International Journal of Tokat Medical Sciences 3061-9912 Tokat Gaziosmanpasa University Emergency Medicine Acil Tıp A cross-sectional study on the February 6 earthquake Afet Bölgesi Dışındaki Üçüncü Basamak Acil Serviste 6 Şubat Depremzede Başvurularının Dağılımı ve Hastaneye Yatış Belirleyicileri https://orcid.org/0000-0002-1756-6970 Aydoğmuş Yusuf Burak Afyonkarahisar Devlet Hastanesi https://orcid.org/0000-0003-3948-8501 Özdinç Şerife Afyonkarahisar Sağlık Bilimleri Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri, Acil Tıp Anabilim Dalı, Afyonkarahisar, TÜRKİYE https://orcid.org/0009-0002-8481-4193 Şener Rıdvan Afyonkarahisar Sağlık Bilimleri Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri, Acil Tıp Anabilim Dalı, Afyonkarahisar, TÜRKİYE https://orcid.org/0000-0003-2515-0956 Akpınar Oruç Oya Afyonkarahisar Sağlık Bilimleri Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri, Acil Tıp Anabilim Dalı, Afyonkarahisar, TÜRKİYE 04 28 2026 18 1 28 33 10 25 2025 03 06 2026 Copyright © 2024, 2024

INTRODUCTİON AND PURPOSE: Earthquakes are one of the most common and destructive natural disasters in the world. The Kahramanmaraş earthquake that occurred in Turkey on February 6, 2023 and affected many provinces caused the death of more than 50,000 people. It was not limited to the earthquake area, but affected the entire country materially and spiritually. The aim of our study is to analyze earthquake victims who applied to the emergency room for any reason after the earthquake on February 6 in our city, which is kilometers away from the disaster area.MATERİALS AND METHODS: In our study, the records of 275 earthquake victims who were affected by the February 6, 2023 earthquake and came to our hospital emergency department within 1 year were retrospectively examined.RESULTS: Of the 275 patients who applied to our hospital emergency department, 148 (53.8%) were female and the mean age was 41.7±18.2. 88 (32.0%) of the patients were diagnosed with respiratory tract infection. It was observed that 225 patients were discharged and 50 patients were hospitalized. It was determined that patients who came for trauma were hospitalized more than patients who came for other reasons.CONCLUSİON: Although our city is not in the earthquake zone, it is seen in the applications made to the emergency department of our hospital that there are a significant number of earthquake victims suffering from trauma and/or other reasons. The earthquake disaster was not limited to the earthquake region.

GİRİŞ VE AMAÇ: Deprem, dünya genelinde en yaygın gerçekleşen ve tahrip edici gücü en büyük olan doğal felaketlerden biridir. 06 Şubat 2023’de Türkiye’de gerçekleşen ve birçok ili etkileyen Kahramanmaraş depremi 50.000’den fazla kişinin ölümüne neden olmuştur. Sadece deprem bölgesiyle sınırlı kalmamış bütün ülkeyi maddi ve manevi olarak etkilemiştir. Çalışmamızın amacı, afet bölgesinden kilometrelerce uzakta bulunan şehrimizde, 6 Şubatta yaşanan deprem sonrasında, acil servise herhangi bir nedenle başvuru yapan depremzede hastaları analiz etmektir. GEREÇ VE YÖNTEM: Çalışmamızda, 06 Şubat 2023 depreminden etkilenen ve 1 yıl içinde hastanemiz acil servisine gelen toplam 275 depremzede hastanın kayıtları retrospektif olarak incelendi. BULGULAR: Hastanemiz acil servise başvuran 275 hastanın 148 (%53.8)’inin kadın, ortalama yaşın 41.7±18.2 tespit edildi. Hastaların 88 (%32.0)’i solunum yolu enfeksiyonu tanısı almıştı. 225 hasta taburcu olurken 50 hastanın yatış ile sonuçlandığı görüldü. Travma nedenli gelen hastalara diğer nedenlerden gelen hastalara göre daha çok yatış verildiği saptandı. SONUÇ: İlimiz deprem bölgesinde olmamasına rağmen, hastanemiz acil servisine yapılan başvurularda görülmektedir ki travma ve/veya diğer sebeplerden gelen depremzede hastalar azımsanamayacak sayıdadır. Deprem afeti sadece deprem bölgesi ile sınırlı kalmamıştır.

 deprem depremzede acil servis travma afet earthquake earthquake victim emergency department trauma Destekleyen Kurum Yok Referans 1. Kurumu TD. 2023. Referans 2. AFAD Açıklamalı afet yönetimi terimleri sözlüğü 2023. Referans 3. Şen S. Kahramanmaraş depremlerinin ekonomiye etkisi. Diplomasi ve Strateji Dergisi 2023; 1: 1-55. Referans 4. Raporu O. TMMOB. Türkiye'de deprem gerçeği ve TMMOB Makine Mühendisleri Oda'sının önerileri oda raporu. Ankara: TMMOB Makine Mühendisleri Odası Yayınları; 2012. Referans 5. Kumbasar S. Relationship between earthquake injuries and inflammatory blood parameters. Dicle Medical Journal 2025;52(2):235-244. Referans 6. Von Keudell Ag, Weaver MJ, Appleton PT, Bae Donald S, Dyer George SM, Heng M. et al. Diagnosis and treatment of acute extremity compartment syndrome. Lancet 2015;386(10000):1299-310. Referans 7. Bywaters Eg, Beall D. Crush injuries with impairment of renal function. Br Med J 1941;1(4185):427-32. Referans 8. Erek E, Sever MS, Serdengecti K, Vanholder R, Akoglu E, Yavuz M, et al. An overview of morbidity and mortality in patients with acute renal failure due to crush syndrome: The Marmara Earthquake experience. Nephrol Dial Transplant 2002;17(1):33-40. Referans 9. Greaves I, Porter K, Smith Je, Voluntary Aid S, Ambulance Service A, British Association For Immediate C, et al. Consensus statement on the early management of crush injury and prevention of crush syndrome. J R Army Med Corps 2003;149(4):255-9. Referans 10. Smith J, Greaves I. Crush injury and crush Syndrome: A review. J Trauma 2003;54(5 Suppl):S226-30. Referans 11. Li Q, Yang Ch, Xu Jg, Chen J, You C. Cross-sectional study of craniocerebral trauma in a Tertiary Hospital after 2008 Sichuan Earthquake: A brief report of 242 cases and experiences from West China Hospital. J Trauma 2011;70(6):E108-12. Referans 12. Liang Nj, Shih Yt, Shih Fy, Wu Hm, Wang Hj, Shi Sf, et al. Disaster epidemiology and medical response in the Chi-Chi Earthquake in Taiwan. Ann Emerg Med 2001;38(5):549-55. Referans 13. Peek-Asa C, Kraus Jf, Bourque Lb, Vimalachandra D, Yu J, Abrams J. Fatal and hospitalized injuries resulting from the 1994 Northridge Earthquake. Int J Epidemiol 1998;27(3):459-65. Referans 14. Peek-Asa C, Ramirez M, Seligson H, Shoaf K. Seismic, structural, and individual factors associated with earthquake related injury. Inj Prev 2003;9(1):62-6. Referans 15. Tanaka H, Oda J, Iwai A, Kuwagata Y, Matsuoka T, Takaoka M, et al. Morbidity and mortality of hospitalized patients after the 1995 Hanshin-Awaji Earthquake. Am J Emerg Med 1999;17(2):186-91. Referans 16. Aycan A, Yener U, Aycan N, Gonullu E, Dursun R, Gonullu H. Neurosurgical injuries caused by the 2011 Van Earthquake: The experience at the Van Regional Training and Research Hospital. J Emerg Med 2015;49(4):464-70. Referans 17. Bulut M, Fedakar R, Akkose S, Akgoz S, Ozguc H, Tokyay R. Medical experience of a University Hospital in Turkey after The 1999 Marmara Earthquake. Emerg Med J 2005;22(7):494-8. Referans 18. Akdur R. Deprem yönetimi ve depremde sağlık konu ve amaçları. Earthquake management and health topics and aims in earthquake events. In: Akdur R, Editor. Sağlık ve Toplum Özel. Ankara: Sağlık ve Sosyal Yardım Vakfı; 2000; 10: 27-38. Referans 19. Mavrouli M, Mavroulis S, Lekkas E, Tsakris A. An emerging health crisis in Turkey and Syria after the earthquake disaster on 6 February 2023: Risk factors, prevention and management of infectious diseases. Healthcare (Basel). 2023;11(7). Referans 20. Bulut M, Turanoğlu G, Armağan E, Akköse Ş, Özgüç H, Tokyay R. The analysis of traumatized patients who admitted to the Uludağ University Medical School Hospital after The Marmara Earthquake. Ulus Travma Acil Cerrahi Derg 2001;7(4):262-6. Referans 21. Kurt N, Küçük Hf, Çelik G, Demirhan R, Gül Ö, Altaca G. Evaluation of the earthquake victims: August The 17th, 1999 our experience in the Marmara Earthquake. Ulus Travma Acil Cerrahi Derg 2001;7(1):49-51. Referans 22. Iskit Sh, Alpay H, Tugtepe H, Ozdemir C, Ayyildiz Sh, Ozel K, et al. Analysis of 33 pediatric trauma victims in the 1999 Marmara, Turkey Earthquake. J Pediatr Surg 2001;36(2):368-72. Referans 23. Eyler Y, Kılıç TY, Atilla ÖD, Berksoy E. 30 Ekim 2020 İzmir depremi sonrası Sağlık Bilimleri Üniversitesi Tepecik Eğitim ve Araştırma Hastanesi Acil Tıp Kliniklerine başvuran hastaların analizi. Journal Of Tepecik Education & Research Hospital/İzmir Tepecik Eğitim ve Araştırma Hastanesi Dergisi 2022;32:372-7. Referans 24. Gormeli G, Gormeli Ca, Guner S, Ceylan Mf, Dursun R. The clinical profile of musculoskeletal injuries associated with the 2011 van earthquake in Turkey. Eklem Hastalik Cerrahisi 2012;23(2):68-71. Referans 25. Keskin Ö, Kalemoğlu M. Earthquake and triage. Ulus Travma Acil Cerrahi Derg. 2002;8(2):108-11. Referans 26. Macintyre Ag, Barbera Ja, Smith Er. Surviving collapsed structure entrapment after earthquakes: a "time-to-rescue" analysis. Prehosp Disaster Med. 2006;21(1):4-17; Discussion 8-9.