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NDT Advance Access published online on July 10, 2009
Nephrology Dialysis Transplantation, doi:10.1093/ndt/gfp335
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© The Author [2009]. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org


Renal disaster relief in Europe: the experience at L’Aquila, Italy, in April 2009

Raymond Vanholder1, Stefano Stuard2, Mario Bonomini3 and Mehmet Sukru Sever4

1 Section of Nephrology, Department of Internal Medicine, University Hospital, Gent, Belgium 2 Unit of Innovative and Dialysis Techniques, San Salvatore Hospital, L’Aquila 3 Department of Medicine, Institute of Nephrology, SS. Annunziata University Hospital, Chieti, Italy 4 Department of Internal Medicine/Nephrology, Istanbul School of Medicine, Istanbul, Turkey

Correspondence and offprint requests to: Raymond Vanholder; E-mail: raymond.vanholder{at}ugent.be



  Abstract

On 6 April 2009, an earthquake struck the city of L’Aquila and the surrounding Abruzzo mountains. The disaster left 66 000 people homeless, while 1500 were wounded and 298 died. Although Europe as a whole is not so often affected by massive earthquakes, Italy is an exception with 12 earthquakes with an intensity >6.0 on the Richter scale during the last 100 years. This article offers preliminary information on the L’Aquila earthquake. For the time being, nine AKI patients who needed dialysis treatment are known. In all of them, kidney function recovered. This positive result can be attributed to the efficient and intensive rescue efforts coupled to the availability of disaster plans that had been developed in advance. This article stresses the importance of (i) advance planning of disaster rescue; (ii) the inclusion in these plans of approaches for kidney problems and their complications; (iii) the formulation of recommendations supporting (para-)medical professionals in their preventive, therapeutic and logistic approach to massive incidences of crush.

Keywords: disaster; acute kidney injury; earthquake; crush syndrome; l'Aquila

Received for publication: 4. 6.09
Accepted in revised form: 16. 6.09


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