Please use this identifier to cite or link to this item: http://hdl.handle.net/11452/25934
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dc.date.accessioned2022-04-21T07:14:05Z-
dc.date.available2022-04-21T07:14:05Z-
dc.date.issued2003-05-
dc.identifier.citationErsoy, A. vd. (2003). “Survival analysis of the factors affecting in mortality in injured patients requiring dialysis due to acute renal failure during the Marmara earthquake: Survivors vs non-survivors”. Clinical Nephrology, 59(5), 334-340.en_US
dc.identifier.issn0301-0430-
dc.identifier.urihttps://doi.org/10.5414/CNP59334-
dc.identifier.urihttp://hdl.handle.net/11452/25934-
dc.description.abstractBackground: We reviewed medical records of dialyzed patients admitted to our hospital after the Marmara earthquake and evaluated the factors affecting mortality in survivors and non-survivors according to the survival times. Patients and methods: Crush syndrome ( CS) was diagnosed in 110 patients. Dialysis treatment was initiated in 60 patients; 21 of all died. The patients were divided into 2 groups which consisted of 39 survivors ( Group A, 25 male, 14 female, mean age: 31 +/- 2.2 years) and 21 nonsurvivors ( Group B, 9 male, 12 female, mean age: 27 +/- 3.0 years). Victims treated by any form of renal replacement therapy, including daily or intermittant hemodialysis and/or continuous venovenous hemodiafiltration. Clinical and laboratory findings were recorded regularly. Statistical analysis was performed with Kaplan-Meier method, log rank test and Cox regression analysis for the survival functions. Results: APACHE II scores were 13.5 +/- 0.5 for Group A and 13 +/- 0.9 for Group B. Dialysis support was started to patients in Group A in a mean period of 2.8 +/- 0.2 days and in Group B in a mean period of 3.7 +/- 0.6 days after the earthquake ( p > 0.05). The most frequent site of trauma was lower extremity (61.5%) and upper + lower extremities (23%) in Group A, and lower extremity (38.1%) and trunk + lower extremity (23.8%) in Group B. The frequencies of abdominal trauma, pelvic fracture and thoracic trauma in Group B were 23.8%, 19% and 14.2%, respectively. Multiple trauma was more frequent in Group B than in Group A (42.8% vs 2.5%). The rates of fasciotomy, amputation and surgery were similar in both groups. The frequency of sepsis was higher in nonsurvivors. In our center, the overall mortality rate was 8%, mortality rate in CS was 21% and in dialyzed patients it was 35%. Mortality was mainly associated with sepsis. Survival periods (52.3 +/- 4.0 days) in Group A were longer than in Group B (17.3 +/- 2.5 days). With Cox regression analysis, the parameters such as systolic hypotension on admission, female gender, high serum peak creatine kinase (> 20,000 U/l) and multiple trauma including thoracic and abdominal regions, were factors increasing risk of mortality. Conclusion: As a result, sepsis, multiple trauma and severe crush injury were the main factors increasing mortality risk in dialyzed injuries after the earthquake.en_US
dc.language.isoenen_US
dc.publisherDustri-Verlag Dr Karl Feistlede
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectUrology and nephrologyen_US
dc.subjectCrush syndromeen_US
dc.subjectEarthquakeen_US
dc.subjectRhabdomyolysisen_US
dc.subjectAcute renal failureen_US
dc.subjectDialysisen_US
dc.subjectSurvival timeen_US
dc.subjectMortalityen_US
dc.subjectHanshin-awaji earthquakeen_US
dc.subjectCritically-ill patientsen_US
dc.subjectCrush-syndromeen_US
dc.subjectArmenian earthquakeen_US
dc.subjectRhabdomyolysisen_US
dc.subjectManagementen_US
dc.subjectMorbidityen_US
dc.subjectVictimsen_US
dc.titleSurvival analysis of the factors affecting in mortality in injured patients requiring dialysis due to acute renal failure during the Marmara earthquake: Survivors vs non-survivorsen_US
dc.typeArticleen_US
dc.identifier.wos000183229300004tr_TR
dc.identifier.scopus2-s2.0-0038633225tr_TR
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergitr_TR
dc.contributor.departmentUludağ Üniversitesi/Tıp Fakültesi/Nefroloji Bilim Dalı.tr_TR
dc.contributor.departmentUludağ Üniversitesi/Tıp Fakültesi/Biyoistatistik Anabilim Dalı.tr_TR
dc.contributor.orcid0000-0002-0710-0923tr_TR
dc.contributor.orcid0000-0002-2382-290Xtr_TR
dc.identifier.startpage334tr_TR
dc.identifier.endpage340tr_TR
dc.identifier.volume59tr_TR
dc.identifier.issue5tr_TR
dc.relation.journalClinical Nephrologyen_US
dc.contributor.buuauthorErsoy, Alparslan-
dc.contributor.buuauthorYavuz, Mahmut-
dc.contributor.buuauthorUsta, Mehmet-
dc.contributor.buuauthorErcan, İlker-
dc.contributor.buuauthorAslanhan, İsmail-
dc.contributor.buuauthorGüllülü, Mustafa-
dc.contributor.buuauthorKurt, Ender-
dc.contributor.buuauthorEmir, Gönül-
dc.contributor.buuauthorDilek, Kamil-
dc.contributor.buuauthorYurtkuran, Mustafa-
dc.contributor.researcheridAAH-5054-2021tr_TR
dc.identifier.pubmed12779094tr_TR
dc.subject.wosUrology and nephrologyen_US
dc.indexed.wosSCIEen_US
dc.indexed.scopusScopusen_US
dc.indexed.pubmedPubMeden_US
dc.wos.quartileQ2en_US
dc.contributor.scopusid35612977100tr_TR
dc.contributor.scopusid7006244754tr_TR
dc.contributor.scopusid7005030712tr_TR
dc.contributor.scopusid6603789069tr_TR
dc.contributor.scopusid6506580844tr_TR
dc.contributor.scopusid6602684544tr_TR
dc.contributor.scopusid7006207332tr_TR
dc.contributor.scopusid57189602234tr_TR
dc.contributor.scopusid56005080200tr_TR
dc.contributor.scopusid7003389525tr_TR
dc.subject.scopusRhabdomyolysis; Earthquake; Acute Kidney Injuryen_US
dc.subject.emtreeAbdominal injuryen_US
dc.subject.emtreeAcute kidney failureen_US
dc.subject.emtreeAdulten_US
dc.subject.emtreeAmputationen_US
dc.subject.emtreeArm injuryen_US
dc.subject.emtreeClinical articleen_US
dc.subject.emtreeControlled studyen_US
dc.subject.emtreeCreatinine blood levelen_US
dc.subject.emtreeCrush syndromeen_US
dc.subject.emtreeDisease associationen_US
dc.subject.emtreeEarthquakeen_US
dc.subject.emtreeEpidemiological dataen_US
dc.subject.emtreeFasciotomyen_US
dc.subject.emtreeFemaleen_US
dc.subject.emtreeHemodialysis patienten_US
dc.subject.emtreeHospital admissionen_US
dc.subject.emtreeHumanen_US
dc.subject.emtreeKaplan Meier methoden_US
dc.subject.emtreeKidney transplantationen_US
dc.subject.emtreeLaboratory testen_US
dc.subject.emtreeLeg injuryen_US
dc.subject.emtreeMaleen_US
dc.subject.emtreeMedical recorden_US
dc.subject.emtreeMortalityen_US
dc.subject.emtreeMultiple traumaen_US
dc.subject.emtreePelvis fractureen_US
dc.subject.emtreePeritoneal dialysisen_US
dc.subject.emtreeRegression analysisen_US
dc.subject.emtreeReviewen_US
dc.subject.emtreeScoring systemen_US
dc.subject.emtreeSepsisen_US
dc.subject.emtreeSex differenceen_US
dc.subject.emtreeStatistical analysisen_US
dc.subject.emtreeSurvival rateen_US
dc.subject.emtreeSystolic hypertensionen_US
dc.subject.emtreeThorax injuryen_US
dc.subject.emtreeTurkey (republic)en_US
dc.subject.emtreeCreatine kinaseen_US
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