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01.12.2014 | Original research | Ausgabe 1/2014 Open Access

Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 1/2014

Accidental cold-related injury leading to hospitalization in northern Sweden: an eight-year retrospective analysis

Zeitschrift:
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine > Ausgabe 1/2014
Autoren:
Helge Brändström, Göran Johansson, Gordon G Giesbrecht, Karl-Axel Ängquist, Michael F Haney
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1186/​1757-7241-22-6) contains supplementary material, which is available to authorized users.

Competing interests

There were no financial competing interests for any of the authors.

Authors’ contributions

HB has participated in study design, data collection, data analysis, and manuscript writing. GJ has participated in study design, data analysis and manuscript writing. GG has participated in study design, data analysis and manuscript writing. KÄ has participated in study design, data analysis and manuscript writing. MF has participated in study design, data analysis and manuscript writing. All authors have read and approved the final manuscript.

Abstract

Background

Cold injuries are rare but important causes of hospitalization. We aimed to identify the magnitude of cold injury hospitalization, and assess causes, associated factors and treatment routines in a subarctic region.

Methods

In this retrospective analysis of hospital records from the 4 northernmost counties in Sweden, cases from 2000-2007 were identified from the hospital registry by diagnosis codes for accidental hypothermia, frostbite, and cold-water drowning. Results were analyzed for pre-hospital site events, clinical events in-hospital, and complications observed with mild (temperature 34.9 - 32°C), moderate (31.9 - 28°C) and severe (<28°C), hypothermia as well as for frostbite and cold-water drowning.

Results

From the 362 cases, average annual incidences for hypothermia, frostbite, and cold-water drowning were estimated to be 3.4/100 000, 1.5/100 000, and 0.8/100 000 inhabitants, respectively. Annual frequencies for hypothermia hospitalizations increased by approximately 3 cases/year during the study period. Twenty percent of the hypothermia cases were mild, 40% moderate, and 24% severe. For 12%, the lowest documented core temperature was 35°C or higher, for 4% there was no temperature documented. Body core temperature was seldom measured in pre-hospital locations. Of 362 cold injury admissions, 17 (5%) died in hospital related to their injuries. Associated co-factors and co-morbidities included ethanol consumption, dementia, and psychiatric diagnosis.

Conclusions

The incidence of accidental hypothermia seems to be increasing in this studied sub-arctic region. Likely associated factors are recognized (ethanol intake, dementia, and psychiatric diagnosis).
Zusatzmaterial
Additional file 1: Data collection sheet.(DOC 146 KB)
13049_2013_828_MOESM1_ESM.doc
Authors’ original file for figure 1
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Authors’ original file for figure 2
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Authors’ original file for figure 3
13049_2013_828_MOESM4_ESM.pdf
Literatur
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