ArticleJPRAS open2025
The clinical significance and management of finger necrosis due to cobra bite in Vietnam.
Article in JPRAS open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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.
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.
Who cites it
1 citing paper in PubMed.
- Free Skin Anterolateral Thigh Flap and Vacuum-Assisted Closure Therapy for Reconstruction of Snakebite-Induced Complex Hand Defects.Therapeutics and clinical risk management · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Vietnam is home to several cobra species, which cause significant local tissue damage due to their venom and secondary infections. The fingers are particularly concerning due to the high incidence of snake bites in this part of the upper extremity. Prognostic factors for the degree of necrosis related to bite characteristics and the reconstructive management of finger necrosis have not been widely studied. Methods: From March 2022 to August 2024, we retrospectively studied cases of finger necrosis due to cobra bites that required surgical intervention. Data collected included the demographic information, fang mark characteristics, necrotic features, management, and postoperative results. Descriptive statistics and data analysis were performed. Results: The study included 78 patients (mean age, 54.2 ± 15.3 years; range, 13-92 years). Limb tourniquets were the most common first aid (61.5 %). Infection occurred in 56.4 % of cases. Necrosis severity was classified as superficial (33.3 %), deep (48.7 %), and gangrene (17.9 %). Gangrene was associated with tourniquet use, multiple fang marks, and bites at the distal phalanx or volar side ( Conclusion: Finger necrosis following cobra envenomation, factors such as the number and location of bite marks, as well as initial first aid methods, are closely related to the severity and characteristics of the necrosis. Debridement is essential for evaluating the extent of necrosis and the affected tissue components, serving as a crucial determinant in the decision between digit preservation and amputation.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.