Background: Equine gastric ulcer syndrome (EGUS) is a common and significant cause of morbidity in horses, with a range of clinical signs, including inappetence, colic and poor performance. Hospitalised horses are exposed to factors that may induce EGUS, including fasting and nonsteroidal anti-inflammatory drug (NSAID) administration, and may be at risk for development of squamous (ESGD) and glandular gastric disease (EGGD). Prophylactic anti-ulcer medication is often prescribed for these patients, but drug selection is complicated by different aetiology and response to treatment of ESGD and EGGD.Objectives: To establish the efficacy of sucralfate or omeprazole used prophylactically in horses exposed to a combined feed-fast and NSAID administration EGUS induction protocol. We hypothesised that these drugs would be equally effective for prevention of gastric lesions in the experimental cohort. Study design: Randomised crossover experimental design.Methods: Horses (n = 14) received either omeprazole (1 mg/kg PO q24h) or sucralfate (20 mg/kg PO q8h) while undergoing the feed-fast/NSAID protocol, allowed an 8-week washout period, and then administered the alternate treatment. Serial gastroscopy, ultrasound and haematology documented treatment effects.Results: ESGD and EGGD score increased over time under both treatments. There was a significant effect of treatment on EGGD scores (P < .001), with post-treatment EGGD scores higher for horses receiving sucralfate (median 3; IQR 2.25,3) than omeprazole (1; 1,1). The effect of treatment on ESGD scores just achieved significance (P = .05), with post-treatment ESGD scores higher for sucralfate (4; 3,4) than omeprazole (2; 2,3). Main limitations:This study was performed in healthy horses, and response to treatment may differ in horses with clinical illness. Additional investigation in a larger population may be required to detect significant differences in other clinical parameters.Conclusions: Omeprazole was superior to sucralfate for mitigating gastric lesion severity in healthy horses exposed to a feed-fast/NSAID model. K E Y W O R D Sequine gastric ulcer syndrome (EGUS), equine glandular gastric disease (EGGD), equine squamous gastric disease (ESGD), gastroprotectant, horse, nonsteroidal anti-inflammatory drug (NSAID), proton pump inhibitor (PPI)
Scavenging is an important ecological process. By quickly locating and consuming carrion, vertebrate scavengers cycle nutrients, stabilize food webs, and may help mitigate disease transmission to humans. Across Africa, many scavengers feed at abattoirs (i.e. slaughterhouses), thereby aiding in waste removal. Little information exists on the scavenger community composition and dynamics at abattoirs, and, to our knowledge, the carrion removal that scavengers provide at these sites has never been quantified. We studied vertebrate scavenger ecology at 6 abattoirs in Ethiopia with time-lapse photography and in-person surveys from 2014-2019. Specifically, we investigated daily, seasonal, and inter-annual patterns in use of abattoirs by vertebrate scavengers and estimated carrion consumption rates. We demonstrated the importance of abattoirs for supporting a large number and diversity of scavenger species, including 3 critically endangered, 2 endangered, 1 vulnerable, and 2 regionally endemic bird species.At the start of the study, vultures contributed 57% of carrion removal provided by vertebrate scavengers. Detections of critically endangered Rüppell's (Gyps rueppelli) and whitebacked (G. africanus) vultures declined by 73% and critically endangered hooded vultures (Necrosyrtes monachus) declined by 15% over the study period. Simultaneously, the detections of dogs more than doubled. Using estimates of species-specific carrion consumption rates from the literature, coupled with
OBJECTIVE To evaluate the effect of the cyclooxygenase-2–selective NSAID firocoxib, compared to the nonselective NSAID flunixin meglumine on viscoelastic coagulation parameters in healthy horses. ANIMALS 12 healthy adult mixed-breed horses. PROCEDURES Following a crossover protocol, horses were administered flunixin meglumine (1.1 mg/kg, IV, q 12 h for 5 days), allowed a 6-month washout period, and then administered firocoxib (0.3 mg/kg, PO, once, then 0.1 mg/kg, PO, q 24 h for 4 days). Omeprazole (1 mg/kg, PO, q 24 h) was administered concurrently with each NSAID. Viscoelastic coagulation profiles and traditional coagulation parameters (prothrombin time, partial thromboplastin time, and fibrinogen) were measured before and after each treatment. RESULTS Viscoelastic coagulation parameters were within reference intervals before and after both treatments. There was a statistically significant difference between treatments for amplitude at 10 minutes after clot time (P = .02) and maximum clot formation (P = .02); however, the magnitude of change was not clinically significant. CLINICAL RELEVANCE Short-term administration of flunixin meglumine and firocoxib did not result in significant alteration of viscoelastic coagulation profiles in healthy horses. However, clinicians should be aware of possible coagulopathy secondary to NSAID administration with long-term use or critical illness, and further study is indicated.
Objective To evaluate previously published predictive survival models in a population of horses undergoing colic surgery in the midwestern United States. Study design Retrospective cohort study; single referral hospital. Animals A total of 260 horses met the inclusion criteria. Methods Medical records of horses undergoing surgical treatment for colic were reviewed. Previously published models were applied to cohort data to predict outcome. Sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and accuracy for prediction of short‐term survival were calculated. Results Single‐variable and multivariable models performed similarly for prediction of survival, with a mean 79% sensitivity (range: 44%–94%), 48% specificity (range: 22%–83%), 63% PPV (range: 56%–72%), 73% NPV (range: 60%–83%), and 64% accuracy (range: 59%–72%). Blood lactate ≤6 mmol/l and the colic severity score (CSS) were highly sensitive for prediction of survival; however, both had poor specificity. Conclusion Single‐variable and multivariable predictive models did not perform as well for prediction of survival in the study cohort compared to original reports, suggesting that population‐specific factors contribute to patient survival. Clinical significance Predictive models of survival developed in one population may be less reliable when used to predict outcome in horses undergoing colic surgery from an independent population. Additional model testing and refinement using data from multiple surgical centers could be considered to improve prediction of outcome for horses undergoing laparotomy for treatment of colic.
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