{"title":"Fluorescein is comparable to methylene blue for intraoperative detection of intestinal leakage after enterotomy closure on porcine jejunal segments.","authors":"Kimery Hankins, F A Mann, Colette Wagner-Mann","doi":"10.2460/ajvr.25.03.0108","DOIUrl":"https://doi.org/10.2460/ajvr.25.03.0108","url":null,"abstract":"<p><strong>Objective: </strong>To compare the ease of visibility of lactated Ringer solutions with and without added dyes during leak testing of porcine cadaveric intestinal segments that underwent simple enterotomy.</p><p><strong>Methods: </strong>30 unpreserved jejunal segments were randomized into 1 of the 3 treatment groups as follows: lactated Ringer solution, fluorescein, and methylene blue. The preparation of tissues and experimentation was performed on September 17 and 18, 2024. Two-cm enterotomy incisions were made on the antimesenteric border and closed with a simple continuous suture pattern, leaving a 3-mm gap at the end of each closure. The randomly assigned solution was infused into each segment until leakage from the enterotomy gap was detected. Likert scores rating the ease of visibility of leakage detected by 1 of 2 observers, time to observed leakage, and volume infused were recorded.</p><p><strong>Results: </strong>No statistical difference in Likert scores, time, or volume was detected among treatment groups. Observer results were independent of each other, and a high correlation between time and volume was demonstrated. A trend illustrating higher confidence and faster recognition in leak detection was noted for the fluorescein and methylene blue solutions compared to the nondyed lactated Ringer solution for both observers.</p><p><strong>Conclusions: </strong>Ease of leakage identification and time to leak observation resulted in higher confidence and faster recognition with the use of a dyed solution compared to a nondyed solution.</p><p><strong>Clinical relevance: </strong>The use of dyed solutions may facilitate the detection of intestinal leakage after enterotomy closure, and fluorescein is a comparable alternative to methylene blue for this purpose.</p>","PeriodicalId":7754,"journal":{"name":"American journal of veterinary research","volume":" ","pages":"1-7"},"PeriodicalIF":1.3,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144681895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Alessandro Migliorisi, Diana M Hassel, A Russell Moore, Benjamin W Blair, Pamela A Wilkins
{"title":"Viscoelastic testing is improved following antivenom treatment in rattlesnake-envenomated equids.","authors":"Alessandro Migliorisi, Diana M Hassel, A Russell Moore, Benjamin W Blair, Pamela A Wilkins","doi":"10.2460/ajvr.25.04.0147","DOIUrl":"https://doi.org/10.2460/ajvr.25.04.0147","url":null,"abstract":"<p><strong>Objective: </strong>To characterize coagulopathies before and after antivenom administration in rattlesnake-envenomated equids.</p><p><strong>Methods: </strong>Client-owned envenomated equids treated with antivenom at Colorado State University (2023 to 2024). Rattlesnake bite severity score (RBSS), platelet count, prothrombin time, activated thromboplastin time, D-dimers, antithrombin, and viscoelastic testing variables were assessed before and after antivenom administration. Paired comparisons of hemostatic variables between admission and approximately 24 hours, and correlation analysis with RBSS, were performed. Length of hospitalization (LOH) and outcome were recorded.</p><p><strong>Results: </strong>Seven acutely envenomated equids. Admit median (IQR) RBSS was 7 (4 to 7) out of 13. At admission, coagulopathies were present in all animals. Most common findings were thrombocytopenia, increased D-dimers, abnormal amplitude at 20 minutes (A20), and abnormal maximum clot firmness (MCF) on viscoelastic testing. On the day following admission, RBSS [3 (1 to 3)], A20 (admit, 15.8 ± 10; recheck, 26.4 ± 5), and MCF (admit, 18.7 ± 9.5; recheck, 28.8 ± 6) were improved. Significant correlations were found between RBSS and platelet count (ρ = -0.68; n = 12), activated thromboplastin time (ρ = 0.64; n = 14), A20 (r = -0.70; n = 14), and MCF (ρ = -0.56; n = 14). Median LOH was 2 days. The mortality rate was 0%.</p><p><strong>Conclusions: </strong>Coagulopathies are common in rattlesnake-envenomated equids, and viscoelastic testing allows for identification and monitoring of qualitative disorders.</p><p><strong>Clinical relevance: </strong>Antivenom administration may mitigate venom's effects, reduce LOH, and improve outcomes.</p>","PeriodicalId":7754,"journal":{"name":"American journal of veterinary research","volume":" ","pages":"1-9"},"PeriodicalIF":1.3,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144681896","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Tooth-supported, 3-dimensionally printed reduction guide improves alignment and efficiency in simple mandibular fracture repair in dogs.","authors":"Kangwoo Yi, Young Yu, Namsoo Kim, Suyoung Heo","doi":"10.2460/ajvr.25.04.0122","DOIUrl":"https://doi.org/10.2460/ajvr.25.04.0122","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the efficacy of a tooth-supported, 3-D-printed, patient-specific reduction guide (TPSRG) in improving alignment accuracy, reducing surgical time, and minimizing structural breaches in simulated mandibular fractures in canine cadavers compared with a nonguided freehand technique.</p><p><strong>Methods: </strong>This experimental ex vivo study involved 24 mandibles obtained from 12 skeletally mature canine cadavers without mandibular pathology. The experimental procedures were carried out from August 1, 2024, through February 1, 2025. Specimens were randomly assigned to either the guided or nonguided group. Mandibular fractures were simulated and stabilized with plate fixation and intraosseous wiring. Tooth-supported, 3-D-printed, patient-specific reduction guides were individually designed using CT imaging and computer-aided design software based on the dental anatomy of each specimen. Surgical time was recorded to assess procedural efficiency. Postoperative CT scans were used to evaluate fracture alignment (rostrocaudal, dorsoventral, and mediolateral angulations), fracture gap volume, and the presence of breaches involving the mandibular canal or tooth roots.</p><p><strong>Results: </strong>Use of the TPSRG resulted in improved alignment in rostrocaudal and dorsoventral angulations and a smaller fracture gap compared to the nonguided group. Mediolateral alignment showed no difference. Surgical time was shorter in the TPSRG group. Structural breach rates did not differ between groups.</p><p><strong>Conclusions: </strong>The TPSRG enhanced alignment accuracy and surgical efficiency in mandibular fracture repair using canine cadaver models, though it did not significantly reduce the incidence of structural breaches.</p><p><strong>Clinical relevance: </strong>TPSRGs show promise as adjunctive tools to enhance precision and efficiency in the surgical management of simple mandibular fractures in dogs.</p>","PeriodicalId":7754,"journal":{"name":"American journal of veterinary research","volume":" ","pages":"1-9"},"PeriodicalIF":1.3,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144666894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Robert Goggs, Marjory Brooks, Yao Zhu, Jacob Cawley, Chand Khanna, Samuel D Stewart
{"title":"Evaluating the feasibility of platelet-derived gene expression profiling in dogs with sepsis.","authors":"Robert Goggs, Marjory Brooks, Yao Zhu, Jacob Cawley, Chand Khanna, Samuel D Stewart","doi":"10.2460/ajvr.25.04.0149","DOIUrl":"https://doi.org/10.2460/ajvr.25.04.0149","url":null,"abstract":"<p><strong>Objective: </strong>To assess the feasibility of gene expression profiling of platelets in dogs with sepsis.</p><p><strong>Methods: </strong>This was a prospective observational feasibility study conducted at a university veterinary teaching hospital. All study dogs had CBCs and serum biochemistry profiles, and blood samples were collected for platelet isolation. Gene expression profiling of isolated platelets was performed using a commercial multiplex assay based on direct hybridization and detection of single RNA molecules bar coded with fluorescent probes. Quality control, normalization, and data visualization were performed using standardized workflows. Raw counts were exported, and differential expression between groups was assessed.</p><p><strong>Results: </strong>6 client-owned dogs with sepsis and 6 healthy dogs were enrolled from March through August 2023. Platelet isolation and transcript profiling were successful for all dogs. The septic dog group included 3 males and 3 females with peritonitis (n = 3), pyometra (n = 2), and pyothorax. Principal component analysis did not fully segregate septic from healthy dogs, but disease status accounted for 59% of the variance. Upregulated genes contributing substantially to principal component analysis variance included those for S100 calcium-binding proteins (S100s) and cytokines. Significantly upregulated genes based on log2 fold change included S100A8, S100A12, cathelicidin, lactoferrin, and innate immune response signaling proteins.</p><p><strong>Conclusions: </strong>Sample processing and data analysis workflows are scalable to larger, confirmatory studies to explore potential sepsis biomarkers.</p><p><strong>Clinical relevance: </strong>Platelet gene expression profiles might offer insights into sepsis pathophysiology and potential diagnostic and prognostic biomarkers. Follow-up studies are warranted to characterize platelet expression profiles in larger populations of dogs with sepsis and noninfectious critical illnesses.</p>","PeriodicalId":7754,"journal":{"name":"American journal of veterinary research","volume":" ","pages":"1-11"},"PeriodicalIF":1.3,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144666892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Christopher R Kennedy, Kris Gommeren, Laurentin Duriez, Anne-Christine Merveille
{"title":"A body weight-based formula of the canine aortic valve diameter for use in echocardiographic stroke volume and cardiac output calculations.","authors":"Christopher R Kennedy, Kris Gommeren, Laurentin Duriez, Anne-Christine Merveille","doi":"10.2460/ajvr.25.04.0111","DOIUrl":"https://doi.org/10.2460/ajvr.25.04.0111","url":null,"abstract":"<p><strong>Objective: </strong>To generate and test a formula to predict the echocardiographic aortic valve (AV) diameter (AVd) for use in echo-hemodynamic evaluations.</p><p><strong>Methods: </strong>Echocardiograms of hemodynamically stable dogs more than 1 year old that included images of the AV in the right parasternal inflow-outflow view with concurrent ECG were included. Exclusions included AV pathology, congestive heart failure, systolic dysfunction, sustained arrhythmias, congenital heart diseases, hypovolemia, systemic hypertension, and pericardial and pleural space diseases. The AVd was measured in centimeters in triplicate using digital calipers. A linear regression examined the relationship between weight and AVd, generating a predictive formula. Next, 20 dogs had their AVd measured and predicted, and stroke volumes were calculated using each method. These were compared using the paired Student t test, intraclass correlation coefficients, coefficients of variation, and Bland-Altman plots.</p><p><strong>Results: </strong>Data from 176 unique dogs included 64 (34.7%) normal hearts and 109 (61.9%) with preclinical myxomatous mitral and/or tricuspid valve disease. The median (range) age was 8 (1 to 16) years; weight was 9.6 (1.7 to 73) kg. The median (range) AVd was 1.20 (0.60 to 2.45) cm. The formula derived was AVd = 0.545 X (weight)0.347 (r2 = 0.875). Despite moderate agreement and low variation between the predicted and measured AVd, differences occurred due to mild systematic underestimation (-0.1 ± 0.13 cm), with consequent underestimation of stroke volumes.</p><p><strong>Conclusions: </strong>The formula allowed calculation of AVd, although underestimation resulted in differences between measured and predicted stroke volumes.</p><p><strong>Clinical relevance: </strong>Using a formula can reduce acquisition and measurement error; however, it must be validated with a larger sample.</p>","PeriodicalId":7754,"journal":{"name":"American journal of veterinary research","volume":" ","pages":"1-9"},"PeriodicalIF":1.3,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144666891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rosalie A Ierardi, Solomon O Odemuyiwa, Loren Schultz, Zhenyu Shen, Michael Zhang, Shuping Zhang, Ram K Raghavan
{"title":"Serologic and molecular prevalence of Anaplasma marginale in Missouri beef herds.","authors":"Rosalie A Ierardi, Solomon O Odemuyiwa, Loren Schultz, Zhenyu Shen, Michael Zhang, Shuping Zhang, Ram K Raghavan","doi":"10.2460/ajvr.25.03.0096","DOIUrl":"https://doi.org/10.2460/ajvr.25.03.0096","url":null,"abstract":"<p><strong>Objective: </strong>To estimate the prevalence of Anaplasma marginale in Missouri beef cow-calf herds.</p><p><strong>Methods: </strong>Participating herd owners authorized their local veterinarian to collect and submit serum and whole blood for Anaplasma marginale competitive ELISA and quantitative PCR, respectively, from apparently healthy adult beef cows. Herd owners also completed a questionnaire to describe herd characteristics and management. Meta-analysis of single proportions was performed to estimate within-herd and pooled serologic and molecular prevalence with 95% binomial CIs.</p><p><strong>Results: </strong>A total of 908 serum samples paired with 757 whole blood samples were received from 59 herds in 34 Missouri counties. Antibodies to Anaplasma spp were detected in 441 of 908 samples, with an estimated pooled seroprevalence of 46.5% (95% CI, 37.9% to 55.3%). Anaplasma marginale DNA was detected by quantitative PCR in 323 of 757 samples, with an estimated pooled molecular prevalence of 40.7% (95% CI, 29.3% to 53.2%). Many producers reported management practices that are likely to increase disease risk, such as reusing needles, not disinfecting castration and dehorning equipment between cattle, and introducing new cattle without testing for common infectious diseases.</p><p><strong>Conclusions: </strong>Subclinical bovine anaplasmosis is prevalent among adult beef cows in Missouri, as it is in neighboring states.</p><p><strong>Clinical relevance: </strong>Bovine anaplasmosis significantly impacts the welfare and productivity of beef cattle. Our study highlights the need for continuing education of beef cow-calf producers on practices to reduce transmission of anaplasmosis and other infectious diseases in their herds.</p>","PeriodicalId":7754,"journal":{"name":"American journal of veterinary research","volume":" ","pages":"1-10"},"PeriodicalIF":1.3,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144666893","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The magnitude of hyperchloremia in horses is associated with diarrhea and renal function.","authors":"C Langdon Fielding","doi":"10.2460/ajvr.25.02.0071","DOIUrl":"https://doi.org/10.2460/ajvr.25.02.0071","url":null,"abstract":"<p><strong>Objective: </strong>To describe the signalment, diagnosis, treatment, and laboratory characteristics of horses with hyperchloremia and identify factors associated with the magnitude of the increased chloride concentration.</p><p><strong>Methods: </strong>Horses with a chloride concentration greater than 108 mEq/L were included in this retrospective study. Descriptive statistics and multiple linear regression analysis were used to identify associations between diagnosis, treatment, and laboratory variables and the magnitude of hyperchloremia.</p><p><strong>Results: </strong>134 horses met the inclusion criteria for this study. Creatinine was a significant predictor (unstandardized regression coefficient [B] = 1.36; 95% CI, 0.51 to 2.21; P = .003) of an increased chloride concentration as was the presence of diarrhea (B = 1.43; 95% CI, 0.08 to 2.79; P = .039). Sodium concentration also showed a strong association with chloride in all models (B = 0.42; 95% CI, 0.32 to 0.53; P < .001). The mortality rate for the horses in this study was 24%.</p><p><strong>Conclusions: </strong>Horses with diarrhea are likely to be at risk for more profound hyperchloremia. There was also a positive association between increased creatinine and increased chloride.</p><p><strong>Clinical relevance: </strong>Equine practitioners who diagnose and treat horses with diarrhea should be aware that significant hyperchloremia could develop. The changes in chloride concentration associated with increasing creatinine values require further research, but the finding supports the association between hyperchloremia and acute kidney injury observed in other species.</p>","PeriodicalId":7754,"journal":{"name":"American journal of veterinary research","volume":" ","pages":"1-7"},"PeriodicalIF":1.3,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144648346","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yasmeen Prud'homme, Kate Gustavsen, Heather Knych, Kathryn Gamble
{"title":"Pharmacokinetics of subcutaneous bupivacaine liposome injectable suspension indicate an extended absorption and elimination profile in swan geese (Anser cygnoid).","authors":"Yasmeen Prud'homme, Kate Gustavsen, Heather Knych, Kathryn Gamble","doi":"10.2460/ajvr.25.05.0158","DOIUrl":"https://doi.org/10.2460/ajvr.25.05.0158","url":null,"abstract":"<p><strong>Objective: </strong>To determine the pharmacokinetics of a single dose of bupivacaine liposome injectable suspension (BLIS) after SC administration to swan geese (Anser cygnoid). The goal was to assess its potential as an extended-release local anesthetic infiltration in avian patients. It was hypothesized that BLIS at this dose would have low maximal plasma concentrations and a prolonged elimination profile similar to published mammalian data and without adverse effects.</p><p><strong>Methods: </strong>A single dose of BLIS at 5.3 mg/kg was infiltrated SC in 6 adult swan geese (3 males and 3 females). Over the following 96 hours, blood samples were collected at 9 time points for analysis of plasma concentrations of bupivacaine. Concentrations were determined using HPLC-MS and plotted against time for pharmacokinetic analysis via nonlinear modeling.</p><p><strong>Results: </strong>The harmonic mean terminal half-life was 14.8 ± 5.5 hours. The mean maximum concentration was 74 ± 21.9 ng/mL and was achieved in all geese within 8 hours. No adverse effects were noted.</p><p><strong>Conclusions: </strong>These results indicate that BLIS in swan geese has an extended absorption and elimination profile compared to local anesthetics in current use in avian species.</p><p><strong>Clinical relevance: </strong>Protracted duration of local anesthesia in birds may improve patient care, welfare, and surgical outcomes by allowing a reduction of systemic anesthetic and analgesic doses and reducing the frequency of restraint or isolation needed for treatment.</p>","PeriodicalId":7754,"journal":{"name":"American journal of veterinary research","volume":" ","pages":"1-7"},"PeriodicalIF":1.3,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144658158","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sara A Jablonski, Danielle M Marturello, Karen L Perry, Romy M Heilmann, Joerg M Steiner, Daniel K Langlois
{"title":"Serum gastrointestinal biomarkers are transiently affected by elective orthopedic surgery and acute enteropathy in dogs.","authors":"Sara A Jablonski, Danielle M Marturello, Karen L Perry, Romy M Heilmann, Joerg M Steiner, Daniel K Langlois","doi":"10.2460/ajvr.25.04.0137","DOIUrl":"https://doi.org/10.2460/ajvr.25.04.0137","url":null,"abstract":"<p><strong>Objective: </strong>To investigate changes in gastrointestinal biomarkers over time in dogs undergoing elective orthopedic surgery and in dogs with acute nonspecific diarrhea (AD).</p><p><strong>Methods: </strong>Prospective cohort study of 20 dogs undergoing surgical repair of cranial cruciate ligament disease (CCL cohort) and 8 dogs with AD. Serum concentrations of cobalamin, folate, methylmalonic acid, and C-reactive protein and fecal calprotectin concentrations were measured before and 12 to 18 hours, 4 weeks, and 8 weeks after surgery in the CCL group. These biomarkers were also measured in AD dogs at initial evaluation and 4 and 8 weeks postrecovery.</p><p><strong>Results: </strong>Serum cobalamin (437 ± 186 ng/L) and folate concentrations (10.5 ± 4.8 ng/mL) at 12 to 18 hours were lower than corresponding cobalamin (630 ± 235 ng/L; P < .001) and folate concentrations (14.61 ± 6.3 ng/mL; P = .001) before surgery in CCL dogs. However, serum cobalamin (637 ± 195 ng/L) and folate concentrations (13.8 ± 5.7 ng/mL) at 4 weeks were higher than at 12 to 18 hours (P < .001 and P = .01, respectively) and similar to baseline. All 3 AD dogs with serum cobalamin concentrations below the reference interval at baseline had serum cobalamin concentrations within the reference interval at 4 weeks.</p><p><strong>Conclusions: </strong>Major orthopedic surgery and acute nonspecific enteropathy transiently lowered serum cobalamin and folate concentrations in dogs.</p><p><strong>Clinical relevance: </strong>Serum folate and cobalamin should be interpreted cautiously in the immediate postoperative setting or during acute gastrointestinal illness. Abnormalities should be reevaluated at a later date before pursuing other diagnostics or instituting supplementation.</p>","PeriodicalId":7754,"journal":{"name":"American journal of veterinary research","volume":" ","pages":"1-9"},"PeriodicalIF":1.3,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144658159","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kristin M Zersen, Cassidy M Coats, Catriona M MacPhail, Petra Cerna, Charlotte K Barton, Kelly E Hall
{"title":"Implementation of the Ottawa morbidity and mortality model improves the quality of morbidity and mortality rounds.","authors":"Kristin M Zersen, Cassidy M Coats, Catriona M MacPhail, Petra Cerna, Charlotte K Barton, Kelly E Hall","doi":"10.2460/ajvr.25.04.0116","DOIUrl":"10.2460/ajvr.25.04.0116","url":null,"abstract":"<p><strong>Objective: </strong>To determine the effect of implementing the Ottawa morbidity and mortality (M&M) model (OM3) on the perceived quality of M&M rounds.</p><p><strong>Methods: </strong>This was an observational study that included faculty, house officers, and staff, performed from September 2021 through June 2023, in conjunction with implementation of the OM3. A survey was emailed to participants at the beginning of the study period (PRE), at the end of the first academic year (POST-Y1), and at the end of the second academic year (POST-Y2). During the first year (September 2021 through May 2022), a separate survey to evaluate each individual session of rounds was emailed to participants. Categorical data are described using counts and percentages.</p><p><strong>Results: </strong>There were 67 participants in the PRE survey, 50 in the POST-Y1 survey, and 70 in the POST-Y2 survey. From PRE to POST-Y1, findings included (1) a 19% (22% PRE to POST-Y2) increase in \"agree\" responses when asked if M&M rounds had a significant impact on the quality of care they provide on a section/service level, (2) a 25% (13% PRE to POST-Y2) increase in the average percentage of M&M rounds thought to effectively address cognitive issues, and (3) a 25% (20% PRE to POST-Y2) increase in the average percentage of M&M rounds thought to effectively address systemic issues.</p><p><strong>Conclusions: </strong>The implementation of the OM3 was perceived by respondents to improve patient care at the individual and service levels. Additionally, it more effectively addressed cognitive and systemic issues.</p><p><strong>Clinical relevance: </strong>The OM3 is a straightforward and impactful M&M model to institute, and its implementation should be considered in other veterinary practices.</p>","PeriodicalId":7754,"journal":{"name":"American journal of veterinary research","volume":" ","pages":"1-6"},"PeriodicalIF":1.3,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144615826","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}