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

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 psychoso...

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Main Authors: Samuel Kwaku Essien, Batholomew Chireh, Chantee Steinberg, Phinehas Omondi, Audrey Zucker-Levin
Format: Article
Language:English
Published: BMC 2024-11-01
Series:Injury Epidemiology
Subjects:
Online Access:https://doi.org/10.1186/s40621-024-00546-w
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author Samuel Kwaku Essien
Batholomew Chireh
Chantee Steinberg
Phinehas Omondi
Audrey Zucker-Levin
author_facet Samuel Kwaku Essien
Batholomew Chireh
Chantee Steinberg
Phinehas Omondi
Audrey Zucker-Levin
author_sort Samuel Kwaku Essien
collection DOAJ
description 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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spelling doaj-art-f86a2f67806042ba8b580434e7efeae92024-11-10T12:02:44ZengBMCInjury Epidemiology2197-17142024-11-0111111810.1186/s40621-024-00546-wPsychosocial and personal predisposing factors of frostbite injury and associated amputation: a systematic reviewSamuel Kwaku Essien0Batholomew Chireh1Chantee Steinberg2Phinehas Omondi3Audrey Zucker-Levin4Department of Health Sciences, Lakehead UniversityDepartment of Health Sciences, Lakehead UniversityDepartment of Health Sciences, Lakehead UniversityDepartment of Health Sciences, Lakehead UniversitySchool of Rehabilitation Science, University of SaskatchewanAbstract 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.https://doi.org/10.1186/s40621-024-00546-wFrostbiteAmputationPsychosocial factorsPersonal factorsInjuriesLimb loss
spellingShingle Samuel Kwaku Essien
Batholomew Chireh
Chantee Steinberg
Phinehas Omondi
Audrey Zucker-Levin
Psychosocial and personal predisposing factors of frostbite injury and associated amputation: a systematic review
Injury Epidemiology
Frostbite
Amputation
Psychosocial factors
Personal factors
Injuries
Limb loss
title Psychosocial and personal predisposing factors of frostbite injury and associated amputation: a systematic review
title_full Psychosocial and personal predisposing factors of frostbite injury and associated amputation: a systematic review
title_fullStr Psychosocial and personal predisposing factors of frostbite injury and associated amputation: a systematic review
title_full_unstemmed Psychosocial and personal predisposing factors of frostbite injury and associated amputation: a systematic review
title_short Psychosocial and personal predisposing factors of frostbite injury and associated amputation: a systematic review
title_sort psychosocial and personal predisposing factors of frostbite injury and associated amputation a systematic review
topic Frostbite
Amputation
Psychosocial factors
Personal factors
Injuries
Limb loss
url https://doi.org/10.1186/s40621-024-00546-w
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AT phinehasomondi psychosocialandpersonalpredisposingfactorsoffrostbiteinjuryandassociatedamputationasystematicreview
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