dogs; emergency; laparotomy; perioperative complications; Veterinary (all); General Veterinary
Abstract :
[en] Emergency abdominal surgery carries high morbidity and mortality rates in human medicine; however, there is less evidence characterising the outcome of these surgeries as a single group in dogs. The aim of the study was to characterise the clinical course, associated complications and outcome of dogs undergoing emergency abdominal surgery. A retrospective study was conducted. Dogs undergoing emergency laparotomy were included in the study. Logistic regression analysis was performed to identify variables correlated with death and complications. Eighty-two dogs were included in the study. The most common reason for surgery was a gastrointestinal foreign body. Overall, the 15-day mortality rate was 20.7% (17/82). The median (range) length of hospitalisation was 3 (0.5-15) days. Of the 82 patients, 24 (29.3%) developed major complications and 66 (80.5%) developed minor complications. Perioperative factors significantly associated with death included tachycardia (p < 0.001), hypothermia (p < 0.001), lactate acidosis (p < 0.001), shock index > 1 (p < 0.001), leukopenia (p < 0.001) and thrombocytopenia (p < 0.001) at admission, as well as intraoperative hypotension (p < 0.001) and perioperative use of blood products (p < 0.001). The results of this study suggest that mortality and morbidity rates after emergency abdominal surgery in dogs are high.
Disciplines :
Veterinary medicine & animal health
Author, co-author :
Fages, Aida; Department of Veterinary Sciences, Veterinary Teaching Hospital "Mario Modenato", University of Pisa, 56122 Pisa, Italy ; Veterinary Teaching Hospital, Catholic University of Valencia "San Vicente Mártir", UCV, 46018 Valencia, Spain
Soler, Carme; Veterinary Teaching Hospital, Catholic University of Valencia "San Vicente Mártir", UCV, 46018 Valencia, Spain ; Small Animal Medicine and Surgery Department, Catholic University of Valencia "San Vicente Mártir", UCV, 46018 Valencia, Spain
Fernández-Salesa, Nuria; Veterinary Teaching Hospital, Catholic University of Valencia "San Vicente Mártir", UCV, 46018 Valencia, Spain
Conte, Giuseppe ; Department of Agriculture, Food and Environment, University of Pisa, 56100 Pisa, Italy
Degani, Massimiliano ; Université de Liège - ULiège > Département d'Enseignement et de Clinique des animaux de Compagnie (DCC) > Anesthésiologie et réanimation des animaux de compagnie ; Department of Veterinary Sciences, Veterinary Teaching Hospital "Mario Modenato", University of Pisa, 56122 Pisa, Italy
Briganti, Angela; Department of Veterinary Sciences, Veterinary Teaching Hospital "Mario Modenato", University of Pisa, 56122 Pisa, Italy
Language :
English
Title :
Perioperative Outcome in Dogs Undergoing Emergency Abdominal Surgery: A Retrospective Study on 82 Cases (2018-2020).
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