Document Detail


Frostbite in the prairies: a 12-year review.
MedLine Citation:
PMID:  8356126     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 12-year retrospective review of inpatient frostbite injury was undertaken in three tertiary hospitals serving a northern prairie population of 650,000. In the 125 patients identified, the mean age was 41 years, with a range of 3 to 90 years. Predisposing factors were alcohol consumption (46 percent), psychiatric illness (17 percent), vehicular trauma (19 percent), vehicular failure (15 percent), and drug use (4 percent). Profound hypothermia with a core temperature less than 32 degrees C was present in 12 percent. Anatomic distribution was 19 percent upper extremity, 47 percent lower extremity, 31 percent combined upper and lower extremity, and 3 percent facial or trunk only. Factors correlating with amputation of parts (p < 0.05) were duration of exposure, lack of proper attire, remote site of injury, presence of wound infection, and delay in seeking treatment. Prophylactic systemic antibiotics did not decrease the incidence of wound infection. Comparison with nine other civilian series revealed striking similarities in the patient populations.
Authors:
S M Valnicek; L R Chasmar; J B Clapson
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Plastic and reconstructive surgery     Volume:  92     ISSN:  0032-1052     ISO Abbreviation:  Plast. Reconstr. Surg.     Publication Date:  1993 Sep 
Date Detail:
Created Date:  1993-09-21     Completed Date:  1993-09-21     Revised Date:  2014-10-13    
Medline Journal Info:
Nlm Unique ID:  1306050     Medline TA:  Plast Reconstr Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  633-41     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aged, 80 and over
Amputation
Bacterial Infections / drug therapy,  epidemiology,  microbiology
Child
Child, Preschool
Cold Temperature / adverse effects
Female
Frostbite / complications,  epidemiology*,  etiology,  therapy
Hospitalization
Humans
Injury Severity Score
Male
Middle Aged
Retrospective Studies
Saskatchewan / epidemiology
Seasons
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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