Pediatric earthquake-related amputations: associations with fasciotomy, crush syndrome, and entrapment duration

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dc.contributor.authorPazarci, Ozhan
dc.contributor.authorBattal, Vahit Erdal
dc.contributor.authorGokmen, Mehmet Yigit
dc.contributor.authorSonmez, Emre
dc.contributor.authorCicek, Oguzhan
dc.contributor.authorUslu, Hakan
dc.date.accessioned2026-02-03T12:03:08Z
dc.date.available2026-02-03T12:03:08Z
dc.date.issued2025
dc.departmentÇanakkale Onsekiz Mart Üniversitesi
dc.description.abstractBackgroundPediatric earthquake victims face unique challenges due to their distinct physiology, vulnerability to crush and compartment syndromes, and long-term functional and psychosocial needs. While adult earthquake-related amputations have been described, comprehensive pediatric-focused analyses remain scarce.MethodsWe conducted a retrospective study of 54 pediatric patients who underwent earthquake-related amputations following the February 6, 2023, T & uuml;rkiye double earthquakes. Demographics, amputation characteristics, fasciotomy, crush syndrome, entrapment under debris, intensive care unit (ICU) admission, and early outcomes were systematically evaluated.ResultsLower extremity amputations predominated (79.6%), with bilateral limb loss in 18.5% of patients. Fasciotomy was performed in 40.7% and was associated with shorter entrapment duration (p = 0.023), longer hospitalization (p = 0.027), and absence of debris entrapment (p = 0.019). Crush syndrome (25.9%) was linked to longer hospital stay (p = 0.017) and higher ICU admission (p = 0.043). Debris entrapment (13.0%) significantly increased the risk of thoracic trauma (p = 0.046) and ICU requirement (p = 0.033). Notably, no fasciotomy was performed in entrapped children. Older age, crush syndrome, and debris entrapment were significantly associated with ICU admission.ConclusionsThis study provides an early description of pediatric earthquake-related amputations. Fasciotomy appeared most beneficial when performed shortly after rescue, whereas prolonged entrapment was linked to systemic compromise and critical care needs. Crush syndrome was associated with greater resource utilization. These early descriptive findings underscore the importance of pediatric-specific considerations in disaster preparedness and highlight priorities for future multicenter and comparative research.
dc.identifier.doi10.1007/s00068-025-03010-6
dc.identifier.issn1863-9933
dc.identifier.issn1863-9941
dc.identifier.issue1
dc.identifier.pmid41238970
dc.identifier.scopus2-s2.0-105021809394
dc.identifier.scopusqualityQ1
dc.identifier.urihttps://doi.org/10.1007/s00068-025-03010-6
dc.identifier.urihttps://hdl.handle.net/20.500.12428/34983
dc.identifier.volume51
dc.identifier.wosWOS:001616370600006
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherSpringer Heidelberg
dc.relation.ispartofEuropean Journal of Trauma and Emergency Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_WOS_20260130
dc.subjectPediatric amputation
dc.subjectEarthquake
dc.subjectFasciotomy
dc.subjectCrush syndrome
dc.subjectIntensive care
dc.titlePediatric earthquake-related amputations: associations with fasciotomy, crush syndrome, and entrapment duration
dc.typeArticle

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