6 Şubat 2023 Türkiye Depremlerinde Mağdur Olan Çocukların Uzaktaki Bir Çocuk Acil Servise Yansımaları

Yıl 2024, Cilt: 18 Sayı: 4, 235 - 239, 22.07.2024

Bilge Akkaya , Betül Öztürk , Cihan İnan , Muhammed Mustafa Güneylioğlu , Raziye Merve Yaradılmış , Orkun Aydın , Yüksel Hakan Aydoğmuş , Ali Güngör , Ferit Kulalı , Nilden Tuygun

https://doi.org/10.12956/tchd.1438227

Öz

Amaç: Bu çalışmada üçüncü basamak bir çocuk acil servisine başvuran, enkaz altında kalmayan pediatrik ‘deprem mağduru’ hastaların değerlendirilmesi amaçlandı.

Gereç ve Yöntemler: 7 Şubat 2023 ile 22 Şubat 2023 tarihleri arasında hastanemize depremden sonraki ilk 15 gün içinde başvuran ve enkaz altında kalmayan pediatrik ‘deprem mağdurlarının’ verileri geriye dönük olarak değerlendirildi. Hastaların başvuru süreleri erken, orta ve geç başvurular olmak üzere üç gruba ayrıldı. Hastaların yaşı, cinsiyeti, uyruğu, şikâyeti ve klinik özellikleri, depreme maruz kaldıkları il, deprem anından başvuruya kadar geçen süre, hastaneye ulaşım şekli, tanı ve tedavileri kaydedildi.

Bulgular: Araştırmaya 719 depremzede çocuk katıldı. Hastaların ortalama yaşı 49 aydı (IQR 16 – 105), 387’si erkekti (%53.8). Yaş sınıflamasına göre infant (n=131; %18.2), oyun çocukluğu (n=192; %26.7) ve okul çocukluğu (n=207; %28.8) en sık başvuru yapılan yaş grubuydu. Depremden sonra hastanemize ilk başvuru 19 saat sonra gerçekleşti. Otuz beş (%4.8) hasta deprem sırasındaki kazalar nedeniyle başvurdu. Başvuran hastaların önde gelen tanıları üst solunum yolu enfeksiyonu (ÜSYE) (%33.9), akut gastroenterit (%14.4) ve orta kulak iltihabı (%11.2)’di. Hastaların 660’ı (%91.8) acil servisten taburcu edildi, 59’u (%8.2) hastaneye yatırıldı.

Sonuç: Depremin ilk günlerinde ikincil kazalar ön plana çıkarken, ilerleyen günlerde enfeksiyonlar takip etti. Afetlerde en savunmasız grup çocuklardır. Bu nedenle afet sonrası ‘iyileşme’ döneminde oluşabilecek ikincil kazalar, bulaşıcı hastalıklar ve özel tıbbi durumlarla başa çıkmak için iyi planlama yapılmalıdır.​

Anahtar Kelimeler

deprem, felaket, çocuk, acil servis

Reflections of Children Victims of the Turkey Earthquake on February 6, 2023 to a Pediatric Emergency Department Far Away

Öz

Objective: After the earthquake, which was called the ‘Disaster of the Century’, which affected 11 provinces in our country on February 06, 2023 we presented the reflection of the grievances of children who were not trapped under the rubble in a pediatric emergency clinic 700 km away from the region. This study was aimed to evaluate the pediatric ‘earthquake victims’ patients, who were not trapped under the rubble, applied to the pediatric emergency department (PED) of a tertiary care children’s hospital.

Material and Methods: Between 7 February 2023 and 22 February 2023, the data of pediatric ‘earthquake victims’ who applied in the first 15 days after the earthquake to the PED of our hospital and were not trapped under the rubble, evaluated retrospectively. The admission times of the patients were divided into three groups as early, mid-term and late admissions. The age, gender, nationality, complaint and clinical characteristics of the patients, the province where they were exposed to the earthquake, the time from the moment of the earthquake to the application, the mode of transportation to the hospital diagnosis and treatments were recorded.

Results: The study included 719 earthquake victim children. Median age of patients was 49 months (IQR 16 – 105), 387 were male (53.8%). According to age classification, infancy (n=131; 18.2%), early childhood (n=192; 26.7%) and middle childhood (n=207; 28.8%) were the most frequent admissions. The first admission to our hospital after the earthquake was 19 hours later. Thirty five (4.8%) patients were applied due to accidents during the earthquake. The leading diagnoses of the patients applied were upper respiratory tract infection (URTI) (33.9%), acute gastroenteritis (14.4%) and otitis media (11.2%). Six hundred and sixty (91.8%) patients were discharged from the emergency department, 59 (8.2%) were hospitalized.

Conclusion: In the first days, while secondary accidents were at the forefront of the earthquake, in the following days, infections followed. Children are the most vulnerable group in disasters. For this reason, good planning should be done to deal with secondary accidents, infectious diseases and special medical conditions that may occur during the ‘healing’ period after disasters.

Anahtar Kelimeler

earthquake, pediatric, emergency, disaster

Kaynakça

• Dölek İ. Türkiye’de doğal afetler. in: Akekin H and İ Dölek eds.Türkiye’nin fiziki coğrafyası. 1st ed. Ankara, Pegem 2016:311-64.
• T.C. İçişleri Bakanlığı Afet ve Acil Durum Yönetimi Başkanlığı, 2023. https://deprem.afad.gov.tr/assets/pdf/Kahramanmaras%20%20Depremleri_%20On%20Degerlendirme%20Raporu.pdf. Accessed May 20, 2023.
• Kaneda Y, Akashima S. Turkey-Syria Earthquake: The Importance of Providing a Direct Cross-border Support. JMA J 2023:14;6:332-3.
• United Nations Population Fund Türkiye, 2023. https://turkiye.unfpa.org/tr/deprem. Accessed May 20, 2023.
• United Nations Children’s Fund Türkiye, 2023. https://www.unicef.org/turkiye/basın-bültenleri/unicef-yıkıcı-depremlerin-birinci-haftasında-milyonlarcaçocuk-acil-insani-yardıma. Accessed May 20, 2023.
• Türkiye Enfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Uzmanlık Derneği, 2023. https://www.ekmud.org.tr/140-deprem-gibi-dogal-afet-sonrasi-gorulebilecek-enfeksiyonlar. Accessed May 20, 2023.
• Williams K, Thomson D, Seto I, Contopoulos-Ioannidis DG, Ioannidis JP, Curtis S, et al. Standard 6: age groups for pediatric trials. Pediatrics 2012;129 Suppl 3:S153-60.
• Matsuoka T, Yoshioka T, Oda J, Tanaka H, Kuwagata Y, Sugimoto H, et al. The impact of a catastrophic earthquake on morbidity rates for various illnesses. Public Health 2000;114:249-53.
• Uscher-Pines L. Health effects of relocation following disaster: a systematic review of the literature. Disasters 2009;33:1-22.
• World Health Organization. Mass casualty management systems: strategies and guidelines for building health sector capacity. 2007. https://apps. who.int/iris/handle/10665/43804. Date of Access 2.05.2022.
• Yonekura T, Ueno S, Iwanaka T. Care of children in a natural disaster: lessons learned from the Great East Japan earthquake and tsunami. Pediatr Surg Int 2013;29:1047-51.
• Kun P, Wang Z, Chen X, Le H, Gong X, Zhang L, et al. Public health status and influence factors after 2008 Wenchuan earthquake among survivors in Sichuan province, China: cross-sectional trial. Public Health 2010;124:573-80.
• Kouadio IK, Aljunid S, Kamigaki T, Hammad K, Oshitani H. Infectious diseases following natural disasters: prevention and control measures. Expert Rev Anti Infect Ther 2012;10:95-104.
• The Johns Hopkins and Red Cross Red Crescent. Public health guide in emergencies. Chapter 7: Control of communicable diseases. Second edition 2008.
• Nakagawa A, Furukawa H, Konishi R, Kudo D, Matsumura T, Sato D, et al. The great East Japan earthquake: lessons learned at Tohoku University Hospital during the first 72 hours. IEEE Pulse 2013;4:20-7.
• Carli PT, Telion C. Paris City Disaster: Response to the Recent Terror Attacks and Lessons Learned. Curr Trauma Rep 2018; 4:96–102.
• Takada S, Shintani Y, Sohma O, Tsuneishi S, Uetani Y, Nakamura H. Difficulties of families with handicapped children after the Hanshin-Awaji earthquake. Acta Paediatr Jpn 1995;37:735-40.
• Peek L, Stough LM. Children with disabilities in the context of disaster: a social vulnerability perspective. Child Dev 2010;81:1260-70.
• Grindlay J, Breeze KM. Planning for disasters involving children in Australia: a practical guide. J Paediatr Child Health 2016;52:204-12.
• Gilchrist N, Simpson JN. Pediatric disaster preparedness: identifying challenges and opportunities for emergency department planning. Curr Opin Pediatr 2019;31:306-11.