Acute renal failure in Bam earthquake victims, Epidemiology, Laboratory findings and management of patients transported to Shiraz Hosptials

سال انتشار: 1385
نوع سند: مقاله کنفرانسی
زبان: انگلیسی
مشاهده: 2,524

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شناسه ملی سند علمی:

ICHMCM03_233

تاریخ نمایه سازی: 31 مرداد 1385

چکیده مقاله:

Background: On the morning of 26 December 2003 at 05:28 (local time) a major earthquake measuring 6,51 on the Richter scale struck the city of Bam, Kerman province. Southeastern Iran .Among the most important morbid events in survivors were acute renal problems . Clinical findings, laboratory data and management of the renal victims who were transferred to Shiraz hospitals have been the subject of this analysis. Method : Medical records of twenty patients with acute renal failure admitted in three university hospitals and one community hospital were reviewed. Results: Overall 801 patients were transferred to Shiraz hospitals, of whom 20 (mean age 14,7 ± 36,2 years, 15 males) developed acute renal failure with mean duration of 9,6 ± 14,5 days. Total mortality was 21 ( % 2,6 ) and acute renal failure mortality was .(% 15 ) 3 Seven patients received standard fluid therapy and 13 patients received variable hydration and volume treatment. In total, 79 dialysis sessions were performed in 15 patients (mean 5,2 ± 3,3 sessions per patient). There was positive correlation between time spent under rubble and peak serum CK level ) p=0,035 ), acute renal failure duration (p=0,047 ) and admission potassium levels ) p=0,033 ). Serum CK level positively correlated with acute renal failure duration (p=0,008 ). Patient who had received standard treatment had significantly shorter duration of acute renal failure ( 7,1 versus 19,4 p= ( 0,008 and less dialysis session ( 1,3 versus 5,92 p=0,007 ) than patient who had treated variably. Conclusion: In victims of earthquake time spent under rubble and peak serum CK serve to estimate morbidity and early standard treatment may decrease renal morbidity.

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نویسندگان

Maryam Sharifian Darcheh

Shiraz University of Medical Sciences, Nephrology Department

Roozbeh

Shiraz University of Medical Sciences, Nephrology Department

Sagheb

Shiraz University of Medical Sciences, Nephrology Department

Sadeghi

Shiraz University of Medical Sciences, Nephrology Department