[en] A retrospective study evaluated 200 surgical colic cases. A gravity score (GS) based on four clinical parameters estimating intestinal obstruction (rectal palpation, borborygmi, abdominal distension, pain) and classified into three categories was established and tested to determine if it could evaluate prognosis. A shock score (SS) based on six parameters was also attributed to each case. The overall survival rate was 54%. The statistical analysis showed a significant (P < 0.01) difference in the survival rate in the different categories of the GS, as well as in the categories of the SS. A multivariate logistic regression model showed that horses with GS 3 are 10.6 times more likely to die than those with GS 1. A model combining the two scores showed an odds ratio of 7.1 for GS 3 versus GS 1, and for SS 3 versus SS 1, the odds ratio was 7.2.
Disciplines :
Veterinary medicine & animal health
Author, co-author :
Grulke, Sigrid ; Université de Liège - ULiège > Département clinique des animaux de compagnie et des équidés > Département clinique des animaux de compagnie et des équidés
Olle, E.
Detilleux, Johann ; Université de Liège - ULiège > Département de productions animales > Génétique quantitative
Gangl, M.
Caudron, I.
Serteyn, Didier ; Université de Liège - ULiège > Département clinique des animaux de compagnie et des équidés > Anesthésiologie gén. et pathologie chirurg. des grds animaux
Language :
English
Title :
Determination of a gravity and shock score for prognosis in equine surgical colic
Publication date :
October 2001
Journal title :
Journal of Veterinary Medicine. A, Physiology, Pathology, Clinical Medicine
Allen, D., N. A. White, and D. E. Tyler, 1986: Factors for prognostic use in equine obstructive small intestinal disease. J. Am. Vet. Med. Assoc. 189, 777-780.
Cohen, N. D., P. L. Matejka, C. M. Honnas, R. N. Hooper, and the Texas Equine Colic Study Group, 1995: Case - control study of the association between various management factors and development of colic in horses. J. Am. Vet. Med. Assoc. 206, 667-673.
Ebert, R., 1994a: Letalitätsaspekte der Kolik des Pferdes. Pferdeheilkunde 10, 89-93.
Ebert, R., 1994b: Prognostische Parameter bei der Kolik des Pferdes. Tierärztl. Prax. 22, 256-263.
Ebert, R., 1995: Differenzierte Prognostik beim Kolikpferd. Tierärztl. Prax. 23, 475-480.
Freden, G. O., P. J. Provost, and W. M. Rand, 1998: Reliability of using results of abdominal fluid analysis to determine treatment and predict lesion type and outcome for horses with colic: 218 cases (1991-94). J. Am. Vet. Med. Assoc. 213, 1012-1015.
Furr, M. O., P. Lessard, and N. A. White, 1995: Development of a colic severity score for predicting the outcome of equine colic. Vet. Surg. 24, 97-101.
Gay, C. C., J. Carter, M. McCarthy, T. A. Mason, B. A. Christie, W. T. Reynolds, and B. Smyth, 1977: The value of arterial blood pressure measurement in assessing the prognosis in equine colic. Equine Vet. J. 9, 202-204.
Gerring, E. L., J. N. King, G. B. Edwards, H. Pearson, J. P. Walmsley, and T. R. C. Greet, 1991: A multicentre trial of cisapride in the prophylaxis of equine post operative ileus. Equine Vet. Educ. 3, 143-145.
Grulke, S., M. Gangl, I. Caudron, and D. Serteyn, 2000: Etude rétrospective de 206 cas de pathologic chirurgicale intestinale chez le cheval: incidence, diagnostic, pronostic et complications. Ann. Méd. Vét. 144, 319-328.
Hackett, R. P., 1983: Nonstrangulated colonic displacement in horses. J. Am. Vet. Med. Assoc. 182, 235-240.
Harrison, I. W., 1988: Equine large intestinal volvulus. A review of 124 cases. Vet. Surg. 17, 77-81.
Huskamp, B., 1973: Ileusdiagnose beim Pferd. Tierärztliche Praxis 1, 67-74.
Kalsbeek, H. C., 1975: Indications for surgical intervention in equine colic. J. South African Vet. Assoc. 46, 101-105.
McCarthy, R. N., and D. R. Hutchins, 1988: Survival rates and post-operative complications after equine colic surgery. Austr. Vet. J. 65, 40-43.
Moore, J. N., R. R. Owen, and J. H. Lumsden, 1976: Clinical evaluation of blood lactate levels in equine colic. Equine Vet. J. 8, 49-54.
Orsini, J. A., A. H. Elser, D. T. Galligan, J. W. Donawick, and D. S. Kronfeld, 1988: Prognostic index for acute abdominal crisis (colic) in horses. Am. J. Vet. Res. 49, 1969-1971.
Parry, B. W., 1983: Survey of 79 referral colic cases. Equine Vet. J. 15, 345-348.
Parry, B. W., G. A. Anderson, and C. C. Gay, 1983a : Prognosis in equine colic: a study of individual variables used in case assessment. Equine Vet. J. 15, 337-344.
Parry, B. W., G. A. Anderson, and C. C. Gay, 1983b : Prognosis in equine colic: a comparative study ot variables used to assess individual cases. Equine Vet. J. 15, 211-215.
Parry, B. W., C. C. Gay, and G. A. Anderson, 1983c : Assessment of the necessity for surgical intervention in cases of equine colic: a retrospective study. Equine Vet. J. 15, 216-221.
Pascoe, P. J., W. N. McDonnel, C. M. Trim, and J. Van Gorder, 1983: Mortality rates and associated factors in equine colic operations - a retrospective study of 341 operations. Can. Vet. J. 24, 76-85.
Puotunen-Reinert, A., 1986: Study of variables commonly used in examination of equine colic cases to assess prognostic value. Equine Vet. J. 18, 275-277.
Puotunen-Reinert, A., and B. Huskamp, 1985: Möglichkeiten der Prognostik beim chirurgischen Kolikpferd: Untersuchung von 110 Fällen. Pferdeheilkunde 1, 123-129.
Reeves, M. J., C. R. Curtis, M. D. Salman, and B. J. Hilbert, 1989: Prognosis in equine colic patients using multivariable analysis. Can. J. Vet. Res. 53, 87-94.
Reeves, M. J., C. R. Curtis, M. D. Salman, T. S. Stashak, and J. S. Reif, 1988: Development and validation of multivariable models to predict the need for surgery and prognosis in equine colic patients. Act. Vet. Scand. Suppl. 84, 329-332.
Shires, G. M., A. J. Kaneps, P. C. Wagner, and W. B. Schmotzer, 1986: A retrospective review of 219 cases of equine colic. Equine colic research. Proc. II Symp. University Georgia 2, 239-241.
Stashak, T. S., 1979: Clinical evaluation of the equine colic patient. Vet. Clin. North Am. Large An. Pract. 1, 275-287.
Tinker, M. K., N. A. White, P. Lessard, C. D. Thatcher, K. D. Pelzer, B. Davis, and D. K. Carmel, 1997: Prospective study of equine colic incidence and mortality. Equine Vet. J. 29, 448-453.
Uhlinger, C., 1992: Investigations into the incidence of field colic. Equine Vet. J. Suppl. 13, 16-18.