Outcomes of fasciotomy in patients with crush-induced acute kidney injury after Bam earthquake

Safari, S. and Najafi, I. and Hosseini, M. and Sanadgol, H. and Sharifi, A. and Moghadam, M.A. and Abdulvand, A. and Farrokhi, F.R. and Boroumand, B. (2011) Outcomes of fasciotomy in patients with crush-induced acute kidney injury after Bam earthquake. Iranian Journal of Kidney Diseases, 5 (1). pp. 25-28.

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Introduction. Fasciotomy may increase the morbidity and mortality in patients with crush-induced acute kidney injury (AKI), by creating an open wound, increasing the risk of bleeding, coagulopathy, and potentially fatal sepsis. This study evaluates the outcomes of fasciotomy in these patients after Bam earthquake in Iran. Materials and Methods. We reviewed medical records of victims of Bam earthquake complicated with crush-induced AKI. Demographic, biochemical, and clinical data of patients who underwent fasciotomy were evaluated and compared with other patients with AKI. Results. Fasciotomy was performed for 70 of 200 patients with crush-induced AKI (35.0). There were no significant differences regarding sex, age, time under the rubble, and muscle enzymes level between these patients and those without fasciotomy. They did not experience higher rates of disseminated intravascular coagulopathy, sepsis, adult respiratory distress syndrome, amputation, and dialysis session. Neither did they have a longer hospitalization period or higher death rate. Conclusions. This study showed that fasciotomy did not have any deteriorating effect on morbidity and mortality of patients with crush-induced AKI after Bam earthquake.

Item Type: Article
Additional Information: cited By 8
Uncontrolled Keywords: aspartate aminotransferase; creatine kinase; lactate dehydrogenase, acute kidney failure; adolescent; adult; adult respiratory distress syndrome; aged; article; aspartate aminotransferase blood level; child; controlled study; creatine kinase blood level; cross-sectional study; crush trauma; disseminated intravascular clotting; earthquake; fasciotomy; female; human; Iran; lactate dehydrogenase blood level; major clinical study; male; outcome assessment; rhabdomyolysis; school child; sepsis; treatment outcome, Acute Kidney Injury; Adolescent; Adult; Aged; Child; Cross-Sectional Studies; Crush Syndrome; Earthquakes; Fascia; Female; Humans; Iran; Male; Middle Aged; Treatment Outcome
Subjects: WO Surgery
WJ Urogenital System
Depositing User: somayeh pourmorteza
Date Deposited: 06 Jan 2019 07:11
Last Modified: 06 Jan 2019 07:11
URI: http://eprints.iums.ac.ir/id/eprint/7471

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