{"title":"The Animal Trauma Triage Score outperforms the VetCOT score in cats with high-rise syndrome.","authors":"A Alemany, A M Girol-Piner, V Herrería-Bustillo","doi":"10.1111/jsap.70166","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>To evaluate the prognostic utility of the canine-derived Veterinary Committee on Trauma score in cats suffering from high-rise syndrome and to compare it with the Animal Trauma Triage Score. To date, no trauma score has been developed exclusively from feline-derived data, and existing systems are adaptations or validations of scores originally created for other or mixed species.</p><p><strong>Methods: </strong>Retrospective observational study of 60 cats with high-rise syndrome. Recorded variables on admission were age, breed, sex, weight, body condition score, height of fall, clinicopathological variables, Animal Trauma Triage Score and Veterinary Committee on Trauma score. Mortality and length of hospital stay were also recorded. Univariate and multivariate statistical analyses as well as receiver operating characteristic curves were used to compare the different variables.</p><p><strong>Results: </strong>Sixty cats were included. Eight cats (13%) did not survive to discharge. The receiver operating characteristic curves showed that the Animal Trauma Triage Score predicted mortality significantly better (AUC = 0.85, P < .001, 95% CI 0.76 to 0.95) than the Veterinary Committee on Trauma score (AUC = 0.709, P = .038, 95% CI 0.51 to 0.91). Requirement for vasopressor therapy (P = .008, OR 0.10, 95% CI 0.02 to 0.56), higher height of fall (P < .005, OR 3.69, 95% CI 1.49 to 9.10), serum lactate (P = .013, OR 1.57, 95% CI 1.09 to 2.25) and the Animal Trauma Triage Score (P = .006, OR 1.90, 95% CI 1.20 to 3.00) were associated with a worse outcome.</p><p><strong>Clinical significance: </strong>In cats with high-rise syndrome, the Animal Trauma Triage Score demonstrates significantly superior prognostic performance compared with the canine-derived Veterinary Committee on Trauma score. Species-specific physiological differences may influence the applicability of trauma scoring systems in cats, supporting the need for further feline-specific validation of trauma scoring systems.</p>","PeriodicalId":17062,"journal":{"name":"Journal of Small Animal Practice","volume":" ","pages":""},"PeriodicalIF":1.5000,"publicationDate":"2026-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Small Animal Practice","FirstCategoryId":"97","ListUrlMain":"https://doi.org/10.1111/jsap.70166","RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"VETERINARY SCIENCES","Score":null,"Total":0}
引用次数: 0
Abstract
Objectives: To evaluate the prognostic utility of the canine-derived Veterinary Committee on Trauma score in cats suffering from high-rise syndrome and to compare it with the Animal Trauma Triage Score. To date, no trauma score has been developed exclusively from feline-derived data, and existing systems are adaptations or validations of scores originally created for other or mixed species.
Methods: Retrospective observational study of 60 cats with high-rise syndrome. Recorded variables on admission were age, breed, sex, weight, body condition score, height of fall, clinicopathological variables, Animal Trauma Triage Score and Veterinary Committee on Trauma score. Mortality and length of hospital stay were also recorded. Univariate and multivariate statistical analyses as well as receiver operating characteristic curves were used to compare the different variables.
Results: Sixty cats were included. Eight cats (13%) did not survive to discharge. The receiver operating characteristic curves showed that the Animal Trauma Triage Score predicted mortality significantly better (AUC = 0.85, P < .001, 95% CI 0.76 to 0.95) than the Veterinary Committee on Trauma score (AUC = 0.709, P = .038, 95% CI 0.51 to 0.91). Requirement for vasopressor therapy (P = .008, OR 0.10, 95% CI 0.02 to 0.56), higher height of fall (P < .005, OR 3.69, 95% CI 1.49 to 9.10), serum lactate (P = .013, OR 1.57, 95% CI 1.09 to 2.25) and the Animal Trauma Triage Score (P = .006, OR 1.90, 95% CI 1.20 to 3.00) were associated with a worse outcome.
Clinical significance: In cats with high-rise syndrome, the Animal Trauma Triage Score demonstrates significantly superior prognostic performance compared with the canine-derived Veterinary Committee on Trauma score. Species-specific physiological differences may influence the applicability of trauma scoring systems in cats, supporting the need for further feline-specific validation of trauma scoring systems.
期刊介绍：
Journal of Small Animal Practice (JSAP) is a monthly peer-reviewed publication integrating clinical research papers and case reports from international sources, covering all aspects of medicine and surgery relating to dogs, cats and other small animals. These papers facilitate the dissemination and implementation of new ideas and techniques relating to clinical veterinary practice, with the ultimate aim of promoting best practice. JSAP publishes high quality original articles, as well as other scientific and educational information. New developments are placed in perspective, encompassing new concepts and peer commentary. The target audience is veterinarians primarily engaged in the practise of small animal medicine and surgery.
In addition to original articles, JSAP will publish invited editorials (relating to a manuscript in the same issue or a topic of current interest), review articles, which provide in-depth discussion of important clinical issues, and other scientific and educational information from around the world.
The final decision on publication of a manuscript rests with the Editorial Board and ultimately with the Editor. All papers, regardless of type, represent the opinion of the authors and not necessarily that of the Editor, the Association or the Publisher.
The Journal of Small Animal Practice is published on behalf of the British Small Animal Veterinary Association and is also the official scientific journal of the World Small Animal Veterinary Association
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