Nephrological Follow-up of Children Victims of The Earthquake: A Single Center Experience

Objective:: We retrospectively examined the nephrological conditions of the victims who applied to the Pediatric Nephrology Clinic in our hospital in İzmir after the February 6, 2023 Kahramanmaraş earthquake.Method: Age, gender, time spent under debris, number of crushed extremities, presence of acute kidney injury (AKI), creatine kinase (CK) levels and prognosis of all patients were evaluated.5% dextrose-0.45%NaCl solution was given as 1500 cc/m 2 /day if the CK levels of the children were between 1000-3000U/L, and as 3000 cc/m 2 /day for those >3000U/L.If the bicarbonate value is <25, alkalinization was achieved by applying NaHCO 3 treatment to 50 mEq/L.If CK values fell below 3000U/L, the amount of fluid was reduced by half, and if it was below 1000 U/L, it was discontinued.If blood gas pH is >7.50 and/or bicarbonate ≥30, alkalinization treatment is discontinued; if 25-30 it is halved.Results: Of the total 33 pediatric patients, 48.5% were girls and 51.5% were boys.The children had a mean age of 9.0±3.9years.The mean stay under the rubble was 17.00 (4.25-48.00)hours.The CK values of 23 patients were >1000 U/L at the time of admission.Six patients had acute kidney injuries at admission.Four patients received hemodialysis and/or hemodiafiltration treatment.The CK values returned to normal in 5.0 (3.0-8.0)days in the patients who received fluid and alkalinization treatments.The serum creatinine values of all patients normalized. Conclusion:Even in the case of concomitant AKI in crush syndrome developing after an earthquake, full recovery can be achieved with aggressive fluid and alkalinization treatment.