Analysis of Treatment Outcomes in Patients with Cold Injuries
Background: The aim of this research was to study the prevalence rate, structure, treatment methods and outcomes for patients with severe frostbite and hypothermia admitted to the Intensive Care Unit (ICU) for patients with thermal injuries. Methods and Results: We performed a retrospective analysis...
Published in: | International Journal of Biomedicine |
---|---|
Main Authors: | , , , |
Format: | Article in Journal/Newspaper |
Language: | English |
Published: |
International Medical Research and Development Corporation
2020
|
Subjects: | |
Online Access: | https://doi.org/10.21103/Article10(3)_OA15 https://doaj.org/article/043e13a473814b65bef09bc29ed06d50 |
id |
ftdoajarticles:oai:doaj.org/article:043e13a473814b65bef09bc29ed06d50 |
---|---|
record_format |
openpolar |
spelling |
ftdoajarticles:oai:doaj.org/article:043e13a473814b65bef09bc29ed06d50 2023-05-15T18:45:31+02:00 Analysis of Treatment Outcomes in Patients with Cold Injuries Alexander F. Potapov Albina A. Ivanova Svetlana V. Semenova Semen D. Nusugurov 2020-09-01T00:00:00Z https://doi.org/10.21103/Article10(3)_OA15 https://doaj.org/article/043e13a473814b65bef09bc29ed06d50 EN eng International Medical Research and Development Corporation http://ijbm.org/articles/i39/ijbm_10(3)_oa15.pdf https://doaj.org/toc/2158-0510 https://doaj.org/toc/2158-0529 doi:10.21103/Article10(3)_OA15 2158-0510 2158-0529 https://doaj.org/article/043e13a473814b65bef09bc29ed06d50 International Journal of Biomedicine, Vol 10, Iss 3, Pp 274-277 (2020) excessive natural cold hypothermia frostbite far north Medicine R article 2020 ftdoajarticles https://doi.org/10.21103/Article10(3)_OA15 2022-12-30T23:20:53Z Background: The aim of this research was to study the prevalence rate, structure, treatment methods and outcomes for patients with severe frostbite and hypothermia admitted to the Intensive Care Unit (ICU) for patients with thermal injuries. Methods and Results: We performed a retrospective analysis of the treatment outcomes for 108 patients (83/76.9% men and 25/23.1% women) exposed to excessive natural cold and treated in ICU-1 of Republican Hospital #2 - Center for Emergency Medical Aid in the city of Yakutsk in the period 2017-2019. The age of the adult patients ranged from 18 to 77 years (mean age of 47.5±14.9 years), and three children were 2, 4, and 17 years of age. The diagnosis of hypothermia was made by measuring the core (rectal) temperature (trect). The following gradation scale was applied: mild (trec 32°C-35°C), moderate (trec 28°C-32°C), and severe (trect <28°C) hypothermia. The comprehensive treatment of frostbite was carried out in accordance with modern clinical guidelines. Among all patients with cold injuries, 38(35.2%) patients with combined hypothermia constituted the most severe category: mild hypothermia was observed in 26(68.4%), moderate in 7(18.4%), and severe in 5(13.2%) patients. Due to the development of tissue necrosis and its non-viability, various surgeries were performed on 33(30.5%) patients with third- and fourth-degree frostbite, including amputations of various limb segments in 29(87.9%) patients. The treatment duration for all the ICU patients with cold injury was 4.2±2.1 bed/days, and for the patients with combined hypothermia – 7.9±4.4 bed/days. Over the study period, 3(2.7%) patients with cold injury died. Conclusion: The presented data show the relevance of the cold injury issue in the region, with severe frostbite with tissue necrosis resulting in amputation of extremities at different levels in 30.5% of the patients. Moreover, in 35.2% of the cases, frostbite was combined with hypothermia, which made the treatment even more difficult. Article in Journal/Newspaper Yakutsk Directory of Open Access Journals: DOAJ Articles Yakutsk International Journal of Biomedicine 10 3 274 277 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
excessive natural cold hypothermia frostbite far north Medicine R |
spellingShingle |
excessive natural cold hypothermia frostbite far north Medicine R Alexander F. Potapov Albina A. Ivanova Svetlana V. Semenova Semen D. Nusugurov Analysis of Treatment Outcomes in Patients with Cold Injuries |
topic_facet |
excessive natural cold hypothermia frostbite far north Medicine R |
description |
Background: The aim of this research was to study the prevalence rate, structure, treatment methods and outcomes for patients with severe frostbite and hypothermia admitted to the Intensive Care Unit (ICU) for patients with thermal injuries. Methods and Results: We performed a retrospective analysis of the treatment outcomes for 108 patients (83/76.9% men and 25/23.1% women) exposed to excessive natural cold and treated in ICU-1 of Republican Hospital #2 - Center for Emergency Medical Aid in the city of Yakutsk in the period 2017-2019. The age of the adult patients ranged from 18 to 77 years (mean age of 47.5±14.9 years), and three children were 2, 4, and 17 years of age. The diagnosis of hypothermia was made by measuring the core (rectal) temperature (trect). The following gradation scale was applied: mild (trec 32°C-35°C), moderate (trec 28°C-32°C), and severe (trect <28°C) hypothermia. The comprehensive treatment of frostbite was carried out in accordance with modern clinical guidelines. Among all patients with cold injuries, 38(35.2%) patients with combined hypothermia constituted the most severe category: mild hypothermia was observed in 26(68.4%), moderate in 7(18.4%), and severe in 5(13.2%) patients. Due to the development of tissue necrosis and its non-viability, various surgeries were performed on 33(30.5%) patients with third- and fourth-degree frostbite, including amputations of various limb segments in 29(87.9%) patients. The treatment duration for all the ICU patients with cold injury was 4.2±2.1 bed/days, and for the patients with combined hypothermia – 7.9±4.4 bed/days. Over the study period, 3(2.7%) patients with cold injury died. Conclusion: The presented data show the relevance of the cold injury issue in the region, with severe frostbite with tissue necrosis resulting in amputation of extremities at different levels in 30.5% of the patients. Moreover, in 35.2% of the cases, frostbite was combined with hypothermia, which made the treatment even more difficult. |
format |
Article in Journal/Newspaper |
author |
Alexander F. Potapov Albina A. Ivanova Svetlana V. Semenova Semen D. Nusugurov |
author_facet |
Alexander F. Potapov Albina A. Ivanova Svetlana V. Semenova Semen D. Nusugurov |
author_sort |
Alexander F. Potapov |
title |
Analysis of Treatment Outcomes in Patients with Cold Injuries |
title_short |
Analysis of Treatment Outcomes in Patients with Cold Injuries |
title_full |
Analysis of Treatment Outcomes in Patients with Cold Injuries |
title_fullStr |
Analysis of Treatment Outcomes in Patients with Cold Injuries |
title_full_unstemmed |
Analysis of Treatment Outcomes in Patients with Cold Injuries |
title_sort |
analysis of treatment outcomes in patients with cold injuries |
publisher |
International Medical Research and Development Corporation |
publishDate |
2020 |
url |
https://doi.org/10.21103/Article10(3)_OA15 https://doaj.org/article/043e13a473814b65bef09bc29ed06d50 |
geographic |
Yakutsk |
geographic_facet |
Yakutsk |
genre |
Yakutsk |
genre_facet |
Yakutsk |
op_source |
International Journal of Biomedicine, Vol 10, Iss 3, Pp 274-277 (2020) |
op_relation |
http://ijbm.org/articles/i39/ijbm_10(3)_oa15.pdf https://doaj.org/toc/2158-0510 https://doaj.org/toc/2158-0529 doi:10.21103/Article10(3)_OA15 2158-0510 2158-0529 https://doaj.org/article/043e13a473814b65bef09bc29ed06d50 |
op_doi |
https://doi.org/10.21103/Article10(3)_OA15 |
container_title |
International Journal of Biomedicine |
container_volume |
10 |
container_issue |
3 |
container_start_page |
274 |
op_container_end_page |
277 |
_version_ |
1766236580033331200 |