OUTCOMES OF FASCIOTOMY IN PATIENTS WITH CRUSH-INDUCED ACUTE KIDNEY INJURY AFTER BAM EARTHQUAKE

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SAFARI SAEID; NAJAFI I.; HOSSEINI MOSTAFA; SANADGOL H.; SHARIFI ALI; ALAVI MOGHADAM MOSTAFA; ABD ALVAND A.; RASHID FAROKHI F.; BOROUMAND BEHROUZ

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Journal: Iranian Journal of Kidney Diseases Year:2011 | Volume:5 | Issue:1 Page(s): 25-28

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Title

OUTCOMES OF FASCIOTOMY IN PATIENTS WITH CRUSH-INDUCED ACUTE KIDNEY INJURY AFTER BAM EARTHQUAKE

Author(s)

Keywords

FASCIA

COMPARTMENT SYNDROME

CRUSH SYNDROME

EARTHQUAKES

ACUTE KIDNEY INJURY

Abstract

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.

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APA: Copy

SAFARI, SAEID, NAJAFI, I., HOSSEINI, MOSTAFA, SANADGOL, H., SHARIFI, ALI, ALAVI MOGHADAM, MOSTAFA, ABD ALVAND, A., RASHID FAROKHI, F., & BOROUMAND, BEHROUZ. (2011). OUTCOMES OF FASCIOTOMY IN PATIENTS WITH CRUSH-INDUCED ACUTE KIDNEY INJURY AFTER BAM EARTHQUAKE. IRANIAN JOURNAL OF KIDNEY DISEASES (IJKD), 5(1), 25-28. SID. https://sid.ir/paper/309040/en

Vancouver: Copy

SAFARI SAEID, NAJAFI I., HOSSEINI MOSTAFA, SANADGOL H., SHARIFI ALI, ALAVI MOGHADAM MOSTAFA, ABD ALVAND A., RASHID FAROKHI F., BOROUMAND BEHROUZ. OUTCOMES OF FASCIOTOMY IN PATIENTS WITH CRUSH-INDUCED ACUTE KIDNEY INJURY AFTER BAM EARTHQUAKE. IRANIAN JOURNAL OF KIDNEY DISEASES (IJKD)[Internet]. 2011;5(1):25-28. Available from: https://sid.ir/paper/309040/en

IEEE: Copy

SAEID SAFARI, I. NAJAFI, MOSTAFA HOSSEINI, H. SANADGOL, ALI SHARIFI, MOSTAFA ALAVI MOGHADAM, A. ABD ALVAND, F. RASHID FAROKHI, and BEHROUZ BOROUMAND, “OUTCOMES OF FASCIOTOMY IN PATIENTS WITH CRUSH-INDUCED ACUTE KIDNEY INJURY AFTER BAM EARTHQUAKE,” IRANIAN JOURNAL OF KIDNEY DISEASES (IJKD), vol. 5, no. 1, pp. 25–28, 2011, [Online]. Available: https://sid.ir/paper/309040/en

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