• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Canadian Journal of Emergency Medicine >A retrospective cohort study examining treatments and operative interventions for frostbite in a tertiary care hospital
【24h】

A retrospective cohort study examining treatments and operative interventions for frostbite in a tertiary care hospital

机译：一项回顾性队列研究，研究了三级医院的冻疮治疗方法和手术干预措施

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Frostbite is a common yet challenging injury to both diagnose and treat. McCauley’s frostbite treatment protocol consists of 12 treatments that might well represent the standard of care. However, its effectiveness in preventing operative intervention has yet to be examined. Our objectives were to characterize frostbite injuries in Eastern Ontario, identify risk factors for deep injuries, and assess the protocol’s efficacy in preventing operative outcomes.This cohort study examined patients with frostbite over ten years at a tertiary care hospital. Demographics and predisposing factors were recorded. Frostbite severity was categorized into superficial or deep. Treatments were recorded, including adherence to protocol and operative outcome.Of the 265 frostbite patients identified, deep frostbite accounted for 56 (21.1%, 95% CI: 16.2–26.1%), of whom 20 (35.7%) had an operative outcome. Amputation occurred in 16 (28.6%) of deep injuries and debridement in 5 (8.9%). Risk factors for deep frostbite were older age (p =0.002), smoking (p The frostbite protocol was not regularly followed and therefore its efficacy in preventing operative intervention could not be determined. Further, none of the individual treatments in the protocol were associated with preventing operative intervention. We recommend that future research focus on identifying effective individual treatments.
机译：冻伤是诊断和治疗的常见但具有挑战性的伤害。麦考利的冻伤治疗方案包括12种治疗方法，这些方法很可能代表了护理标准。但是，其在预防手术干预方面的有效性尚待检验。我们的目标是表征安大略省东部的冻伤伤害，识别深层伤害的危险因素，并评估该协议在预防手术结局方面的功效。该队列研究在一家三级医院对十年以上的冻伤患者进行了检查。记录人口统计和诱发因素。冻伤的严重程度分为浅表的或深表的。记录治疗方法，包括遵守方案和手术结局。在265例冻伤患者中，深冻伤占56例（21.1％，95％CI：16.2–26.1％），其中20例（35.7％）有手术结局。截肢发生在深部伤害中的16例（28.6％）中，清创发生在5例（8.9％）中。深冻伤的危险因素是年龄较大（p = 0.002），吸烟（p不定期遵循冻伤方案，因此无法确定其预防手术干预的功效。此外，方案中没有单独的治疗与预防手术干预我们建议未来的研究应侧重于确定有效的个体治疗方法。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号