Early and intensive fluid replacement prevents acute renal failure in the crush cases associated with spontaneous collapse of an apartment in Konya

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dc.contributor.authorAltıntepe, Lütfullah
dc.contributor.authorGüney, İbrahim
dc.contributor.authorTonbul, Zeki
dc.contributor.authorTürk, Süleyman
dc.contributor.authorMazı, Mehmet
dc.contributor.authorAğca, Erhan
dc.contributor.authorYeksan, Mehdi
dc.date.accessioned2020-03-26T17:17:15Z
dc.date.available2020-03-26T17:17:15Z
dc.date.issued2007
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractBackground. Crush syndrome developing as a result of earthquake and other natural disasters has been investigated from many angles to date. Data are scarce, however, on cases associated with the spontaneous crash of buildings. This study presents the results on seven rhabdomyolysis patients treated in our clinics out of nine casualties who were rescued from the rubble of Zumrut apartment after the building collapsed suddenly and spontaneously. Methods. As a result of the sudden, spontaneous collapse of the 10-floor Zumrut apartment in Konya at 20:15 hours on February 2, 2004, 92 out of a total of 121 persons who were inside the building lost their lives, and 29 casualties were rescued from the rubble. Nine hospitalized patients had crush syndrome, and a prophylactic mannitol-bicarbonate cocktail was started in all at admission. Results. The time they remained entrapped under the rubble was 11.1 +/- 7.3 (5-24 hours) on average. The highest CPK level of the patients was 79049 +/- 75374 u/L (17478-223600 u/L), observed on the median day 1.7 +/- 1.1 (days 1-4) following the incident. ARF developed in only two cases (28.6%) owing to the prophylactic mannitol-bicarbonate cocktail administered to prevent ARF, and because of hyperpotassemia, hemodialysis (HD) treatment was administered to these patients. One patient required two sessions of HD, and another required four. In both patients who received HD treatment, the level of potassium was in excess of 7 mEq/L. A total of eight fasciotomies were performed on five (71.4%) of the seven patients with crush syndrome. Five of the fasciotomies (62.5%) were performed on two of our patients who required HD treatment. None of our patients with crush syndrome developed permanent kidney damage, and no mortality occurred. Conclusion. It was deduced that rapid fluid therapy accompanied by the prophylactic administration of mannitol-bicarbonate are largely effective in preventing the development of ARF in cases with crush syndrome resulting from disasters.en_US
dc.identifier.doi10.1080/08860220701460095en_US
dc.identifier.endpage741en_US
dc.identifier.issn0886-022Xen_US
dc.identifier.issn1525-6049en_US
dc.identifier.issue6en_US
dc.identifier.pmid17763170en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage737en_US
dc.identifier.urihttps://dx.doi.org/10.1080/08860220701460095
dc.identifier.urihttps://hdl.handle.net/20.500.12395/21329
dc.identifier.volume29en_US
dc.identifier.wosWOS:000249148400013en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherTAYLOR & FRANCIS LTDen_US
dc.relation.ispartofRENAL FAILUREen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectcrush syndromeen_US
dc.subjectfluid treatmenten_US
dc.subjectspontane collapse of buildingen_US
dc.subjectacute renal failureen_US
dc.titleEarly and intensive fluid replacement prevents acute renal failure in the crush cases associated with spontaneous collapse of an apartment in Konyaen_US
dc.typeArticleen_US

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