-bidity were reviewed.
RESULTS: A total of 152 patients were brought to our hospital due to the earthquake. The most intense period of admission to the emergency department was the 1st 24–36 h. Mortality rate was found to be higher depending on the increase of age. While the most common cause of admission for the mortal earthquake survivors was to be trapped in the wreckage, the survivors applied for other reasons as well such as falling down. The most common type of fracture observed in survivors was the lower extremity fractures.
CONCLUSION: Epidemiological studies can make an important contribution to the management and organization of the future earthquake-related injuries by healthcare institutions.

Keywords: Anaesthesia, crush injury; earthquake; morbidity; mortality.

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ATIF KOPYALA