{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T01:23:52Z","timestamp":1772760232954,"version":"3.50.1"},"reference-count":14,"publisher":"Cambridge University Press (CUP)","issue":"1","license":[{"start":{"date-parts":[[2025,3,6]],"date-time":"2025-03-06T00:00:00Z","timestamp":1741219200000},"content-version":"unspecified","delay-in-days":33,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Prehosp. Disaster med."],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1049023X25000159_as1\"><jats:title>Introduction:<\/jats:title><jats:p>Patients with thoracic trauma require rapid decision making and early intervention, especially during natural disasters when the influx of patients complicates hospitalization decisions. Identifying the characteristics of these patients can improve triage protocols, optimize resource allocation, and enhance outcomes in future disaster scenarios.<\/jats:p><\/jats:sec><jats:sec id=\"S1049023X25000159_as2\"><jats:title>Study Objective:<\/jats:title><jats:p>The aim of this study was to determine the characteristics of hospitalized patients after the February 2023 earthquakes in T\u00fcrkiye and to contribute to Disaster Medicine.<\/jats:p><\/jats:sec><jats:sec id=\"S1049023X25000159_as3\"><jats:title>Methods:<\/jats:title><jats:p>This retrospective, cross-sectional study was conducted in a university hospital\u2019s emergency department (ED) located in the earthquake area. All patients over 18 years old with earthquake-related thoracic trauma were included. Demographic information, mechanisms of injury, associated injuries, laboratory results, and treatments were recorded. Patients were divided into two groups: discharged and hospitalized.<\/jats:p><\/jats:sec><jats:sec id=\"S1049023X25000159_as4\"><jats:title>Results:<\/jats:title><jats:p>The study included 179 patients, with a median age of 45 years. Overall, 80.4% were trapped under debris, and 43.8% were rescued on the first day. Hospitalization rates were higher in patients trapped under debris and those rescued after the first day. Blunt thoracic trauma was observed in 95.5% of patients. One hundred and three patients (57.5%) underwent Extended Focused Assessment with Sonography in Trauma (E-FAST) in the ED, 152 patients (84.9%) underwent x-ray, and 129 patients (72.1%) underwent computed tomography (CT). Imaging studies revealed rib fractures in 49.7% and lung parenchymal injuries in 48.6% of patients. Patients with lung parenchymal injury had higher hospitalizations rates. Hospitalized patients had higher levels of white blood cells (WBCs), potassium, blood urea nitrogen (BUN), creatinine, creatinine kinase (CK), creatine kinase-myocardial band (CKMB), and troponin I.<\/jats:p><\/jats:sec><jats:sec id=\"S1049023X25000159_as5\"><jats:title>Conclusion:<\/jats:title><jats:p>This study highlights the prevalence of blunt thoracic trauma and the importance of imaging in the assessment of thoracic injuries following earthquakes. While few patients needed surgery, many required hospitalizations and had abnormal laboratory results, emphasizing the need for careful monitoring for complications like muscle damage and infection.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s1049023x25000159","type":"journal-article","created":{"date-parts":[[2025,3,6]],"date-time":"2025-03-06T08:18:37Z","timestamp":1741249117000},"page":"6-11","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":2,"title":["Emergency Management of Earthquake-Related Thoracic Trauma After the 2023 T\u00fcrkiye Earthquakes"],"prefix":"10.1017","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0517-8484","authenticated-orcid":false,"given":"\u00d6mer","family":"Ta\u015fk\u0131n","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5461-2772","authenticated-orcid":false,"given":"Sevcan","family":"Se\u00e7inti","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2273-5097","authenticated-orcid":false,"given":"\u0130smail C.","family":"Karacao\u011flu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2381-3066","authenticated-orcid":false,"given":"Nezihat R.","family":"Di\u015fel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1259-3398","authenticated-orcid":false,"given":"Ay\u00e7a","family":"A\u00e7\u0131kal\u0131n Akp\u0131nar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2025,3,6]]},"reference":[{"key":"S1049023X25000159_ref8","doi-asserted-by":"publisher","DOI":"10.14744\/tjtes.2023.00748"},{"key":"S1049023X25000159_ref5","unstructured":"5. \u00c7ukurova \u00dcniversitesi In\u015faat Ve Jeoloji M\u00fchendisli\u011fi B\u00f6l\u00fcmleri. 6 \u015eubat 2023 Pazarc\u0131k Ve Elbistan (Kahramanmara\u015f) Depremleri (Mw 7,8- Mw 7,6) Sonrasi Adana \u0130linde Y\u0131k\u0131lan Binalar\u0131 Zemin Ve Yap\u0131 Olarak \u0130nceleme \u00d6n Raporu. Adana\u2019da Y\u0131k\u0131lan Binalar, 06 \u015eubat 2023 DEPREM\u0130. https:\/\/jeoloji.cu.edu.tr\/storage\/Duyurular\/deprem02.pdf. Published May 2023. Accessed May 28, 2024."},{"key":"S1049023X25000159_ref9","doi-asserted-by":"publisher","DOI":"10.1007\/s00595-009-4130-6"},{"key":"S1049023X25000159_ref10","doi-asserted-by":"publisher","DOI":"10.1136\/emj.2004.016295"},{"key":"S1049023X25000159_ref13","doi-asserted-by":"publisher","DOI":"10.1017\/S1049023X20001399"},{"key":"S1049023X25000159_ref2","doi-asserted-by":"publisher","DOI":"10.1016\/j.resinv.2012.11.002"},{"key":"S1049023X25000159_ref6","unstructured":"6. Hatay\u2019da b\u00fcy\u00fck y\u0131k\u0131m | Kurtarma \u00e7al\u0131\u015fmas\u0131 yetersiz, temel ihtiya\u00e7lar giderilmiyor. Evrensel gazetesi, 2023. https:\/\/www.evrensel.net\/haber\/481232\/hatayda-buyuk-yikim-kurtarma-calismasi-yetersiz-temel-ihtiyaclar-giderilmiyor. Accessed May 28, 2024."},{"key":"S1049023X25000159_ref1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2023.10.050"},{"key":"S1049023X25000159_ref12","doi-asserted-by":"publisher","DOI":"10.3390\/diagnostics13223412"},{"key":"S1049023X25000159_ref14","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2023.12.017"},{"key":"S1049023X25000159_ref11","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2017.11.019"},{"key":"S1049023X25000159_ref3","doi-asserted-by":"publisher","DOI":"10.1097\/JTN.0000000000000449"},{"key":"S1049023X25000159_ref4","first-page":"150","article-title":"Thorax trauma severity score: is it reliable for patient\u2019s evaluation in a secondary level hospital?","volume":"4","author":"Mart\u00ednez Casas","year":"2016","journal-title":"Bull Emerg Trauma."},{"key":"S1049023X25000159_ref7","doi-asserted-by":"publisher","DOI":"10.1017\/S1049023X23000493"}],"container-title":["Prehospital and Disaster Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1049023X25000159","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,25]],"date-time":"2025-03-25T12:31:21Z","timestamp":1742905881000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1049023X25000159\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2]]},"references-count":14,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,2]]}},"alternative-id":["S1049023X25000159"],"URL":"https:\/\/doi.org\/10.1017\/s1049023x25000159","relation":{},"ISSN":["1049-023X","1945-1938"],"issn-type":[{"value":"1049-023X","type":"print"},{"value":"1945-1938","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,2]]},"assertion":[{"value":"\u00a9 The Author(s), 2025. Published by Cambridge University Press on behalf of World Association for Disaster and Emergency Medicine","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}}]}}