Citation

van der Tol A, Hussain A, Sever MS, Claus S, Van Biesen W, Hoste E, Khan S, Vanholder R. Nephrol. Dial. Transplant. 2008; 24(3): 907-912.

Affiliation

1Renal Division, Department of Internal Medicine, University Hospital, Ghent, Belgium.

Copyright

(Copyright © 2008, Oxford University Press)

DOI

10.1093/ndt/gfn557

PMID

18842675

Abstract

BACKGROUND: In the aftermath of earthquakes, the cumulative incidence of crush-induced acute kidney injury (AKI) is difficult to predict. Insight into factors determining this risk is indispensable to allow adequate logistical planning, which is a prerogative for success in disaster management. METHODS: Data of 88 crush-related AKI patients in the aftermath of the Kashmir earthquake were collected and outcome measures were analysed. Then the findings were compared with the data of 596 crush-related AKI patients of the Marmara earthquake. RESULTS: The earthquake in Kashmir occurred in a rural area with lack of medical facilities and difficult transportation conditions while the earthquake in Marmara occurred in an urban area with more efficient transport possibilities. In Kashmir we reported fewer patients with treated AKI (1.2 AKI per 1000 deaths, 1.3 AKI per 1000 victims) than in Marmara (34.1 AKI per 1000 deaths; P

Language: en