Evidence map›Paper›PMID 40093017›Full record

ArticleFrontiers in medicine2025

Evaluation of the clinical characteristics and outcomes of patients admitted to intensive care units after the Kahramanmaras (Türkiye) earthquake: a multicenter observational study.

Burcin Halacli, Goksel Guven, Esat Kivanc Kaya, Mehmet Yildirim, Nihal Deniz Bulut Yuksel, Gamze Kocak, Kadir Bulut, Derful Gulen, Begum Erdemir Sullu, Banu Kilicaslan and 16 more

Abstract read
In one paragraph

Article in Frontiers in medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

26 authors.

Burcin HalacliDivision of Intensive Care Medicine, Department of Internal Medicine, Hacettepe University Faculty of Medicine, Ankara, Türkiye.
Goksel GuvenDivision of Intensive Care Medicine, Department of Internal Medicine, Hacettepe University Faculty of Medicine, Ankara, Türkiye.
Esat Kivanc KayaDivision of Intensive Care Medicine, Department of Internal Medicine, Hacettepe University Faculty of Medicine, Ankara, Türkiye.
Mehmet YildirimDivision of Intensive Care Medicine, Department of Internal Medicine, Hacettepe University Faculty of Medicine, Ankara, Türkiye.
Nihal Deniz Bulut YukselInternal Medicine Intensive Care Unit, Ministry of Health, Mersin City Hospital, Mersin, Türkiye.
Gamze KocakInternal Medicine Intensive Care Unit, Ministry of Health, Mersin City Hospital, Mersin, Türkiye.
Kadir BulutIntensive Care Unit, Ministry of Health, Basaksehir Cam Sakura City Hospital, Istanbul, Türkiye.
Derful GulenIntensive Care Unit, Ministry of Health, Basaksehir Cam Sakura City Hospital, Istanbul, Türkiye.
Begum Erdemir SulluDivision of Intensive Care Medicine, Department of Anesthesiology and Reanimation, Hacettepe University Faculty of Medicine, Ankara, Türkiye.
Banu KilicaslanDivision of Intensive Care Medicine, Department of Anesthesiology and Reanimation, Hacettepe University Faculty of Medicine, Ankara, Türkiye.
Asir Eren SevenDepartment of Internal Medicine, Ministry of Health, Etlik City Hospital, Ankara, Türkiye.
Emin GemciogluDepartment of Internal Medicine, Ministry of Health, Etlik City Hospital, Ankara, Türkiye.
Meltem SimsekDepartment of Internal Medicine, Ministry of Health, Etlik City Hospital, Ankara, Türkiye.
Recep Civan YukselDivision of Intensive Care Medicine, Department of Internal Medicine, Erciyes University Faculty of Medicine, Kayseri, Türkiye.
Sahin TemelDivision of Intensive Care Medicine, Department of Internal Medicine, Erciyes University Faculty of Medicine, Kayseri, Türkiye.
Ahmet Safa KaynarDivision of Intensive Care Medicine, Department of Internal Medicine, Erciyes University Faculty of Medicine, Kayseri, Türkiye.
Kamil DeveciIntensive Care Unit, Ministry of Health, Kayseri City Hospital, Kayseri, Türkiye.
Nilgun Alptekinoglu MendilIntensive Care Unit, Ministry of Health, Mersin City Hospital, Mersin, Türkiye.
Emre AydinDivision of Intensive Care Medicine, Department of Internal Medicine, Dicle University Faculty of Medicine, Diyarbakir, Türkiye.
Birkan UlgerAnesthesiology and Reanimation Intensive Care Unit, Ministry of Health, Kayseri City Hospital, Kayseri, Türkiye.
Aliye EsmaogluDivision of Intensive Care Medicine, Department of Anesthesiology and Reanimation, Erciyes University Faculty of Medicine, Kayseri, Türkiye.
Nazlihan Boyaci DundarDivision of Intensive Care Medicine, Department of Internal Medicine, Gazi University Faculty of Medicine, Ankara, Türkiye.
Ebru Ortac ErsoyDivision of Intensive Care Medicine, Department of Internal Medicine, Hacettepe University Faculty of Medicine, Ankara, Türkiye.
Kursat GundoganDivision of Intensive Care Medicine, Department of Internal Medicine, Erciyes University Faculty of Medicine, Kayseri, Türkiye.
Seda Banu AkinciDivision of Intensive Care Medicine, Department of Anesthesiology and Reanimation, Hacettepe University Faculty of Medicine, Ankara, Türkiye.
Arzu TopeliDivision of Intensive Care Medicine, Department of Internal Medicine, Hacettepe University Faculty of Medicine, Ankara, Türkiye.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: The outcomes of patients admitted to intensive care units (ICUs) after earthquakes that occurred on the 6th of February 2023 in Türkiye are unknown. Our objective was to delineate the demographic and clinical characteristics, therapeutic approaches, and ICU outcomes of earthquake victims who were hospitalized in Turkish ICUs. Methods: This was a retrospective multicenter study of adult patients admitted to 12 ICUs across eight tertiary hospitals located in five different cities within 2 weeks after consecutive earthquakes. Clinical and laboratory data were documented at four specific time intervals: upon hospital admission and during the first, second, and third days of ICU admission. To identify independent predictors of ICU mortality, a binary logistic regression model was used for variables identified from the univariate analysis. Results: A total of 201 patients were admitted to ICUs. The median age of the entire cohort was 36 [26-54] years. 87 patients were male (43.3%), and 114 were female (56.7%). The majority of patients (79.1%) were initially admitted to the emergency department. The median duration of being trapped under the rubble was 12 [5-31] hours. The primary reason (63.7%) for ICU admission was crush syndrome. Acute kidney injury (AKI) was identified in 61.5% of patients. Of 201 patients, 184 had information regarding ICU survival. The ICU mortality rate was 10%. A five-year increase in age, the presence of crush syndrome, and the requirement for vasopressor therapy during ICU care were independently associated with increased ICU mortality rates, while an increase of one point in the Glasgow Coma Scale (GCS) score was favorable for ICU mortality. Conclusion: This study demonstrated that crush syndrome accounted for 63.7% of the reasons for ICU admissions. The ICU mortality rate was recorded as 10%. Noteworthy independent risk factors for mortality were the presence of crush syndrome, increased age, vasopressor treatment and lower GCS score.

Indexed as

crush syndromedisasterfluid balancerenal replacement therapysurvival

Identifiers

PMID40093017
PMCPMC11907275

What Socratic holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.