Akademik Veri Yönetim Sistemi
EFRR 2023 THE 17TH CONGRESS OF THE EUROPEAN FORUM FOR RESEARCH IN REHABILITATION, Antalya, Türkiye, 2 - 05 Kasım 2023
BACKGROUND AND AIM: The study aims to determine the rehabilitation needs of the earthquake victims and to increase the awareness of the health system to ensure that appropriate rehabilitation services are provided to the patients.
METHODS: The study was planned by the Turkish Society of Physical Medicine and Rehabilitation as a multicenter descriptive study, Ethics Approval for the study was obtained from Marmara University (09.2023.369). A questionnaire was developed to assess the basic descriptive information of the patients, their health status, the presence of social support and the extent of rehabilitation needs. With web-based software, the participating centres completed the questionnaire between 27.02.2023 and 27.05.2023. SPSS 20.0 program.
RESULTS: The study was completed with 1571 patients after duplicate records and patients without ethics committee approval were excluded, Basic descriptive statistics were demonstrated in Table 1. The top three provinces with the highest number of injuries were Hatay, Kahramanmaraş and Adıyaman (51.3%, 16.5% and 14.3%, respectively). 731 of 1571 patients stated that at least one of their firstdegree relatives (spouse, child, sibling) died. The rate of loss of second-degree relatives was 1158/1571. The majority of the victims were at home during the earthquake. The damage status of the house they were in was reported by 1261 (80%) of the participants as moderately-heavily damaged, 193 (12%) as slightly damaged, 22 (1%) as undamaged, and 61 (3.8%) patients unknown. 72.9% of patients were trapped under debris and 27.9% were injured without being trapped under debris. The causes of injury without being trapped under debris are important were caused by falling parts or objects from the building, falling while escaping and jumped from a height in panic (42%, 30%, 19,3% consecutevely). The longest waiting time for rescue under debris was 195 hours. The length of stay under debris was presented in Table 2. The diagnoses of patients in need of rehabilitation are summarized in Table 3. It should be noted that most patients have more than one diagnosis and 505 of the patients were followed up in the intensive care unit when they were first admitted to the hospital. The rate of multiple and complicated fracture was 82%. Fasciotomy was performed in 367 patients with compartment syndrome. Clinically, at least one peripheral nerve injury was detected in 603 patients. Spinal cord injury occurred in 189 of 198 (92.4%) patients with spinal fractures. 14 (7%) patients are followed up with cervical, 56 (30%) with thoracic and 119 (63%) with lumbar level SCI. Thirty five of 176 (19.9%) patients with amputation had amputation in more than one extremity. 110 (62.5%) of the 176 patients with amputation were faced with more than one serious condition.. The vast majority of patients (92%) were referred for treatment outside the cities of the earthquake. 1317 patients reported that they needed assistance. The needs were generally reported as personal care and hygiene, financial support, companion support and shelter needs.
CONCLUSIONS: The February 6 earthquake is devastating in every aspect and should be discussed in a multidimensional manner. The majority of injuries will result in significant activity limitation and participation restriction. The earthquake once again proved the special role of PRM services in the health system. Multidimensional rehabilitation services need to be developed for upcoming disasters.
Keywords: Disaster rehabilitation, amputation, rehabilitation services