• Mahmut Yaman, Abdullah Şen, Hasan Mansur Durgun, Eren Eynel, Sema Belek, ÜlgütŞilan GögerŞGDepartment of Emergency Medicine, Dicle University Faculty of Medicine, 21280 Diyarbakır, Turkey., Murat Orak, and Cahfer Güloğlu.
• Department of Emergency Medicine, Dicle University Faculty of Medicine, 21280 Diyarbakır, Turkey.
• Postgrad Med J. 2024 Aug 14.

BackgroundIn natural disasters like earthquakes, building collapses can trap individuals, causing crush syndrome and rhabdomyolysis. This life-threatening condition often leads to acute kidney injury. We aimed to determine the effectiveness of the McMahon score in predicting mortality due to rhabdomyolysis in patients affected by the earthquake.MethodsThis is a retrospective observational study. In this study, the clinical and laboratory data of patients who presented to the emergency department due to the earthquake were analyzed. The McMahon score was calculated by evaluating factors such as creatine kinase, serum creatinine levels, age, and gender.ResultsThe study included 151 patients, of whom 74 (49.0%) were male and 77 (51.0%) were female. In the univariate model, significant (P < .05) effectiveness was observed in differentiating between patients with and without mortality for McMahon score and the risk of acute kidney injury. At a McMahon score cutoff of 6, significant effectiveness was also observed, with an area under the curve of 0.723. At this cutoff value, the sensitivity was 80.0% and the specificity was 64.5%.ConclusionsThe use of the McMahon score in emergency medicine and disaster management plays a crucial role in rapid decision-making processes due to its effectiveness in predicting mortality.© The Author(s) 2024. Published by Oxford University Press on behalf of Fellowship of Postgraduate Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

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