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Int. J. Environ. Res. Public Health 2019, 16(8), 1351; https://doi.org/10.3390/ijerph16081351

Amputation Risk Factors in Severely Frostbitten Patients

1
Secció de Fisiologia, Departament de Biologia Cel·lular, Fisiologia i Immunologia, Facultat de Biologia, Universitat de Barcelona, 08028 Barcelona, Spain
2
Medical Commission of the International Federation for Climbing and Mountaineering (UIAA MedCom), CH 3000 Bern, Switzerland
3
Departament de Ciències Fisiològiques, Facultat de Medicina, Universitat de Barcelona, 08907 Barcelona, Spain
4
Secció d’Estadística, Departament de Genètica, Estadística i Microbiologia, Facultat de Biologia, Universitat de Barcelona, 08028 Barcelona, Spain
*
Author to whom correspondence should be addressed.
Received: 11 March 2019 / Revised: 4 April 2019 / Accepted: 10 April 2019 / Published: 15 April 2019
(This article belongs to the Special Issue Mountain Sports Activities: Injuries and Prevention)
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Abstract

In recent years, the incidence of frostbite has increased among healthy young adults who practice winter sports (skiing, mountaineering, ice climbing and technical climbing/alpinism) at both the professional and amateur levels. Moreover, given that the population most frequently affected is healthy and active, frostbite supposes a substantial interruption of their normal activity and in most cases is associated with long-term sequelae. It particularly has a higher impact when the affected person’s daily activities require exposure to cold environments, as either sports practices or work activities in which low temperatures are a constant (ski patrols, mountain guides, avalanche forecasters, workers in the cold chain, etc.). Clinical experience with humans shows a limited reversibility of injuries via potential tissue regeneration, which can be fostered with optimal medical management. Data were collected from 92 frostbitten patients in order to evaluate factors that represent a risk of amputation after severe frostbite. Mountain range, years of expertise in winter mountaineering, time elapsed before rewarming and especially altitude were the most important factors for a poor prognosis. View Full-Text
Keywords: frostbite; risk factors; amputation; winter sports frostbite; risk factors; amputation; winter sports
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Carceller, A.; Javierre, C.; Ríos, M.; Viscor, G. Amputation Risk Factors in Severely Frostbitten Patients. Int. J. Environ. Res. Public Health 2019, 16, 1351.

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