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Cold injury in early infancy.

I J Cohen

    Israel Journal of Medical Sciences
    |April 1, 1977
    PubMed
    Summary

    Neonatal cold injury, a serious condition in infants exposed to cold temperatures below 10°C, was observed in 16 cases, with 5 fatalities. Thrombocytopenia and potential disseminated intravascular coagulation were noted as contributing factors to poor outcomes.

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    Area of Science:

    • Pediatrics
    • Neonatology
    • Environmental Health

    Background:

    • Neonatal cold injury presents significant risks to infants, particularly during cold weather.
    • Early recognition and intervention are crucial for improving infant outcomes.

    Purpose of the Study:

    • To analyze cases of neonatal cold injury during the winter of 1974-75.
    • To identify risk factors, clinical presentations, and potential complications.
    • To propose strategies for prevention, diagnosis, and treatment.

    Main Methods:

    • Retrospective review of sixteen neonatal cold injury cases.
    • Clinical data analysis including infant weight, ambient temperature, symptoms, and outcomes.
    • Laboratory findings, specifically focusing on thrombocytopenia.

    Main Results:

    • Sixteen cases of neonatal cold injury were identified, with five deaths.
    • Symptoms included refusal to eat, edema, and apathy, often without initial hypothermia diagnosis.
    • Lower admission weight was associated with mortality.
    • Thrombocytopenia was consistently observed, suggesting disseminated intravascular coagulation as a potential factor.

    Conclusions:

    • Neonatal cold injury is a critical condition requiring prompt medical attention.
    • Thrombocytopenia and disseminated intravascular coagulation may play a role in mortality.
    • Evidence-based guidelines for prevention, diagnosis, and treatment are essential.

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