Extremity injuries in children resulting from the 1999 Marmara earthquake: an epidemiologic study

Sarısözen, Bartu; Durak, Kemal

doi:10.1097/01202412-200307000-00010

Cited by 27 publications

(20 citation statements)

References 16 publications

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“…Threatining injuries like intracranial hemorrhage, injury of intrathoracic and intrabdominal organs lead to immediate victims dead (20). in this study shows that the highest rate of injury was extremites fractures and the second most common was thoracic injuries.…”

Section: Discussionmentioning

confidence: 73%

Clinical Profile of Thorax and Lung Injuries Associated with the 2011 Van Earthquake in Turkey

et al. 2013

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The 7.2 and 5.6 magnitude earthquake that struck Turkey on October 23 and November 9, 2011, was Van, Turkey Received: 10.04.2012, Accepted: 11.10.2012 70agnosing the thoraks and lung injuries. Because of the limited capacity of the hospital and intensive care unit, some patients were transferred to reference hospitals during the hospitalization period. To avoid repetition in the census data, duplicate records were counted only in one hospital after matching the records. RESULTSThe mean age of the patients was 39.7 (2-83) years, and the mean time from rescue to first intervention was 14.5 (0.3-108) hours. Twenty one patients (53.8%) were female and 18 (46.2%) were male. Twenty percent (n:8) (5 females and 3 males) were over the age of 60. Of the 39 patients, bone fractures were detected in 29 (76.9%) patients. Pulmonary parenchymal injuries, pleural injuries, and soft-tissue changes were detected in 36 (92.3%), 31 (79.4%), and 29 (74.3%) patients, respectively. The distribution of the thorax injuries is summarized in Table 1. Pulmonary parenchymal injuries was the most frequent pathology Of the 39 patients, 36(92.3%) has had pulmonary injury. The distrubution was 19 (52.7%) had a hemopneumothorax, 8 (20.5%) had unilateral pneumothorax, 3 (7.6%) patients had hemothorax, one patient (2.5%) had a bilateral pneumothorax. 2 (5.1%) patients were followed up in the clinic that had sternal fractures. Twenty seven (69.2%) patients had rib fractures and among them eightteen had multiple rib fractures (Figure 4).

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Section: Discussionmentioning

confidence: 73%

Clinical Profile of Thorax and Lung Injuries Associated with the 2011 Van Earthquake in Turkey

et al. 2013

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“…The percentage of children reaching field hospitals for a traumatic injury varied from 46.9% to 100.0% of the total pediatric admissions (Table 2). 5 , 7 , 10 , 11 The percentage of trauma-admitted patients suffering from fractures varied from 16% to 86% (Table 2). 7 , 8 Only three papers reported open fracture rate, counting up to 11%, 33%, and 52% of total fractures (Table 3).…”

Section: Resultsmentioning

confidence: 99%

Orthopedic Injuries and Their Treatment in Children During Earthquakes: A Systematic Review

Morelli

Sabbadini

Bortolin

2015

Prehosp. Disaster med.

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Orthopedic injuries commonly affect children during earthquakes, but reports about them are rare. This setting may lead to different standards of care, but guidelines are still missing in this field. A systematic review was performed to: (1) assess type and body distribution of pediatric earthquake-related injuries, treatment performed, length of stay, and complications; and (2) identify starting points to define standards of care. PubMed database was researched for papers (1999-2014 period) in agreement with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Statement. Inclusion criteria were: English, French, Spanish, or Italian language and data reported about orthopedic lesions in children (≤18 years old). Reviews, letters, commentaries, editorials, and single case reports were excluded. Two independent reviewers selected articles after abstract and full-text reading. Traumatic injuries caused child hospital admissions ranging from 46.9% to 100.0%; 16% to 53% suffered fractures. Lower limbs mostly were involved. Soft-tissue injuries affected 55% of patients. Debridement and external fixation (EF) were the most frequent surgical treatments. Amputation rates varied from 5% to 11%. This study revealed that field hospitals should be prepared to: (1) treat mainly lower extremities fractures in children; and (2) use especially EF techniques. The presence of orthopedic surgeons familiar with pediatric traumatology should be considered.

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“…Sarisozen reported acute renal failure as a result of Crush syndrome (21). In our patients, compartment syndrome happened in 2 of them and 1 of the patients had acute renal failure, none of them were among the pediatric group.…”

Section: Crush Syndrome and Compartment Syndromementioning

confidence: 86%

Muskuloskeletal Related Injuries After 2017 Kermanshah Earthquak: A Literature Review

Mortazavi¹,

Ebrahiminasab²,

Farhoud³

et al. 2017

J Orthop Spine Trauma

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Objectives: This study aims to investigate the pattern of Musculoskeletal and soft tissue injuries in a series of referred patients in a tertiary medical center and review previous reports in the literature. Methods: In this study, we recorded musculoskeletal injuries of the victims, following the Kermanshah earthquake on November 12, 2017, with a total number of 38. All patients were admitted to the Imam Khomeini Hospital. Injury type, site of injury, gender, age, complications, mortality, and treatment modality were recorded for each case.Results: Among 38 patients, 18 were male (47%) and 20 were female (53%). The mean age was 37 ± 21.6 years. Most of them were aged between 18 and 65 (71.1%). Lower extremities were involved more than the upper (37% versus 24%) and distal limb involvement was more than the proximal (57.3% versus 43.7%). One patient died due to necrotizing fasciitis and septic shock after femoral shaft open fracture. Two patients developed compartment syndrome and underwent fasciotomy complications by skin necrosis and infection. Conclusions: Soft tissue injuries and fractures are the most common injuries following the earthquakes, hence orthopedic surgeries play a vital role in disasters. Despite patients overload and emergency situation in natural disasters like earthquakes, it is crucial to have a stepwise and evidence based approach for each patient. For the patients with open fractures referred to a tertiary center, careful contamination assessment even in the previously managed wounds is highly recommended, especially for those with early wound closure. Early fasciotomy in the crush syndrome is not beneficial as it has adverse effects such as skin necrosis and infection.

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Extremity injuries in children resulting from the 1999 Marmara earthquake: an epidemiologic study

Cited by 27 publications

References 16 publications

Clinical Profile of Thorax and Lung Injuries Associated with the 2011 Van Earthquake in Turkey

Clinical Profile of Thorax and Lung Injuries Associated with the 2011 Van Earthquake in Turkey

Orthopedic Injuries and Their Treatment in Children During Earthquakes: A Systematic Review

Muskuloskeletal Related Injuries After 2017 Kermanshah Earthquak: A Literature Review

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