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Neurosurgical and orthopedic outcomes of emergency patients admitted after the Pazarcık earthquake: Focus on crush syndrome incidence and associated morbidity

Year: 2025
Type: article
Study design: Observational Study
Abstract: BACKGROUND: This study retrospectively evaluates the clinical outcomes of patients admitted to our hospital following the Pazarcık earthquake on February 6, 2023. It specifically focuses on patients requiring multidisciplinary follow-up care in orthopedics and neurosurgery clinics, assessing the nature and severity of their injuries. METHODS: We included patients admitted under the International Classification of Diseases (ICD)-35 code as a result of the earthquake centered in the Pazarcık district of Kahramanmaraş province. RESULTS: A total of 449 patients were admitted: 265 (59%) were discharged as outpatients, while 184 (41%) required hospitalization. Of the hospitalized patients, 45.7% required surgery, with 51.2% of procedures performed by orthopedic surgeons, 27.4% by neurosurgeons, and 19% involving both orthopedics and plastic, reconstructive, and aesthetic surgery. Compartment syndrome was documented in 14.7% of hospitalized patients, and crush syndrome in 46.7%. Additionally, 13% of patients required physical therapy. The overall mortality rate was 7.1%, significantly higher among patients with compartment syndrome (p<0.001) and crush syndrome (p=0.001), but lower in those who underwent surgery (p=0.023). CONCLUSION: This evaluation reveals that the Pazarcık earthquake caused significant morbidity, with high incidences of crush and compartment syndromes requiring urgent surgical intervention. These findings underscore the need for improved disaster preparedness and effective treatment protocols to address the unique challenges posed by such catastrophic events.
DOI: 10.14744/tjtes.2025.88550
Institution: Yeditepe University
Language: English
Open Access status: hybrid
OpenAlex ID: W4414978100
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