Equine colic outcomes and prognostic factors at a South African academic hospital (2019-2021).

IF 0.5 4区农林科学 Q3 VETERINARY SCIENCES

Journal of the South African Veterinary Association Pub Date : 2025-03-24 DOI:10.36303/JSAVA.672

L M van der Merwe, E C Schliewert

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引用次数: 0

Abstract

Background: Colic is a common equine emergency requiring medical or surgical intervention. These interventions can be costly, making outcomes data and prognostic indicators essential for guiding referral and treatment decisions.

Objective: To determine survival rates to hospital discharge and evaluate prognostic indicators in equine colic cases treated at a referral hospital (Onderstepoort Veterinary Academic Hospital [OVAH], South Africa).

Methods: This retrospective observational cohort study analysed records from horses with colic that were presented to the OVAH from January 2019 to August 2021. Data included signalment, admission heart rate (HR) and packed cell volume (PCV), treatment type (medical vs. surgical), surgical diagnosis, postoperative complications, and survival to discharge.

Results: Of 415 cases, 375 were treated (292 medically, 83 surgically). 91% of medically, 77% of surgically treated, and 88% overall survived. Compared to a previous study, overall survival to discharge improved by 5% (p = 0.025), mainly due to improved surgical outcomes. Survival was associated with treatment type and surgical lesion site (lower for small intestinal than large intestinal lesions). Medically treated cases with an increased HR and surgical cases with a high PCV had lower survival rates. Signalment showed no association with outcomes.

Conclusion: Survival rates to discharge were comparable to previously published international reports and showed significant improvement to previous results from the same institution, due to improved surgical outcomes. These findings can assist veterinarians in referral and treatment decisions. Further research on long-term survival and additional prognostic indicators is required to improve outcome predictions for equine colic treatment.

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南非一家学术医院的马绞痛结局和预后因素（2019-2021）。

背景：马绞痛是一种常见的急症，需要内科或外科治疗。这些干预措施可能代价高昂，因此结果数据和预后指标对于指导转诊和治疗决策至关重要。目的：确定在转诊医院（南非Onderstepoort兽医学院医院[OVAH]）治疗的马绞痛病例的出院生存率和预后指标。方法：本回顾性观察队列研究分析了2019年1月至2021年8月期间向OVAH提交的肠绞痛马匹记录。数据包括信号、入院心率（HR）和填充细胞体积（PCV）、治疗类型（内科vs外科）、手术诊断、术后并发症和存活至出院。结果：415例中，375例得到治疗（内科292例，外科83例）。91%的药物治疗，77%的手术治疗，88%的总体存活率。与先前的研究相比，总生存率提高了5% (p = 0.025)，主要是由于手术结果的改善。生存率与治疗类型和手术病变部位相关（小肠病变比大肠病变低）。经内科治疗的HR增高病例和手术治疗的PCV增高病例生存率较低。信号显示与结果无关。结论：由于手术结果的改善，到出院的生存率与以前发表的国际报告相当，并且与同一机构以前的结果相比有显着改善。这些发现可以帮助兽医进行转诊和治疗决策。需要对长期生存和其他预后指标进行进一步研究，以改善马绞痛治疗的结果预测。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of the South African Veterinary Association VETERINARY SCIENCES-

CiteScore

1.50

自引率

0.00%

发文量

审稿时长

22 weeks

期刊介绍： The Journal of the South African Veterinary Association is a contemporary multi-disciplinary scientific mouthpiece for Veterinary Science in South Africa and abroad. It provides veterinarians in South Africa and elsewhere in the world with current scientific information across the full spectrum of veterinary science. Its content therefore includes reviews on various topics, clinical and non-clinical articles, research articles and short communications as well as case reports and letters.