Medical Dialogues
  • Dermatology
Login Register
This site is intended for healthcare professionals only
Login Register
  • MD Brand Connect
  • Vaccine Hub
  • MDTV
    • Breaking News
    • Medical News Today
    • Health News Today
    • Latest
    • Journal Club
    • Medico Legal Update
    • Latest Webinars
    • MD Shorts
    • Health Dialogues
  • Fact Check
  • Health Dialogues
Medical Dialogues
  • Medical News & Guidelines
      • Anesthesiology
      • Cardiology and CTVS
      • Critical Care
      • Dentistry
      • Dermatology
      • Diabetes and Endocrinology
      • ENT
      • Gastroenterology
      • Medicine
      • Nephrology
      • Neurology
      • Obstretics-Gynaecology
      • Oncology
      • Ophthalmology
      • Orthopaedics
      • Pediatrics-Neonatology
      • Psychiatry
      • Pulmonology
      • Radiology
      • Surgery
      • Urology
      • Laboratory Medicine
      • Diet
      • Nursing
      • Paramedical
      • Physiotherapy
  • Health news
      • Doctor News
      • Government Policies
      • Hospital & Diagnostics
      • International Health News
      • Medical Organization News
      • Medico Legal News
      • NBE News
      • NMC News
  • Fact Check
      • Bone Health Fact Check
      • Brain Health Fact Check
      • Cancer Related Fact Check
      • Child Care Fact Check
      • Dental and oral health fact check
      • Diabetes and metabolic health fact check
      • Diet and Nutrition Fact Check
      • Eye and ENT Care Fact Check
      • Fitness fact check
      • Gut health fact check
      • Heart health fact check
      • Kidney health fact check
      • Medical education fact check
      • Men's health fact check
      • Respiratory fact check
      • Skin and hair care fact check
      • Vaccine and Immunization fact check
      • Women's health fact check
  • AYUSH
    • Ayurveda
    • Homeopathy
    • Siddha
    • Unani
    • Yoga
  • State News
      • Andaman and Nicobar Islands
      • Andhra Pradesh
      • Arunachal Pradesh
      • Assam
      • Bihar
      • Chandigarh
      • Chattisgarh
      • Dadra and Nagar Haveli
      • Daman and Diu
      • Delhi
      • Goa
      • Gujarat
      • Haryana
      • Himachal Pradesh
      • Jammu & Kashmir
      • Jharkhand
      • Karnataka
      • Kerala
      • Ladakh
      • Lakshadweep
      • Madhya Pradesh
      • Maharashtra
      • Manipur
      • Meghalaya
      • Mizoram
      • Nagaland
      • Odisha
      • Puducherry
      • Punjab
      • Rajasthan
      • Sikkim
      • Tamil Nadu
      • Telangana
      • Tripura
      • Uttar Pradesh
      • Uttrakhand
      • West Bengal
  • Medical Education
      • Ayush Education News
      • Dentistry Education News
      • Medical Admission News
      • Medical Colleges News
      • Medical Courses News
      • Medical Universities News
      • Nursing education News
      • Paramedical Education News
      • Study Abroad
  • Industry
      • Health Investment News
      • Health Startup News
      • Medical Devices News
      • Pharma News
      • Pharmacy Education News
      • Industry Perspective
  • MDTV
      • Health Dialogues MDTV
      • Health News today MDTV
      • Latest Videos MDTV
      • Latest Webinars MDTV
      • MD shorts MDTV
      • Medical News Today MDTV
      • Medico Legal Update MDTV
      • Top Videos MDTV
      • Health Perspectives MDTV
      • Journal Club MDTV
      • Medical Dialogues Show
This site is intended for healthcare professionals only
LoginRegister
Medical Dialogues
LoginRegister
  • Home
  • Medical news & Guidelines
    • Anesthesiology
    • Cardiology and CTVS
    • Critical Care
    • Dentistry
    • Dermatology
    • Diabetes and Endocrinology
    • ENT
    • Gastroenterology
    • Medicine
    • Nephrology
    • Neurology
    • Obstretics-Gynaecology
    • Oncology
    • Ophthalmology
    • Orthopaedics
    • Pediatrics-Neonatology
    • Psychiatry
    • Pulmonology
    • Radiology
    • Surgery
    • Urology
    • Laboratory Medicine
    • Diet
    • Nursing
    • Paramedical
    • Physiotherapy
  • Health news
    • Doctor News
    • Government Policies
    • Hospital & Diagnostics
    • International Health News
    • Medical Organization News
    • Medico Legal News
    • NBE News
    • NMC News
  • Fact Check
    • Bone Health Fact Check
    • Brain Health Fact Check
    • Cancer Related Fact Check
    • Child Care Fact Check
    • Dental and oral health fact check
    • Diabetes and metabolic health fact check
    • Diet and Nutrition Fact Check
    • Eye and ENT Care Fact Check
    • Fitness fact check
    • Gut health fact check
    • Heart health fact check
    • Kidney health fact check
    • Medical education fact check
    • Men's health fact check
    • Respiratory fact check
    • Skin and hair care fact check
    • Vaccine and Immunization fact check
    • Women's health fact check
  • AYUSH
    • Ayurveda
      • Ayurveda Giuidelines
      • Ayurveda News
    • Homeopathy
      • Homeopathy Guidelines
      • Homeopathy News
    • Siddha
      • Siddha Guidelines
      • Siddha News
    • Unani
      • Unani Guidelines
      • Unani News
    • Yoga
      • Yoga Guidelines
      • Yoga News
  • State News
    • Andaman and Nicobar Islands
    • Andhra Pradesh
    • Arunachal Pradesh
    • Assam
    • Bihar
    • Chandigarh
    • Chattisgarh
    • Dadra and Nagar Haveli
    • Daman and Diu
    • Delhi
    • Goa
    • Gujarat
    • Haryana
    • Himachal Pradesh
    • Jammu & Kashmir
    • Jharkhand
    • Karnataka
    • Kerala
    • Ladakh
    • Lakshadweep
    • Madhya Pradesh
    • Maharashtra
    • Manipur
    • Meghalaya
    • Mizoram
    • Nagaland
    • Odisha
    • Puducherry
    • Punjab
    • Rajasthan
    • Sikkim
    • Tamil Nadu
    • Telangana
    • Tripura
    • Uttar Pradesh
    • Uttrakhand
    • West Bengal
  • Medical Education
    • Ayush Education News
    • Dentistry Education News
    • Medical Admission News
    • Medical Colleges News
    • Medical Courses News
    • Medical Universities News
    • Nursing education News
    • Paramedical Education News
    • Study Abroad
  • Industry
    • Health Investment News
    • Health Startup News
    • Medical Devices News
    • Pharma News
      • CDSCO (Central Drugs Standard Control Organisation) News
    • Pharmacy Education News
    • Industry Perspective
  • Home
  • Nephrology
  • Nephrology News
  • Baseline Kidney...

Baseline Kidney Function Predicts Mortality in Crush Syndrome Post-Earthquake: Study

Written By : Medha Baranwal |Medically Reviewed By : Dr. Kamal Kant Kohli Published On 2025-07-06T20:30:01+05:30  |  Updated On 7 July 2025 11:35 AM IST
Baseline Kidney Function Predicts Mortality in Crush Syndrome Post-Earthquake: Study
  • facebook
  • twitter
  • linkedin
  • whatsapp
  • Telegram
  • Email

Researchers have found in a new study that pre-earthquake kidney function is a significant predictor of mortality in patients with crush syndrome, emphasizing the need for baseline renal assessment as part of disaster preparedness and emergency medical planning.

The study published in BMC Nephrology sheds light on the critical role of pre-disaster kidney function in determining survival outcomes for patients with earthquake-related crush syndrome. Conducted by Dr. Ramazan Daniş and colleagues from Gazi Yasargil Educational Research Hospital in Diyarbakır, Türkiye, the research focused on victims of the devastating February 2023 Kahramanmaraş earthquakes.

The study aimed to assess whether kidney function before the earthquake could serve as a reliable predictor of in-hospital mortality among those affected by crush syndrome, a serious condition caused by prolonged compression of muscles, often leading to acute kidney injury (AKI).

Using a multi-center, retrospective design, the researchers evaluated medical records from 469 patients across 46 nephrology clinics. Information on kidney function before the earthquake—measured through serum creatinine and estimated glomerular filtration rate (eGFR)—was retrieved from existing health records. Additional clinical and laboratory parameters, including complications and survival data, were also analyzed. Multivariate Cox regression was used to identify factors independently linked to patient mortality.

The study revealed the following findings:

  • The in-hospital mortality rate among patients with crush syndrome was 2.8%.
  • Non-survivors had significantly higher pre-earthquake serum creatinine levels (1.04 mg/dL) compared to survivors (0.77 mg/dL).
  • eGFR values were considerably lower in non-survivors (85.2 mL/min/1.73 m²) than in survivors (115.8 mL/min/1.73 m²).
  • A higher incidence of acute kidney injury (AKI) was observed in non-survivors (92.3%) compared to survivors (61.6%).
  • Non-survivors exhibited more severe electrolyte imbalances, including elevated potassium levels (hyperkalemia).
  • Elevated pre-earthquake creatinine levels were strongly associated with an increased risk of mortality.
  • Multivariate analysis identified pre-disaster creatinine levels (HR: 9.121) and potassium levels at admission (HR: 3.338) as independent predictors of in-hospital death.
  • Creatinine levels recorded at hospital admission were not independently associated with mortality.
  • Higher creatinine levels from one year before the earthquake likely indicated chronic kidney impairment.
  • Individuals with pre-existing reduced kidney function may have lower physiological resilience, increasing their vulnerability during severe traumatic events.

The authors emphasized that these findings highlight the importance of incorporating kidney health assessments into disaster preparedness plans. Identifying individuals with compromised renal function beforehand could enable more targeted interventions and improve survival outcomes in disaster scenarios.

"Overall, the study adds a new dimension to emergency response planning by underscoring the prognostic value of baseline kidney function in patients exposed to severe trauma such as crush injuries," the authors concluded. "It calls for proactive screening and medical readiness that accounts for pre-existing health vulnerabilities, particularly in regions prone to natural disasters."

Reference:

Daniş, R., Öztürk, S., Koçyiğit, İ. et al. Pre-earthquake kidney function is a predictor of outcomes in earthquake-related crush syndrome. BMC Nephrol 26, 284 (2025). https://doi.org/10.1186/s12882-025-04183-3


BMC NephrologyPre-earthquake kidney functioncrush syndromedisaster preparedness
Source : BMC Nephrology
Medha Baranwal
Medha Baranwal

    MSc. Biotechnology

    Dr. Kamal Kant Kohli
    Dr. Kamal Kant Kohli

    Dr Kamal Kant Kohli-MBBS, DTCD- a chest specialist with more than 30 years of practice and a flair for writing clinical articles, Dr Kamal Kant Kohli joined Medical Dialogues as a Chief Editor of Medical News. Besides writing articles, as an editor, he proofreads and verifies all the medical content published on Medical Dialogues including those coming from journals, studies,medical conferences,guidelines etc. Email: drkohli@medicaldialogues.in. Contact no. 011-43720751

    Show Full Article
    Next Story

    Editorial

    Uncontrolled T2D in India: Valuable Consideration for Dapagliflozin Sitagliptin Combination

    Uncontrolled T2D in India: Valuable Consideration for Dapagliflozin Sitagliptin Combination

    JAPI Releases Dedicated Supplement Addressing Clinical Needs for Adult Vaccination in India

    JAPI Releases Dedicated Supplement Addressing Clinical Needs for Adult Vaccination in India

    Cuticapil Stem Hair Serum as Add-On to Minoxidil Shows Superior Hair Growth in Androgenetic Alopecia : Indian Real World Data

    Cuticapil Stem Hair Serum as Add-On to Minoxidil Shows Superior Hair Growth in Androgenetic Alopecia...

    Prediabetes and MASLD : An Overlapping Spectrum of Metabolic Risk

    Prediabetes and MASLD : An Overlapping Spectrum of Metabolic Risk

    Bisoprolol in CAD - Key Insights from National Consensus 2025 with Special Focus on Women

    Bisoprolol in CAD - Key Insights from National Consensus 2025 with Special Focus on Women

    View All

    Journal Club Today

    This Night-Time Snack May Alter Gut Bacteria and Support Metabolic Health: Study Finds

    This Night-Time Snack May Alter Gut Bacteria and Support Metabolic Health: Study Finds

    View All

    Health News Today

    Health Bulletin 28/July/ 2025

    Health Bulletin 28/July/ 2025

    View All
    © 2022 All Rights Reserved.
    Powered By: Hocalwire
    X
    We use cookies for analytics, advertising and to improve our site. You agree to our use of cookies by continuing to use our site. To know more, see our Cookie Policy and Cookie Settings.Ok