The results of treatment of patients with hypothermia
DOI: 10.22138/2500-0918-2019-16-2-290-295
A.F. Potapov, А.А. Ivanova, О.Y. Rakhimova, S.V. Semenova, S.D. Nusugurova
North-Eastern Federal University named after M.K. Ammosov, medical institute Yakutsk, Russian Federation;
Russian Medical Academy of Postgraduate Education, Moscow, Russian Federation;
Republican hospital №2 – Emergency Medical Center, Yakutsk, Russian Federation
Abstract. The purpose of this study was to analyze the frequency, structure and outcomes of treatment of patients with hypothermia, hospitalized in the Department of intensive care (ICU) for patients with thermal trauma. Materials and methods. A retrospective analysis of the results of treatment of 25 patients with hypothermia (T. 68, hypothermia (accidental) according to ICD-10) hospitalized in the ICU of the Republican hospital № 2-Emergency Medical Center (RH №2-EMC) in Yakutsk in 2017-2018. The study included patients with rectal temperature (trect) below 350C on admission to the hospital. Statistical data processing included the determination of mean and standard deviations of parameters. Results and discussion. It was established that 25 patients with hypothermia were treated in ICU RH №2-EMC in 2017-2018, which is 35.2% of the total number of patients with acute period of cold injury. Mild hypothermia (trect-32-35°C) was observed in 16 (64.0%), medium (trect-28-32°C) in 6 (24%) and severe (trect<28°C) in 3 (12%) patients. Along hypothermia, all patients had frostbite of various segments of the limbs, among which frostbite of II-III-IV degree was observed in 20 (80.0%) patients. As a result of frostbite, in 86.7% of cases amputations of limbs at different levels were performed. The average number of days spent by patients with hypothermia in the ICU was 6.0±3.9 days. A total of 2 (2.8%) victims with cold injury who arrived in the pre-active period died during the study period. There were no fatal outcomes in patients with hypothermia. Conclusion. Thus, the presented data indicate the importance of studying the issues of cold injury, the development of clinical guidelines for their diagnosis and intensive care, based on the data of modern scientific research and practical experience.
Keywords: hypothermia, frostbite, the department intensive care unit, Far North
Received 15.04.2019.
For citation:
Potapov A.F., Ivanova A.A., Rakhimova O.Y., Semenova S.V., Nusugurova S.D. The results of treatment of patients with hypothermia. Vestn. Ural. Med. Akad. Nauki. = Journal of Ural Medical Academic Science. 2019, Vol. 16, no. 2, pp. 290–295. DOI: 10.22138/2500-0918-2019-16-2-290-295 (In Russ)
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Аuthors
Alexander F. Potapov
North-Eastern Federal University named after M.K. Ammosov
Dr. Sci. (Med.), Assistant Professor, Head of the department
Belinsky str. 58 Yakutsk, Republic of Sakha (Yakutia), Russian Federation 677000
potapov-paf@mail.ru
Albina A. Ivanova
North-Eastern Federal University named after M.K. Ammosov
Dr. Sci. (Med.), Professor of the department
Belinsky str. 58 Yakutsk, Republic of Sakha (Yakutia), Russian Federation 677000
iaa_60@mail.ru
Olga Y. Rakhimova
Russian Medical Academy of Postgraduate Education
Dr. Sci. (Med.), Professor of Department of public health and health organization
Belomorsky str. 19/38 Moscow Russian Federation 125445
o-rakhimova@mail.ru
Svetlana V. Semenova
Rebublic, s Hospital №2 – Emergency Medical Center
Head of the Burn Department
P. Alekseev str, 83 «A» Yakutsk, Republic of Sakha (Yakutia), Russian Federation 677005
ssv1104@mail.ru
Semen D. Nusugurov
North-Eastern Federal University named after M.K. Ammosov
Resident
Belinsky str. 58 Yakutsk, Republic of Sakha (Yakutia), Russian Federation 677000
okarot8@gmail.com
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0)