{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T12:11:04Z","timestamp":1791202264021,"version":"4.2.0"},"reference-count":23,"publisher":"Cambridge University Press (CUP)","issue":"3","license":[{"start":{"date-parts":[[2023,5,11]],"date-time":"2023-05-11T00:00:00Z","timestamp":1683763200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Prehosp. Disaster med."],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1049023X23000493_as1\"><jats:title>Background:<\/jats:title><jats:p>During a major earthquake, escape attempts or collapsed buildings can result in injury, disability, and even death for victims. The aim of this study is to examine the demographic characteristics, clinical outcomes, and injuries of victims admitted to the emergency department within the first week after an earthquake.<\/jats:p><\/jats:sec><jats:sec id=\"S1049023X23000493_as2\"><jats:title>Methods:<\/jats:title><jats:p>This is a retrospective observational study conducted on earthquake victims who were admitted to the emergency services of a tertiary medical faculty and a training and research hospital in the city of Diyarbakir, located in the Southeastern Anatolia Region of Turkey, from February 6 through February 12, 2023.<\/jats:p><\/jats:sec><jats:sec id=\"S1049023X23000493_as3\"><jats:title>Results:<\/jats:title><jats:p>Of the eligible 662 earthquake victims, the mean age was 10.66 (SD = 4.78 [min 0, max 17]) in children, 36.87 (SD = 4.78 [min 18, max 63]) in adults, and 72.85 (SD = 5.83 [min 65, max 84]) in the elderly. Women constituted 52.8% of the victims, 19.7% were children, and 8.0% were elderly. Sixty-one percent (61.0%) of earthquake victims were admitted to emergency services in the first three days following the disaster; 37.7% of all victims were transferred from other affected cities to Diyarbak\u0131r. In all, 80.2% of the victims were admitted as survivors to the emergency services (36.8% were rescued under rubble, 40.1% with injuries while attempting to escape the earthquake, and 3.3% with nontraumatic reasons) and 19.8% were deceased under rubble. The majority of the 131 deceased victims were women (52.7%), 20.6% were children, and 7.6% were elderly. An estimated 38.3% of victims were hospitalized (20.9% in the ward and 17.4% in the intensive care unit [ICU]). For all age groups that survived under the rubble, the extremities were most injured (53.6% for children, 53.1% for adults, and 55.5% for the elderly). Of adult survivors, 26.6% needed only fluid therapy, renal replacement treatment (hemodialysis) was required 20.7%, and 11.8% required amputation. Of children survivors under the rubble, renal replacement treatment (hemodialysis) was required for only four, seven required amputation, and 12 needed only fluid resuscitation for crush injury. Of elderly survivors, two needed only fluid therapy, renal replacement treatment (hemodialysis) was required for two, and no amputation was required. Six patients survived under the rubble and died in the ICU.<\/jats:p><\/jats:sec><jats:sec id=\"S1049023X23000493_as4\"><jats:title>Conclusion:<\/jats:title><jats:p>The definition of the demographic characteristics and clinical outcomes of earthquake patients is critical to the development of preparedness, response, and recovery policies for future disasters.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s1049023x23000493","type":"journal-article","created":{"date-parts":[[2023,5,11]],"date-time":"2023-05-11T08:43:03Z","timestamp":1683794583000},"page":"294-300","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":56,"title":["First-Week Analysis after the Turkey Earthquakes: Demographic and Clinical Outcomes of Victims"],"prefix":"10.1017","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7466-6628","authenticated-orcid":false,"given":"H\u0131d\u0131r","family":"Sar\u0131","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4797-7017","authenticated-orcid":false,"given":"Mehmet","family":"\u00d6zel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5714-0499","authenticated-orcid":false,"given":"Mehmet Fatih","family":"Akko\u00e7","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6705-4079","authenticated-orcid":false,"given":"Abdullah","family":"\u015een","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2023,5,11]]},"reference":[{"key":"S1049023X23000493_ref6","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199602153340706"},{"key":"S1049023X23000493_ref13","first-page":"5","article-title":"The human impact of earthquakes: a historical review of events 1980-2009 and systematic literature review","author":"Doocy","year":"2013","journal-title":"PLoS Curr."},{"key":"S1049023X23000493_ref18","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2022.995595"},{"key":"S1049023X23000493_ref4","unstructured":"4. Republic of T\u00fcrkiye Ministry of Environment, Urbanization and Climate Change. Press bulletin 28.02.2023. https:\/\/www.csb.gov.tr\/bakan-kurum-582-bin-bagimsiz-bolum-ve-202-bin-binanin-acil-yikilacak-agir-hasarli-veya-yikik-oldugu-tespitini-yaptik-bakanlik-faaliyetleri-3845. Accessed March 2, 2023."},{"key":"S1049023X23000493_ref5","unstructured":"5. World Health Organization. T\u00fcrkiye earthquake: external situation report no.1: 13\u201319 February 2023. https:\/\/www.who.int\/europe\/publications\/i\/item\/WHO-EURO-2023-7145-46911-68441. Published 2023. Accessed March 1, 2023."},{"key":"S1049023X23000493_ref10","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e3182479e07"},{"key":"S1049023X23000493_ref9","doi-asserted-by":"publisher","DOI":"10.1136\/emj.2004.016295"},{"key":"S1049023X23000493_ref3","unstructured":"3. Ministry of Interior Disaster and Emergency Management Presidency. Press bulletin 01.03.2023 about the earthquake in Kahramanmara\u015f - 36. https:\/\/en.afad.gov.tr\/press-bulletin-36-about-the-earthquake-in-kahramanmaras. Accessed March 2, 2023."},{"key":"S1049023X23000493_ref14","unstructured":"14. EM-DAT International Disaster Database. Haiti profile. 2023. www.emdat.be\/emdat_atlas\/sub_html_pages\/sub_html_HTI.html. Accessed March 4, 2023."},{"key":"S1049023X23000493_ref2","unstructured":"2. Ministry of Interior Disaster and Emergency Management Presidency. Press bulletin 13.02.2023 about the earthquake in Kahramanmara\u015f - 29. https:\/\/en.afad.gov.tr\/press-bulletin-29-about-the-earthquake-in-kahramanmaras. Accessed March 1, 2023."},{"key":"S1049023X23000493_ref17","doi-asserted-by":"publisher","DOI":"10.1016\/j.jfma.2018.05.012"},{"key":"S1049023X23000493_ref1","unstructured":"1. World Health Organization. Emergencies T\u00fcrkiye and Syria Earthquakes. https:\/\/www.who.int\/europe\/emergencies\/situations\/turkiye-and-syria-earthquakes. Accessed March 1, 2023."},{"key":"S1049023X23000493_ref19","unstructured":"19. Turkish Enterprise and Business Confederation (TURKONFED)-2023 Kahramanmara\u015f Earthquake-Pre-Assessment and Status Report. https:\/\/turkonfed.org\/tr\/detay\/3937\/2023-kahramanmaras-depremi-afet-on-degerlendirme-durum-raporu. Published 2023. Accessed March 4, 2023."},{"key":"S1049023X23000493_ref20","unstructured":"20. Republic of T\u00fcrkiye Ministry of Health. Health Minister Dr. Fahrettin Koca made a press statement at the field hospital established in front of Hatay Training and Research Hospital. https:\/\/www.saglik.gov.tr\/Genel\/MansetHaberList.aspx. Accessed March 1, 2023."},{"key":"S1049023X23000493_ref21","doi-asserted-by":"publisher","DOI":"10.1097\/JTN.0000000000000136"},{"key":"S1049023X23000493_ref12","doi-asserted-by":"publisher","DOI":"10.1016\/j.jenvman.2018.10.050"},{"key":"S1049023X23000493_ref8","doi-asserted-by":"publisher","DOI":"10.3390\/su10051651"},{"key":"S1049023X23000493_ref22","first-page":"503","article-title":"Clinical profile of musculoskeletal injuries associated with the 2008 Wenchuan earthquake in China","volume":"16","author":"Dai","year":"2010","journal-title":"Ulus Travma Acil Cerrahi Derg."},{"key":"S1049023X23000493_ref7","unstructured":"7. Republic of T\u00fcrkiye Ministry of Health. Health Minister Dr. Koca Shared the latest situation of health services in earthquake regions. www.saglik.gov.tr\/EN,94845\/health-minister-dr-koca-shared-the-latest-situation-of-health-services-in-earthquake-regions.html. Accessed March 1, 2023."},{"key":"S1049023X23000493_ref11","unstructured":"11. Turkish Statistical Institute. National population data. https:\/\/data.tuik.gov.tr\/Bulten\/Index?p=Adrese-Dayali-Nufus-Kayit-Sistemi-Sonuclari-2022-49685. Accessed March 3, 2023."},{"key":"S1049023X23000493_ref16","doi-asserted-by":"publisher","DOI":"10.1017\/S1049023X00003253"},{"key":"S1049023X23000493_ref15","doi-asserted-by":"publisher","DOI":"10.1080\/16549716.2021.2013597"},{"key":"S1049023X23000493_ref23","doi-asserted-by":"publisher","DOI":"10.1111\/j.1756-5391.2012.01186.x"}],"container-title":["Prehospital and Disaster Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1049023X23000493","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,7]],"date-time":"2023-09-07T03:59:01Z","timestamp":1694059141000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1049023X23000493\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,5,11]]},"references-count":23,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2023,6]]}},"alternative-id":["S1049023X23000493"],"URL":"https:\/\/doi.org\/10.1017\/s1049023x23000493","relation":{},"ISSN":["1049-023X","1945-1938"],"issn-type":[{"value":"1049-023X","type":"print"},{"value":"1945-1938","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,5,11]]},"assertion":[{"value":"\u00a9 The Author(s), 2023. Published by Cambridge University Press on behalf of the World Association for Disaster and Emergency Medicine","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}]}}