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 00:000-000, 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.

中文翻译：

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登山女性的冻伤和死亡率：范围审查-UIAA 医学委员会建议。

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 和 Dominique Jean；UIAA MedCom 山区妇女健康写作小组。登山女性的冻伤和死亡率：范围审查——UIAA 医学委员会的建议。High Alt Med Biol 00:000-000, 2023。背景：高海拔 (HA) 的恶劣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在 HA 与男性登山者相比，女性登山者是否面临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来审查 HA 的妇女健康问题并发布更新的建议。来自 PubMed 和 Cochrane 的相关文献通过手动检索找到的其他出版物进行了确定。主要搜索重点是评估 HA 女性登山者冷伤和死亡的文章。结果：我们回顾了文献并确定了 20 项相关研究：2 项关于 HA 冻伤的研究，加上 7 项研究和 1 项关于 HA 死亡的报告。另外还纳入了 10 项有关低海拔冻伤的研究。我们发现，HA 的女性登山者的死亡风险低于男性登山者，但冻伤的性别差异尚无定论。结论：女性登山者冷伤和死亡的频率尚未得到充分研究，并且已发表的研究往往缺乏精确的暴露数据。需要更多具有性别差异数据的研究和登记。