Frostbite and Mortality in Mountaineering Women: A Scoping Review-UIAA Medical Commission Recommendations.

IF 1.6 4区 医学 Q4 BIOPHYSICS High altitude medicine & biology Pub Date : 2023-12-01 Epub Date: 2023-10-12 DOI:10.1089/ham.2023.0040
Susi Kriemler, Kastė Mateikaitė-Pipirienė, Alison Rosier, Linda E Keyes, Peter Paal, Marija Andjelkovic, Beth A Beidleman, Mia Derstine, Jacqueline Pichler Hefti, David Hillebrandt, Lenka Horakova, Dominique Jean
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Abstract

Kriemler, Susi, Kastė Mateikaitė-Pipirienė, Alison Rosier, Linda E. Keyes, Peter Paal, Marija Andjelkovic, Beth A. Beidleman, Mia Derstine, Jacqueline Pichler Hefti, David Hillebrandt, Lenka Horakova, and Dominique Jean; for the UIAA MedCom Writing Group on Women's Health in the Mountains. Frostbite and mortality in mountaineering women: a scoping review-UIAA Medical Commission recommendations. High Alt Med Biol. 24:247-258, 2023. Background: The harsh environment of high altitudes (HA) poses many serious health risks for mountaineers, including cold injuries and death. The aim of this work was to review whether female mountaineers are at special risk for frostbite or death at HA compared with their male counterparts. Methods: The UIAA Medical Commission convened an international author team to review women's health issues at HA and to publish updated recommendations. Pertinent literature from PubMed and Cochrane was identified with additional publications found by hand search. The primary search focus was for articles assessing cold injuries and death in women mountaineers at HA. Results: We reviewed the literature and identified 20 relevant studies: 2 studies on frostbite at HA, plus 7 studies and 1 report for death at HA. An additional 10 studies about frostbite at low altitude were included. We found that female mountaineers at HA were at lower risk of death than their male counterparts, but sex differences in frostbite were inconclusive. Conclusions: The frequency of cold injuries and mortality in female mountaineers is not yet well studied, and the studies that have been published tend to lack precise exposure data. More studies and registries with sex-differentiated data are needed.

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登山妇女的冻伤和死亡率:UIAA医学委员会建议的范围审查。
Kriemler、Susi、KastëMateikaitë-Pipirienë、Alison Rosier、Linda E.Keyes、Peter Paal、Marija Andjelkovic、Beth A.Beidleman、Mia Derstine、Jacqueline Pichler Hefti、David Hillebrandt、Lenka Horakova和Dominique Jean;UIAA MedCom山区妇女健康写作小组。登山妇女的冻伤和死亡率:UIAA医学委员会建议的范围审查。High Alt-Med Biol 00:000-0002023。背景:高海拔地区恶劣的环境给登山者带来了许多严重的健康风险,包括冷伤和死亡。这项工作的目的是审查女性登山者与男性登山者相比,在HA是否有冻伤或死亡的特殊风险。方法:UIAA医学委员会召集了一个国际作者小组,审查医管局的妇女健康问题,并发布最新建议。PubMed和Cochrane的相关文献通过手工搜索发现了其他出版物。主要搜寻对象是医管局评估女性登山运动员冷伤及死亡的文章。结果:我们回顾了文献,确定了20项相关研究:2项关于HA冻伤的研究,加上7项关于HA死亡的研究和1份报告。另外还包括10项关于低海拔地区冻伤的研究。我们发现,HA的女性登山者的死亡风险比男性登山者低,但冻伤的性别差异尚不确定。结论:女性登山运动员冷伤和死亡的频率尚未得到很好的研究,已经发表的研究往往缺乏准确的暴露数据。需要更多的具有性别差异数据的研究和登记。
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来源期刊
High altitude medicine & biology
High altitude medicine & biology 医学-公共卫生、环境卫生与职业卫生
CiteScore
3.80
自引率
9.50%
发文量
44
审稿时长
>12 weeks
期刊介绍: High Altitude Medicine & Biology is the only peer-reviewed journal covering the medical and biological issues that impact human life at high altitudes. The Journal delivers critical findings on the impact of high altitude on lung and heart disease, appetite and weight loss, pulmonary and cerebral edema, hypertension, dehydration, infertility, and other diseases. It covers the full spectrum of high altitude life sciences from pathology to human and animal ecology.
期刊最新文献
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