Psychosocial and personal predisposing factors of frostbite injury and associated amputation: a systematic review.

IF 2.4 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Injury Epidemiology Pub Date : 2024-11-07 DOI:10.1186/s40621-024-00546-w

Samuel Kwaku Essien, Batholomew Chireh, Chantee Steinberg, Phinehas Omondi, Audrey Zucker-Levin

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引用次数: 0

Abstract

Objective: To date, systematic reviews of frostbite injuries predominantly focus on the treatment of frostbite, which narrows the scope of prevention and disregards the impact of frostbite-related predisposing factors. Comprehensively synthesizing relevant evidence to understand the psychosocial and personal predisposing factors to frostbite injury and related amputation would provide new insight into frostbite injury prevention. This review investigated the psychosocial and personal predisposing factors of frostbite injury and associated amputation.

Methods: Databases, including Embase, PubMed, and PsycINFO, were systematically searched for relevant studies. Two independent reviewers performed the screening, data extraction, and quality assessment. Inclusion criteria were studies that reported cold injury, predisposing factors for frostbite injury or related amputations, and assessed the relationship between a predisposing factor and the frostbite injury or amputation outcome based on a descriptive or inferential test.

Results: Thirty-six (36) studies met the inclusion criteria; 29 reported on both frostbite injury and amputations, and seven reported on only frostbite injury. Six psychosocial predisposing factors were observed in 28 out of the 36 studies reviewed, which included people experiencing homelessness, low socioeconomic status, alcohol intoxication/abuse, smoking, psychiatric disorders, and substance use. Personal predisposing factors identified included inadequate/improper winter clothing, delay in seeking medical care, and lack of knowledge of how to deal with the cold.

Conclusions: While it is crucial to allocate additional resources and research toward improving the treatment of individuals affected by frostbite injuries and associated limb loss, it is equally important to direct efforts toward addressing the psychosocial and personal predisposing factors that predispose individuals to these injuries and amputations.

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冻伤及相关截肢的社会心理和个人诱发因素：系统综述。

目的：迄今为止，有关冻伤的系统性综述主要集中于冻伤的治疗，这就缩小了预防的范围，忽视了与冻伤相关的易感因素的影响。全面综合相关证据以了解冻伤及相关截肢的社会心理和个人诱发因素将为冻伤预防提供新的见解。本综述调查了冻伤及相关截肢的社会心理和个人诱发因素：方法：系统检索了包括 Embase、PubMed 和 PsycINFO 在内的数据库，以查找相关研究。由两名独立审稿人进行筛选、数据提取和质量评估。纳入标准是报告了冷伤、冻伤或相关截肢的易感因素，并基于描述性或推论性检验评估了易感因素与冻伤或截肢结果之间关系的研究：符合纳入标准的研究有 36 项，其中 29 项报告了冻伤和截肢情况，7 项仅报告了冻伤情况。在所审查的 36 项研究中，有 28 项研究发现了六种社会心理诱发因素，其中包括无家可归者、社会经济地位低下、酒精中毒/滥用、吸烟、精神障碍和药物使用。已发现的个人诱发因素包括冬季衣物不足/不当、延迟就医以及缺乏应对寒冷的知识：尽管为改善冻伤患者的治疗和相关肢体损失而分配更多的资源和开展更多的研究至关重要，但同样重要的是要努力解决导致冻伤和截肢的社会心理和个人诱发因素。

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来源期刊

Injury Epidemiology Medicine-Medicine (all)

CiteScore

3.20

自引率

4.50%

发文量

审稿时长

13 weeks

期刊介绍： Injury Epidemiology is dedicated to advancing the scientific foundation for injury prevention and control through timely publication and dissemination of peer-reviewed research. Injury Epidemiology aims to be the premier venue for communicating epidemiologic studies of unintentional and intentional injuries, including, but not limited to, morbidity and mortality from motor vehicle crashes, drug overdose/poisoning, falls, drowning, fires/burns, iatrogenic injury, suicide, homicide, assaults, and abuse. We welcome investigations designed to understand the magnitude, distribution, determinants, causes, prevention, diagnosis, treatment, prognosis, and outcomes of injuries in specific population groups, geographic regions, and environmental settings (e.g., home, workplace, transport, recreation, sports, and urban/rural). Injury Epidemiology has a special focus on studies generating objective and practical knowledge that can be translated into interventions to reduce injury morbidity and mortality on a population level. Priority consideration will be given to manuscripts that feature contemporary theories and concepts, innovative methods, and novel techniques as applied to injury surveillance, risk assessment, development and implementation of effective interventions, and program and policy evaluation.