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1.
Vet Rec ; 187(12): 492, 2020 12 19.
Artigo em Inglês | MEDLINE | ID: mdl-32719081

RESUMO

BACKGROUND: This study aimed to describe the presentation and outcomes of horses with signs of colic (abdominal pain) seen 'out-of-hours' in equine practice. METHODS: This was a retrospective study of horses seen 'out-of-hours' with colic by two equine veterinary practices between 2011 and 2013. Case outcomes were categorised as 'critical' or 'not critical'. A critical outcome was defined as requiring medical or surgical hospital treatment, or resulting in euthanasia or death. A non-critical outcome was defined as resolving with simple medical treatment. A hierarchical generalised linear model was used to identify 'red flag' parameters (aspects of signalment, history and presenting clinical signs) associated with critical outcomes. RESULTS: Data were retrieved from 941 cases that presented with colic; 23.9 per cent (n=225/941) were critical. Variables significantly associated with the likelihood of a critical outcome in the final multivariable model were increased heart rate (P<0.001), age of the horse (P=0.013) and abnormal mucous membrane colour (P<0.001). Overall 18 per cent (n=168/941) of cases were euthanased. CONCLUSIONS: This study highlights the mortality associated with colic. The 'red flag' parameters identified should be considered an essential component of the primary assessment of horses with colic.


Assuntos
Dor Abdominal/veterinária , Cólica/veterinária , Doenças dos Cavalos/diagnóstico , Dor Abdominal/diagnóstico , Dor Abdominal/mortalidade , Dor Abdominal/terapia , Fatores Etários , Animais , Cólica/diagnóstico , Cólica/mortalidade , Cólica/terapia , Eutanásia Animal/estatística & dados numéricos , Feminino , Frequência Cardíaca , Doenças dos Cavalos/terapia , Cavalos , Masculino , Mucosa , Estudos Retrospectivos , Resultado do Tratamento
2.
Vet Rec ; 187(10): 404, 2020 11 14.
Artigo em Inglês | MEDLINE | ID: mdl-32719083

RESUMO

BACKGROUND: The study aim was to describe conditions seen 'out-of-hours' in equine practice. METHODS: This was a retrospective case series of first opinion 'out-of-hours' cases seen at two equine practices between 2011 and 2013. Data were retrieved on case presentation, diagnostic testing, treatment administered and outcome, and diseases categorised using a systems-based coding system. A hierarchical logistic regression, formulated using a generalised linear model, was used to identify clinical variables associated with a binary outcome of 'critical' cases (required hospitalisation or euthanasia or died). RESULTS: Data from 2602 cases were analysed. The most common reasons for 'out-of-hours' visits were colic (35 per cent, n=923/2620), wounds (20 per cent, n=511/2620) and lameness (11 per cent, n=288/2,620). The majority of cases required a single treatment (58 per cent, n=1475/2550), 26 per cent (n=656/2550) needed multiple treatments and 13 per cent (n=339/2550) were euthanased. Eighteen per cent (n=480/2602) of cases had a critical outcome. Increased heart rate at primary presentation was associated with critical outcome in both practices (Practice A, OR 1.07 (95 per cent confidence interval 1.06 to 1.09), Practice B OR 1.08 (95 per cent confidence interval 1.07 to 1.09; p<0.001)). CONCLUSION: Colic, wounds and lameness were the most common equine 'out-of-hours' conditions; 13 per cent of cases were euthanased. Further research is required into out-of-hours euthanasia decision-making.


Assuntos
Criação de Animais Domésticos , Cólica/veterinária , Doenças dos Cavalos/epidemiologia , Animais , Cólica/epidemiologia , Feminino , Cavalos , Masculino , Estudos Retrospectivos , Reino Unido/epidemiologia , Medicina Veterinária
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