Hypotension

Cooper, Edward

doi:10.1016/b978-1-4557-0306-7.00008-8

Cited by 11 publications

(2 citation statements)

References 12 publications

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“…Clinical records were reviewed to determine whether the patient was considered to be cardiovascularly stable at (1) presentation, and (2) any point during the first 12-h after presentation to hospital. A patient was considered cardiovascularly stable if they had (1) heart rate of ≤120 beats per minute ( 16), (2) systolic blood pressure of ≥90 mm Hg or mean blood pressure of ≥60 mm Hg (17), and (3) blood lactate of ≤3.0 mmol/L (18). Lactate could be measured on either a hand-held lactate meter or blood-gas analyzer, depending on the clinic's protocol and facilities.…”

Section: Methodsmentioning

confidence: 99%

Outcomes and Blood Product Use in 89 Surgically Managed and 79 Medically Managed Cases of Acute Spontaneous Hemoperitoneum in the Dog

Wright¹,

Renwick

Soh

et al. 2021

Front. Vet. Sci.

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Objective: To describe a population of dogs with acute spontaneous hemoperitoneum (ASH) that were treated with either surgical or medical management in the first 12 h after presentation, and to perform a preliminary investigation into whether there were differences in achieving cardiovascular stabilization or patterns of red blood cell (RBC) transfusion between patients treated with early (<12 h) surgery vs.medical management.Design: A retrospective multicenter preliminary study performed on 168 dogs presenting with ASH between January 2015 and May 2019. Patients were excluded if they were euthanized or discharged from hospital within the first 12 h, or if clinical records were incomplete. All patients received appropriate medical stabilization efforts. Statistical analysis was performed comparing patients that underwent early (<12 h) surgery and those that did not.Results: Eighty-nine patients were in the early surgical group and 79 patients in the medical group. A significantly higher proportion of medical cases were euthanized (p < 0.001). A significantly higher proportion of early surgical cases were discharged from hospital (p = 0.005). There was no statistically significant difference between groups in achieving cardiovascular stabilization (OR 1.07 p = 0.82). A higher proportion of patients with body-weight over 20 kg achieved stabilization within 12 h than those with body-weight of 20 kg or less (62.7 vs. 41.4%, p < 0.01). A higher proportion of patients with splenic conditions achieved stabilization than patients with non-splenic conditions (56.5 vs. 28.6%, p = 0.05). The odds of receiving an RBC transfusion were higher in the early surgical group than the medical group [OR 3.81 (p < 0.001)].Conclusions: This preliminary study did not identify a significant difference in the ability to achieve cardiovascular stabilization in the first 12 h in dogs with ASH that underwent early surgical intervention vs. those managed medically. Patients in the early surgical group were more likely to receive a RBC transfusion than those in the medical group. At this time the decision on whether to pursue medical or early surgical management should be made on a case by case basis.

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Section: Methodsmentioning

confidence: 99%

Outcomes and Blood Product Use in 89 Surgically Managed and 79 Medically Managed Cases of Acute Spontaneous Hemoperitoneum in the Dog

Wright¹,

Renwick

Soh

et al. 2021

Front. Vet. Sci.

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“…Early detection and immediate therapeutic intervention are the keys to efficient hypotension management. The most crucial aspect of treating hypotension is treating its causes [9]. Orthostatic hypotension is the most common form of low blood pressure [1].…”

Section: Introductionmentioning

confidence: 99%

Hospital Admission Due to Hypotension in Australia and in England and Wales

2023

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Objectives: Hypotension is overlooked because it is often harmless, easily reversed, and can have few or even no symptoms. However, complications of untreated hypotension are dangerous and can result in death. The aim of this study was to examine the trend of hospital admission due to hypotension in Australia and in England and Wales between 1999 and 2020. Method: This was a secular trend analysis study that examined the hospitalisation pattern for hypotension in Australia, England, and Wales between 1999 and 2020. Hospitalisation data were obtained from the National Hospital Morbidity Database in Australia, Hospital Episode Statistics database in England, and Patient Episode Database for Wales. We analysed the variation in hospitalisation rates using the Pearson chi-square test for independence. Results: Our study showed that hypotension hospital admission rates increased significantly between 1999 and 2020 by 168%, 398%, and 149% in Australia, England, and Wales, respectively. The most common hypotension hospital admissions reason was orthostatic hypotension. All types of hypotension-related hospital admissions in Australia, England, and Wales were directly related to age, more common among the age group 75 years and above. Bed-days hypotension hospital admission patients accounted for 84.6%, 99.5%, and 99.7% of the total number of hypotension hospital admissions in Australia, England, and Wales. Conclusion: In the past two decades, orthostatic hypotension was the most prevalent type of hypotension that required hospitalization in Australia, England, and Wales. Age was identified as the primary risk factor for hypotension across all causes. Future research should focus on identifying modifiable risk factors for hypotension and developing strategies to reduce the burden of orthostatic hypotension.

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STAT Diagnostics in Exotic Companion Mammals

Gardhouse

2021

Exotic Animal Emergency and Critical Care Medicine

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Hypotension

Cited by 11 publications

References 12 publications

Outcomes and Blood Product Use in 89 Surgically Managed and 79 Medically Managed Cases of Acute Spontaneous Hemoperitoneum in the Dog

Outcomes and Blood Product Use in 89 Surgically Managed and 79 Medically Managed Cases of Acute Spontaneous Hemoperitoneum in the Dog

Hospital Admission Due to Hypotension in Australia and in England and Wales

STAT Diagnostics in Exotic Companion Mammals

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