Evaluation of Pediatric Amputees Admitted for Prosthesis Application After the 2023 Kahramanmaraş Earthquakes

Aylin Sarıyıldız; Sıla Ölmez Engizek; Sibel Başaran

Makale detayları

Evaluation of Pediatric Amputees Admitted for Prosthesis Application After the 2023 Kahramanmaraş Earthquakes

Yazarlar:

Aylin Sarıyıldız | Sıla Ölmez Engizek | Sibel Başaran

Yayıncı:

Eskişehir Osmangazi University

Ana Başlıklar:

Fiziksel Tıp ve Rehabilitasyon

Dergi:

Osmangazi Tıp Dergisi Vol.46 Issue 2, pp.209-216

Belge Tipi:

Makale

Yayın Tarihi:

3/2024

Belge Dili:

Türkçe

Document ID (Org No.):

2001306815

pISSN:

1305-4953

Anahtar kelimeler:

Özet:

 The 2023 Kahramanmaraş earthquakes, most devastating natural disaster in our history, caused various traumatic injuries in children, who constitute the most vulnerable age group. Given their permanent and long-term effects, amputations are of great importance. However, the literature contains limited data on this subject. In the current study, sociodemographic and clinical data and prosthetic prescribing processes of children with earthquake-related limb loss were evaluated. Children aged 18 years and younger were included. Sociodemographic data, death of first-degree relatives, concomitant injuries, amputations, and prosthesis-related data were recorded. The median age of 86 amputee children was 12.0 min-max1-18 years. 87.2 of children had lost their first-degree relatives. 53.5 had started living in a different province from where they experienced the earthquake. Soft tissue defects n77, peripheral nerve injuries n17,and crush injuries n11 were the most common concomitant injuries. Of the total 103 amputations, 68.9 were in the lower extremity. The most common amputation levels were transtibial amputation 27.2, transfemoral amputation 24.3, transhumeral amputation 15.5, and knee disarticulation 6.8, respectively. Time from amputation to prosthesis application was 159.7146.8 days. 81 prostheses 54 lower limbs, 27 upper limbs were prescribed for 103 amputations. Earthquake-related amputations cause severe physical and psychosocial consequences. It is of great importance that amputee children are evaluated by a multidisciplinary team at the earliest possible time to mitigate these effects. Our results will guide the establishment of policies regarding preparedness, intervention, and recovery for possible future disasters.

 The 2023 Kahramanmaraş earthquakes, most devastating natural disaster in our history, caused various traumatic injuries in children, who constitute the most vulnerable age group. Given their permanent and long-term effects, amputations are of great importance. However, the literature contains limited data on this subject. In the current study, sociodemographic and clinical data and prosthetic prescribing processes of children with earthquake-related limb loss were evaluated. Children aged 18 years and younger were included. Sociodemographic data, death of first-degree relatives, concomitant injuries, amputations, and prosthesis-related data were recorded. The median age of 86 amputee children was 12.0 min-max1-18 years. 87.2 of children had lost their first-degree relatives. 53.5 had started living in a different province from where they experienced the earthquake. Soft tissue defects n77, peripheral nerve injuries n17,and crush injuries n11 were the most common concomitant injuries. Of the total 103 amputations, 68.9 were in the lower extremity. The most common amputation levels were transtibial amputation 27.2, transfemoral amputation 24.3, transhumeral amputation 15.5, and knee disarticulation 6.8, respectively. Time from amputation to prosthesis application was 159.7146.8 days. 81 prostheses 54 lower limbs, 27 upper limbs were prescribed for 103 amputations. Earthquake-related amputations cause severe physical and psychosocial consequences. It is of great importance that amputee children are evaluated by a multidisciplinary team at the earliest possible time to mitigate these effects. Our results will guide the establishment of policies regarding preparedness, intervention, and recovery for possible future disasters.

 The 2023 Kahramanmaraş earthquakes, most devastating natural disaster in our history, caused various traumatic injuries in children, who constitute the most vulnerable age group. Given their permanent and long-term effects, amputations are of great importance. However, the literature contains limited data on this subject. In the current study, sociodemographic and clinical data and prosthetic prescribing processes of children with earthquake-related limb loss were evaluated. Children aged 18 years and younger were included. Sociodemographic data, death of first-degree relatives, concomitant injuries, amputations, and prosthesis-related data were recorded. The median age of 86 amputee children was 12.0 min-max1-18 years. 87.2 of children had lost their first-degree relatives. 53.5 had started living in a different province from where they experienced the earthquake. Soft tissue defects n77, peripheral nerve injuries n17,and crush injuries n11 were the most common concomitant injuries. Of the total 103 amputations, 68.9 were in the lower extremity. The most common amputation levels were transtibial amputation 27.2, transfemoral amputation 24.3, transhumeral amputation 15.5, and knee disarticulation 6.8, respectively. Time from amputation to prosthesis application was 159.7146.8 days. 81 prostheses 54 lower limbs, 27 upper limbs were prescribed for 103 amputations. Earthquake-related amputations cause severe physical and psychosocial consequences. It is of great importance that amputee children are evaluated by a multidisciplinary team at the earliest possible time to mitigate these effects. Our results will guide the establishment of policies regarding preparedness, intervention, and recovery for possible future disasters.

 Ülkemiz tarihindeki en yıkıcı doğal afet olan 2023 Kahramanmaraş depremleri en savunmasız yaş grubunu oluşturan çocuklarda çeşitli travmatik yaralanmalara neden olmuştur. Kalıcı ve uzun dönem etkileri düşünüldüğünde amputasyonlar oldukça önemlidir. Ancak literatürde bu konudaki veriler kısıtlıdır. Bu çalışmada deprem ilişkili ampute çocukların sosyodemografik ve klinik verileri ile protez reçeteleme süreçleri değerlendirilmiştir. Depremle ilişkili uzuv kaybı olan 18 yaş ve altı çocuklar dahil edilmiştir. Hastaların sosyodemografik verileri, birinci derece yakın kayıpları, eşlik eden yaralanmaları, amputasyon ve protezle ilişkili verileri kaydedilmiştir. 86 ampute çocuğun ortanca yaşları 12,0 min-maks1-18 idi. Çocukların 87,2sinde birinci derece yakın kaybı mevcuttu. 53,5i depremi yaşadıkları yerden farklı bir ilde yaşamaya başlamıştı. Yumuşak doku defekti n77, periferik sinir hasarı n17, ezilme yaralanması n11 eşlik eden en sık yaralanmalardı. Toplam 103 amputasyonun 68,9u alt ekstremitedeydi. En sık görülen amputasyon seviyeleri sırasıyla transtibial amputasyon 27,2, transfemoral amputasyon 24,3, transhumeral amputasyon 15,5 ve diz dezartikülasyonu 6,8 idi. Amputasyon sonrası protez uygulanana kadar geçen süre 159,7146,8 gündü. Toplam 103 ampute uzuv için 81 protez 54 alt ekstremite, 27 üst ekstremite reçete edildi. Depremle ilişkili amputasyonlar ağır fiziksel ve psikososyal sonuçlara neden olmaktadır. Bu etkileri en aza indirebilmek için ampute çocukların en kısa sürede multidisipliner ekip tarafından çok yönlü bakış açısıyla değerlendirilmesi büyük önem taşımaktadır. Sonuçlarımız gelecekte yaşanacak olası afetlere yönelik hazırlık, müdahale ve iyileştirme politikalarının geliştirilmesine rehberlik edecektir.

Makale detayları

Evaluation of Pediatric Amputees Admitted for Prosthesis Application After the 2023 Kahramanmaraş Earthquakes

Yazarlar:

Aylin Sarıyıldız | Sıla Ölmez Engizek | Sibel Başaran

Yayıncı:

Eskişehir Osmangazi University

Ana Başlıklar:

Fiziksel Tıp ve Rehabilitasyon

Dergi:

Osmangazi Tıp Dergisi Vol.46 Issue 2, pp.209-216

Belge Tipi:

Makale

Yayın Tarihi:

3/2024

Belge Dili:

Türkçe

Document ID (Org No.):

2001306815

pISSN:

1305-4953

Earthquake

amputation

child

prosthesisDeprem

amputasyon

çocuk

protez

Sayı

Makale detayları

Yazarlar: Aylin Sarıyıldız | Sıla Ölmez Engizek | Sibel Başaran

Yayıncı: Eskişehir Osmangazi University

Ana Başlıklar: Fiziksel Tıp ve Rehabilitasyon

Dergi: Osmangazi Tıp Dergisi Vol.46 Issue 2, pp.209-216

Belge Tipi: Makale

Yayın Tarihi: 3/2024

Belge Dili: Türkçe

Document ID (Org No.): 2001306815

pISSN: 1305-4953

Sayı

Yazarlar:

Aylin Sarıyıldız | Sıla Ölmez Engizek | Sibel Başaran

Yayıncı:

Eskişehir Osmangazi University

Ana Başlıklar:

Fiziksel Tıp ve Rehabilitasyon

Dergi:

Osmangazi Tıp Dergisi Vol.46 Issue 2, pp.209-216

Belge Tipi:

Makale

Yayın Tarihi:

3/2024

Belge Dili:

Türkçe

Document ID (Org No.):

2001306815

pISSN:

1305-4953