905 Long Term Outcomes of Frostbite: A Scoping Review
Notice bibliographique
Résumé
Abstract Introduction Frostbite injury is an important cause of morbidity in cold climates. The initial clinical presentation may not correlate with the final outcome; some injuries completely resolve while others lead to tissue loss or amputation. Studies have identified sequelae of frostbite which persist beyond the acute injury phase, such as pain, stiffness and cold intolerance. The body of evidence surrounding long term outcomes (LTO) of frostbite is limited, consisting mostly of small studies and case reports. The aim of this scoping review was to further characterize LTO in frostbite injury. Methods The scoping review process was guided by the methodology framework of Arksey and O’Malley and the Preferred Reporting Items for Systematic Reviews and Meta-analysis Protocols Extension for Scoping Reviews Guidelines (PRISMA-ScR). MedLine database search was performed to identify studies between January 1, 2000 and May 8, 2023 that examined LTO (persisting 3 months post-frostbite injury) in adults aged 18 or older. All articles identified from the database search were screened by two independent reviewers and included if eligibility criteria were met. Duplicate articles were removed, and full texts were examined to create a final list of included studies. Any disagreements on the inclusion of articles were resolved by a third reviewer. Results The database search identified a total of 850 studies and 74 were retrieved for further evaluation, of which 20 were retained in the final review. There were 10 case reports, 4 retrospective reviews, 2 prospective studies, 2 case series, 1 scoping review, and 1 book chapter. Of the included studies, 17 attributed specific long term outcomes to individuals. In 13 of 17 studies, long term sequelae of frostbite were reported in 395/624 patients (63.3%). Commonly cited physical sequelae included chronic pain, frostbite arthritis, stiffness/reduced dexterity, cold hypersensitivity, and reduced sensation. Psychosocial sequelae included poor emotional well-being, social limitations, and lowered working ability secondary to injury. Conclusions The experience of adverse LTO following frostbite injury is common amongst survivors. The results from this review highlight a significant gap in the understanding of the etiology, incidence and impact of chronic sequelae following frostbite injury. Applicability of Research to Practice Further study is required to determine how to counsel and support affected individuals. Funding for the Study This research is supported by a Canadian Institutes of Health Research Catalyst Grant. The funding source had no role in the design and development of the protocol, nor in the conduct of the study including collection, management, analysis and interpretation of data and preparation, review and approval of the manuscript.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,021 | 0,087 |
| Méta-épidémiologie (sens strict) | 0,002 | 0,002 |
| Méta-épidémiologie (sens large) | 0,007 | 0,008 |
| Bibliométrie | 0,026 | 0,022 |
| Études des sciences et des technologies | 0,001 | 0,001 |
| Communication savante | 0,005 | 0,004 |
| Science ouverte | 0,002 | 0,003 |
| Intégrité de la recherche | 0,003 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,007 | 0,001 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».