Evidence map›Paper›PMID 34574580›Full record

ArticleInternational journal of environmental research and public health2021

Long-Term Sequelae of Frostbite-A Scoping Review.

Ivo B Regli, Giacomo Strapazzon, Marika Falla, Rosmarie Oberhammer, Hermann Brugger

Open access · goldAbstract readScoping Review
In one paragraph

Article in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
5.6field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 62 citations in OpenAlex.

  1. Frostbite treatment: a systematic review with meta-analyses.Scandinavian journal of trauma, resuscitation and emergency medicine · 2023
    Pooled it
  2. Trial
  3. Review
  4. Synthesis of Protocols for Frostbite Care From the FROST Study Sites.Journal of burn care & research : official publication of the American Burn Association · 2026
    Observational
  5. [Interpretation of the 2025Zhonghua shao shang yu chuang mian xiu fu za zhi · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Frozen shoulder: exploration of terminology and classification.Frontiers in rehabilitation sciences · 2024
    Article
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 2 countries.

Ivo B RegliInstitute of Mountain Emergency Medicine, Eurac Research, 39100 Bolzano, Italy.ORCID 0000-0002-0697-803X
Giacomo StrapazzonInstitute of Mountain Emergency Medicine, Eurac Research, 39100 Bolzano, Italy.ORCID 0000-0002-4402-8633
Marika FallaInstitute of Mountain Emergency Medicine, Eurac Research, 39100 Bolzano, Italy.ORCID 0000-0001-7477-3020
Rosmarie OberhammerDepartment of Anaesthesia and Intensive Care, Hospital of Brunico, 39031 Brunico, Italy.ORCID 0000-0002-9642-7855
Hermann BruggerInstitute of Mountain Emergency Medicine, Eurac Research, 39100 Bolzano, Italy.ORCID 0000-0003-2752-6929
Eurac Research · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Frostbite is tissue damage caused by freezing temperatures and constitutes an important cause of morbidity in cold climate zones and high altitude. The direct effects of sub-zero temperatures lead to tissue freezing, electrolyte shifts and pH alterations, microvascular damage, and eventually to cell death. Upon rewarming, inflammatory reperfusion injury and thrombosis may lead to further tissue damage. Several studies and various case reports show that many patients suffer from long-term sequelae such as vasomotor disturbances (associated with susceptibility to refreezing), and neuropathic and nociceptive pain, as well as damage to skeletal structures. There are still many uncertainties regarding the pathophysiology of these sequelae. It has been shown that the transient receptor potential channel (TRP) family plays a role in cold allodynia. Botulinum Toxin type A (BTX-A) injections have been reported to be beneficial in vasomotor and neuropathic disturbances secondary to frostbite. Epidural sympathetic block has been used for short-term treatment of frostbite induced chronic pain. Furthermore, amitriptyline, gabapentinoids, and duloxetine may have some benefits. Frostbite arthritis clinically resembles regular osteoarthritis. In children there is a risk of epiphyseal cartilage damage leading to bone deformities. Despite some promising therapeutic concepts, the scarcity of data on frostbite long-term sequelae in the literature indicates the need of more in-depth studies of this pathology in all its aspects.

Indexed as

FrostbiteCold TemperatureFreezingHumansRewarmingarthritiscold injuryfrostbiteneuropathic painnociceptive painpathophysiologyvasospasm

Identifiers

PMID34574580
PMCPMC8465633
OpenAlexW3201021523

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.