Change search
ReferencesLink to record
Permanent link

Direct link
Accidental cold-related injury leading to hospitalization in northern Sweden: an eight-year retrospective analysis
Umeå University, Faculty of Medicine, Department of Surgical and Perioperative Sciences, Anaesthesiology.
Umeå University, Faculty of Medicine, Department of Surgical and Perioperative Sciences, Anaesthesiology.ORCID iD: 0000-0002-5325-2688
Kinesiology and Recreation Management, and Anesthesia, University of Manitoba, Winnipeg, Canada.
Emergency and Disaster Medical Center, Umeå University Hospital, Sweden.
Show others and affiliations
2014 (English)In: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, ISSN 1757-7241, Vol. 22, 6- p.Article in journal (Refereed) Published
Abstract [en]

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 degrees C), moderate (31.9 - 28 degrees C) and severe (<28 degrees 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 degrees 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).

Place, publisher, year, edition, pages
BioMed Central, 2014. Vol. 22, 6- p.
Keyword [en]
accidental hypothermia, frostbite, body temperature, rewarming, cold-water drowning
National Category
Anesthesiology and Intensive Care
URN: urn:nbn:se:umu:diva-89251DOI: 10.1186/1757-7241-22-6ISI: 000334792400001OAI: diva2:719548
Available from: 2014-05-26 Created: 2014-05-26 Last updated: 2015-09-15Bibliographically approved

Open Access in DiVA

fulltext(495 kB)75 downloads
File information
File name FULLTEXT01.pdfFile size 495 kBChecksum SHA-512
Type fulltextMimetype application/pdf

Other links

Publisher's full text

Search in DiVA

By author/editor
Brändström, HelgeJohansson, GöranÄngquist, Karl-AxelHaney, Michael F.
By organisation
In the same journal
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
Anesthesiology and Intensive Care

Search outside of DiVA

GoogleGoogle Scholar
Total: 75 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

Altmetric score

Total: 74 hits
ReferencesLink to record
Permanent link

Direct link