The need for blood products in patients with crush syndrome


  • Rumeyza Kazancioglu, MD
  • Binnur Pinarbasi, MD
  • Bahar Artim Esen, MD
  • Aydin Turkmen, MD
  • Mehmet S. Sever, MD





Objectives: Crush syndrome is typical for multisystem involvement because of coexisting major surgical and/or medical problems. Treatment of patients with crush syndrome following mass disasters is even more problematic as hundreds of patients are admitted to hospitals and need therapy at once. In this study, the authors evaluated the need of blood and blood products in patients hospitalized due to crush syndrome after the Marmara earthquake in a single center.
Methods: The clinical and laboratory variables regarding 60 patients with crush syndrome (30 males and 30 females; mean age: 31.3 _ 13.8 years) hospitalized at a tertiary center that were documented on the preformed questionnaires distributed by International Society of Nephrology Task Force at the aftermath of the earthquake were analyzed by Statistical Package for Social Sciences for Windows software version 13.0 (SPSS Inc, Chicago, IL, USA).
Results: Thirty-nine patients (16 males and 23 females; mean age: 30.1 _ 12.6 years) were transfused with 589 U of blood, 840 U of fresh frozen plasma, and 172 U of human albumin during the hospitalization. Most of the transfusions were performed during the first week after the hospitalization.
Conclusions: As a result, the preparation for disasters should also include logistic plans for obtaining sufficient amount of blood and blood products to be used in the early aftermath of the event.

Author Biographies

Rumeyza Kazancioglu, MD

Department of Nephrology, Haseki Training and Research Hospital, Istanbul, Turkey.

Binnur Pinarbasi, MD

Division of Nephrology, Department of Internal Medicine, Istanbul Faculty of Medicine, University of Istanbul, Istanbul, Turkey.

Bahar Artim Esen, MD

Division of Nephrology, Department of Internal Medicine, Istanbul Faculty of Medicine, University of Istanbul, Istanbul, Turkey.

Aydin Turkmen, MD

Division of Nephrology, Department of Internal Medicine, Istanbul Faculty of Medicine, University of Istanbul, Istanbul, Turkey.

Mehmet S. Sever, MD

Division of Nephrology, Department of Internal Medicine, Istanbul Faculty of Medicine, University of Istanbul, Istanbul, Turkey.


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How to Cite

Kazancioglu, MD, R., B. Pinarbasi, MD, B. A. Esen, MD, A. Turkmen, MD, and M. S. Sever, MD. “The Need for Blood Products in Patients With Crush Syndrome”. American Journal of Disaster Medicine, vol. 5, no. 5, Sept. 2010, pp. 295-01, doi:10.5055/ajdm.2010.0035.

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