{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T07:01:04Z","timestamp":1788850864157,"version":"build-2803163510"},"reference-count":26,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,2,18]],"date-time":"2026-02-18T00:00:00Z","timestamp":1771372800000},"content-version":"vor","delay-in-days":17,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Evaluation Clinical Practice"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The clinical profiles of child victims admitted to hospitals following earthquakes, as well as the characteristics associated with hospital stay, are important. This study aimed to analyze the clinical outcomes of pediatric victims admitted following a sudden earthquake to enhance preparedness for accessing essential health services to reduce losses in future disasters.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Among 2158 patients referred to the pediatric emergency department (PED), 356 children followed at our tertiary inpatient clinic were included. Demographics, surgical interventions, and the presence of life\u2010threatening conditions like crush syndrome and fasciotomy\/amputation were investigated. Crush syndrome was defined as clinical and laboratory evidence of muscle injury accompanied by systemic complications odds ratios (OR) with 95% confidence intervals (CI) were calculated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among the patients, 56.5% were male. The median length of hospital stay was 4 days (range: 1\u2013120). The most common injury mechanism was entrapment under rubble, and the lower extremities were the most frequently affected injury site. Compartment syndrome developed in 31.7% of patients, and 2.8% underwent amputation. Crush syndrome was identified in 75.3% of hospitalized patients and was significantly more common among children admitted on the second day or later after the earthquake. Elevated creatine phosphokinase (CPK) levels significantly increased the likelihood of developing crush syndrome (OR: 61.7, 95% CI) and the need for fasciotomy (OR: 16.9, 95% CI). Fasciotomy was required in 28.9% of patients. Dehydration was associated with an increased risk of fasciotomy (OR: 7.2) and amputation (OR: 5.4). Elevated levels of myoglobin, uric acid, blood urea nitrogen\/creatinine, and aspartate aminotransferase (AST) and alanine aminotransferase (ALT) were significantly associated with crush syndrome and fasciotomy (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The high burden of crush\u2010related complications in pediatric earthquake victims underscores the need for pediatric\u2010specific trauma protocols in disaster settings. Early identification of risk factors and rapid intervention may reduce severe outcomes such as fasciotomy, renal failure, and amputation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jep.70379","type":"journal-article","created":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T05:36:02Z","timestamp":1771479362000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Pediatric Crush Syndrome and Injury Profiles in Earthquake Survivors: A Comprehensive Analysis From the 2023 Turkey Earthquake"],"prefix":"10.1111","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-9222-6163","authenticated-orcid":false,"given":"Sefika","family":"Aldas","sequence":"first","affiliation":[{"name":"Department of Pediatrics, University of Health Sciences Mersin City Education and Research Hospital Mersin Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4407-1244","authenticated-orcid":false,"given":"Murat","family":"Ersoy","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Health Sciences Mersin City Education and Research Hospital Mersin Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4041-2777","authenticated-orcid":false,"given":"Mehtap Durukan","family":"Tosun","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Health Sciences Mersin City Education and Research Hospital Mersin Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4479-495X","authenticated-orcid":false,"given":"Ali","family":"Tun\u00e7","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Health Sciences Mersin City Education and Research Hospital Mersin Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8380-4140","authenticated-orcid":false,"given":"Gamze","family":"G\u00f6kulu","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Health Sciences Mersin City Education and Research Hospital Mersin Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9468-1131","authenticated-orcid":false,"given":"Esra","family":"Vatansever","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Health Sciences Mersin City Education and Research Hospital Mersin Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2445-0607","authenticated-orcid":false,"given":"Fatma Sercan","family":"Aynac\u0131","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Health Sciences Mersin City Education and Research Hospital Mersin Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0252-2174","authenticated-orcid":false,"given":"Banu","family":"Katlan","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Health Sciences Mersin City Education and Research Hospital Mersin Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8042-9119","authenticated-orcid":false,"given":"Suna","family":"Ozdem","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Health Sciences Mersin City Education and Research Hospital Mersin Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5054-8507","authenticated-orcid":false,"given":"Berfin Ozgokce","family":"Ozmen","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Health Sciences Mersin City Education and Research Hospital Mersin Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8418-1889","authenticated-orcid":false,"given":"Sanliay","family":"Sahin","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Health Sciences Mersin City Education and Research Hospital Mersin Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,2,18]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2011.04.014"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2023.04.029"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1049023X12001161"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00467-024-06307-7"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.5152\/TurkArchPediatr.2024.23276"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00431-023-05250-3"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40620-024-02043-1"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfs040"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13017-020-00296-2"},{"key":"e_1_2_8_11_1","unstructured":"M.Sever Crush (Ezilme) Sendromu Ve Marmara Depreminden \u00c7\u0131kar\u0131lan Dersler T\u00fcrk Nefroloji Derne\u011fi Yay\u0131nlar\u0131 2003."},{"issue":"9","key":"e_1_2_8_12_1","first-page":"1335","article-title":"Which is More Dangerous, Earthquake, or the Panic? Evaluation of the 24 January 2020 Elazig\/T\u00fcrkiye Earthquake Related Musculoskeletal Injuries","volume":"28","author":"Ergen E.","year":"2022","journal-title":"Ulusal Travma Ve Acil Cerrahi Dergisi = Turkish Journal of Trauma & Emergency Surgery: TJTES"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1353\/hpu.2012.0067"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1017\/dmp.2021.31"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.2147\/ORR.S387625"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.4236\/ojpsych.2022.123019"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-016-0891-9"},{"issue":"3","key":"e_1_2_8_18_1","first-page":"21","article-title":"Management of an Earthquake in a Pediatric Intensive Care Unit","volume":"23","author":"Tany\u0131ld\u0131z M.","year":"2023","journal-title":"\u00c7ocuk Dergisi\/Journal of Child"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1523-1755.2001.0600031114.x"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1049023X23000493"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-199608000-00023"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1053\/jpsu.2001.20719"},{"issue":"3","key":"e_1_2_8_23_1","first-page":"156","article-title":"[A Clinical Analysis of Patients Undergoing Fasciotomy Who Experienced the 2011 Van Earthquake]","volume":"23","author":"G\u00f6rmeli G.","year":"2012","journal-title":"Eklem Hastaliklari Ve Cerrahisi = Joint Diseases & Related Surgery"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e3182117b57"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2021.7419"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2022.4303"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e3181d03b8c"}],"container-title":["Journal of Evaluation in Clinical Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jep.70379","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jep.70379","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jep.70379","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T23:50:18Z","timestamp":1773013818000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jep.70379"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2]]},"references-count":26,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,2]]}},"alternative-id":["10.1111\/jep.70379"],"URL":"https:\/\/doi.org\/10.1111\/jep.70379","archive":["Portico"],"relation":{},"ISSN":["1356-1294","1365-2753"],"issn-type":[{"value":"1356-1294","type":"print"},{"value":"1365-2753","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2]]},"assertion":[{"value":"2024-11-04","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-02-04","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-02-18","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70379"}}