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From Tragedy to Resilience in a University Hospital: Characteristics of Patients in the Aftermath of the 2023 Turkey Earthquake

Published online by Cambridge University Press:  11 April 2024

Ömer Taşkın Open the ORCID record for Ömer Taşkın [Opens in a new window]  and
Nezihat Rana Dişel Open the ORCID record for Nezihat Rana Dişel [Opens in a new window]
Ömer Taşkın*
Affiliation:
Emergency Service, Yüreğir State Hospital, Adana, Turkey
Nezihat Rana Dişel
Affiliation:
Department of Emergency Medicine, Çukurova University, Adana, Turkey
*
Corresponding author: Ömer Taşkın; Email: omertaskinmd@gmail.com.
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Abstract

Objective:

This study focuses on adults affected by the February 2023 Turkey earthquakes, aiming to uncover demographic and clinical traits.

Methods:

A retrospective analysis of data from adult patients who sought emergency care between February 6 and February 21, 2023, following the earthquakes, was conducted.

Results:

Among 3072 patients, 1544 (50.3%) of whom were women, trauma (31.1%) was the most prevalent cause of emergency department presentations. The median age of all patients was 44 y (interquartile range [IQR] 31-61 y). Hatay province accounted for 65.2% of trauma patients as origin. Most of the patients (66.8%) presented to the emergency department by their own means, while this was opposite for trauma patients, of whom 54.5% was transferred by means of Ambulance Service. Half of the total trauma patients were rescued from the debris, and 75.9% sustained limb injuries. Crush syndrome affected 24.7%, and emergency hemodialysis was performed on 9.1%, whereas emergency surgery was performed on 22.8% of all trauma cases. Overall, 10.2% of trauma patients lacked any identification. The rate of emergency department admittions due to respiratory and cardiovascular diseases was higher at the time of the earthquake compared with the previous year (P < 0.001).

Conclusions:

The insights gained from this study hold valuable implications for disaster response strategies, emphasizing the importance of preparedness, timely intervention, and comprehensive patient care.

Keywords

EarthquakeEmergency departmentTraumaNatural disasterCrush syndrome
Type
Original Research
Information
Disaster Medicine and Public Health Preparedness , Volume 18 , 2024 , e59
Copyright
© The Author(s), 2024. Published by Cambridge University Press on behalf of Society for Disaster Medicine and Public Health, Inc

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References

Turkish Statistical Institute. National population data. February 6, 2023. Accessed 12.08.2023. https://data.tuik.gov.tr/Bulten/Index?p=Adrese-Dayali-Nufus-Kayit-Sistemi-Sonuclari-2022-49685 Google Scholar
Ministry of Interior Disaster and Emergency Management Presidency. 06 Şubat 2023 Pazarcık-Elbistan Kahramanmaraş (Mw: 7.7 – Mw: 7.6) Depremleri Raporu. 2023. Accessed 12.08.2023. https://deprem.afad.gov.tr/earthquake-reports Google Scholar
World Health Organization. Türkiye earthquake: external situation report no.1:13–19 February 2023. 2023. Accessed 12.08.2023. https://www.who.int/europe/publications/i/item/WHO-EURO-2023-7145-46911-68441 Google Scholar
Sarı, H, Özel, M, Akkoç, MF, et al. First-week analysis after the Turkey earthquakes: demographic and clinical outcomes of victims. Prehosp Disaster Med. 2023;38(3):294–300. doi: 10.1017/s1049023x23000493 CrossRefGoogle ScholarPubMed
Ersel, M, Karbek Akarca, F, Güvenç’s, E, et al. ED management after the 2020 Aegean Sea - Izmir Earthquake. Ulusal Travma Acil Cerrahi Derg. 2022;28:361-368. doi: 10.14744/tjtes.2021.89679 Google Scholar
Long, B, Liang, SY, Gottlieb, M. Crush injury and syndrome: a review for emergency clinicians. Am J Emerg Med. 2023;69:180-187. doi: 10.1016/j.ajem.2023.04.029 CrossRefGoogle ScholarPubMed
Ministry of Health of the Republic of Türkiye. Yataklı sağlık tesislerinde acil servis hizmetlerinin uygulama usul ve esasları hakkında tebliğ. Resmî Gazete. 2022. Accessed March 13, 2024. https://www.resmigazete.gov.tr/eskiler/2022/09/20220913-5.htm Google Scholar
Yılmaz, S, Karakayali, O, Yilmaz, S, et al. Emergency Medicine Association of Turkey Disaster Committee Summary of Field Observations of February 6th Kahramanmaraş Earthquakes. Prehosp Disaster Med. 2023;38(3):415-418. doi: 10.1017/s1049023x23000523 CrossRefGoogle ScholarPubMed
Dursun, R, Görmeli, CA, Görmeli, G. Evaluation of the patients in Van Training and Research Hospital following the 2011 Van earthquake in Turkey. Ulus Travma Acil Cerrahi Derg. 2012;18(3):260-264. doi: 10.5505/tjtes.2012.05863 CrossRefGoogle Scholar
Türkmen, S. Adana’da Yıkılan Binalar, 06 Şubat 2023 DEPREMİ. Engineering G. 2023. Accessed 12.08.2023. https://jeoloji.cu.edu.tr/storage/Duyurular/deprem02.pdf Google Scholar
Habertürk. Enkaz altından 146 saat sonra kurtarılmıştı! ‘Mucize İsmail’in mutlu günü. Accessed 12.08.2023. https://www.haberturk.com/mucize-ismail-in-mutlu-gunu-3515672?page=2 Google Scholar
Mancilla, D, Moczygemba, J. Exploring medical identity theft. Perspect Health Inf Manag. 2009;6(Fall):1e.Google ScholarPubMed
Egner, A, Soceanu, A, Moldoveanu, F. Biometric identity management for standard mobile medical networks. Annu Int Conf IEEE Eng Med Biol Soc. 2012;2012:2186-2189. doi: 10.1109/embc.2012.6346395 Google ScholarPubMed
Mohsin, AH, Zaidan, AA, Zaidan, BB, et al. Real-time medical systems based on human biometric steganography: a systematic review. J Med Syst. 2018;42(12):245. doi: 10.1007/s10916-018-1103-6 CrossRefGoogle ScholarPubMed
Bulut, M, Fedakar, R, Akkose, S, et al. Medical experience of a university hospital in Turkey after the 1999 Marmara earthquake. Emerg Med J. Jul 2005;22(7):494-498. doi: 10.1136/emj.2004.016295 CrossRefGoogle ScholarPubMed
Peek-Asa, C, Kraus, JF, Bourque, LB, et al. Fatal and hospitalized injuries resulting from the 1994 Northridge earthquake. Int J Epidemiol. 1998;27(3):459-465. doi: 10.1093/ije/27.3.459 CrossRefGoogle ScholarPubMed
Kang, P, Zhang, L, Liang, W, et al. Medical evacuation management and clinical characteristics of 3,255 inpatients after the 2010 Yushu earthquake in China. J Trauma Acute Care Surg. 2012;72(6):1626-1633. doi: 10.1097/TA.0b013e3182479e07 CrossRefGoogle ScholarPubMed
Bingol, O, Karlidag, T, Keskin, OH, et al. Preventing extremity amputations after earthquakes: a quantitative analysis of fasciotomy and extrication time. Eur J Trauma Emerg Surg. 2023;49(6):2515-2520. doi: 10.1007/s00068-023-02325-6 CrossRefGoogle ScholarPubMed
Mahsanlar, Y, Parlak, I, Yolcu, S, et al. Factors affecting the length of stay of patients in emergency department observation units at teaching and research hospitals in Turkey. Turk J Emerg Med. 2016;14(1):3-8. doi: 10.5505/1304.7361.2014.58224 CrossRefGoogle ScholarPubMed
Cummings, GE, Mayes, DC. A comparative study of designated Trauma Team Leaders on trauma patient survival and emergency department length-of-stay. CJEM. 2007;9(2):105-110. doi: 10.1017/s1481803500014871 CrossRefGoogle ScholarPubMed
Beştemir, A, Aydın, H. Yıllık 300 milyon Hasta Muayenesi; Türkiye’de 2. ve 3. Basamak Kamu Sağlık Tesisleri Acil Servis ve Poliklinik Hizmetlerinin Değerlendirilmesi. Sakarya Tıp Dergisi. 2022;12(3):496-502.Google Scholar
Özüdoğru, BA. 2023 Yılında Gerçekleşen Kahramanmaraş Merkezli Depremin Etkileri Ve Politika Önerileri. 2023. Accessed 12.08.2023. https://www.tepav.org.tr/upload/mce/2023/notlar/2023_yilinda_gerceklesen_kahramanmaras_merkezli_depreminin_etkileri_ve_politika_onerileri.pdf Google Scholar
Gundogdu, S. Turkey’s poor earthquake waste management. Science. 2023;380(6643):353. doi: 10.1126/science.adh4845 CrossRefGoogle ScholarPubMed