Patient Signalment and History

Southwood, Louise L.

doi:10.1002/9781118704783.ch1

Cited by 5 publications

(7 citation statements)

References 28 publications

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“…Clinical variables, such as mean heart rate and respiration rate were slightly above normal ranges [ 13 ] (Table 3 ), but similar to those reported in case series of impactions from referral hospitals [ 2 , 8 ]. Heart rate, mucous membrane colour and capillary refill time at the primary presentation were significantly different for critical cases compared to other outcomes.…”

Section: Discussionsupporting

confidence: 75%

“…Disadvantages of the methodology are that with many people contributing data, there may be variation in individual veterinary surgeon’s experience, assessment of cases and use of terminology, and that participants may select specific cases for submission to the survey. The individual variation in response was reduced by using predefined scoring system for key aspects of the questionnaire, such as pain and behaviour, and gastrointestinal sounds, based on current literature [ 11 - 13 ]. Open questions were used for components of the questionnaire such as management change, rectal findings and specific treatments due to the wide range of possible answers and to allow categories to emerge from the data rather than being imposed by the research team.…”

Section: Discussionmentioning

confidence: 99%

“…History and signalment are used by veterinary surgeons to prioritise differential diagnoses and identify possible risk factors and preventative strategies for disease [ 13 ]. The identification of significant risk factors requires a case control cohort or cross-sectional study design.…”

Section: Discussionmentioning

confidence: 99%

“…A descriptive system was used to evaluate the severity and frequency of kicking, pawing, sweating, flank watching, attempts to lie down and demeanour, based on previous studies [11-13]. Kicking, pawing, flank watching and attempts to lie down were scored as 0: none, 1: occasional, 2: frequent and 3: continuous.…”

Section: Methodsmentioning

confidence: 99%

“…The data collection form for each case included open and closed questions covering signalment, history, current management, any health issues, any recent changes in management, clinical presentation and physical examination findings on first presentation, diagnostic approach and findings, and treatments administered on the first assessment, and final case outcomes. A descriptive system was used to evaluate the severity and frequency of kicking, pawing, sweating, flank watching, attempts to lie down and demeanour, based on previous studies [ 11 - 13 ]. Kicking, pawing, flank watching and attempts to lie down were scored as 0: none, 1: occasional, 2: frequent and 3: continuous.…”

Section: Methodsmentioning

confidence: 99%

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Prospective survey of veterinary practitioners’ primary assessment of equine colic: clinical features, diagnoses, and treatment of 120 cases of large colon impaction

et al. 2014

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BackgroundLarge colon impactions are a common cause of colic in the horse. There are no scientific reports on the clinical presentation, diagnostic tests and treatments used in first opinion practice for large colon impaction cases. The aim of this study was to describe the presentation, diagnostic approach and treatment at the primary assessment of horses with large colon impactions.MethodsData were collected prospectively from veterinary practitioners on the primary assessment of equine colic cases over a 12 month period. Inclusion criteria were a diagnosis of primary large colon impaction and positive findings on rectal examination. Data recorded for each case included history, signalment, clinical and diagnostic findings, treatment on primary assessment and final case outcome. Case outcomes were categorised into three groups: simple medical (resolved with single treatment), complicated medical (resolved with multiple medical treatments) and critical (required surgery, were euthanased or died). Univariable analysis using one-way ANOVA and Tukey’s post-hoc test, Kruskal Wallis with Dunn’s post-hoc test and Chi squared analysis were used to compare between different outcome categories.Results1032 colic cases were submitted by veterinary practitioners: 120 cases met the inclusion criteria for large colon impaction. Fifty three percent of cases were categorised as simple medical, 36.6% as complicated medical, and 9.2% as critical. Most cases (42.1%) occurred during the winter. Fifty nine percent of horses had had a recent change in management, 43% of horses were not ridden, and 12.5% had a recent / current musculoskeletal injury. Mean heart rate was 43bpm (range 26-88) and most cases showed mild signs of pain (67.5%) and reduced gut sounds (76%). Heart rate was significantly increased and gut sounds significantly decreased in critical compared to simple medical cases (p<0.05). Fifty different treatment combinations were used, with NSAIDs (93%) and oral fluids (71%) being administered most often.ConclusionsLarge colon impactions typically presented with mild signs of colic; heart rate and gut sounds were the most useful parameters to distinguish between simple and critical cases at the primary assessment. The findings of seasonal incidence and associated management factors are consistent with other studies. Veterinary practitioners currently use a wide range of different treatment combinations for large colon impactions.

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Section: Discussionsupporting

confidence: 75%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Prospective survey of veterinary practitioners’ primary assessment of equine colic: clinical features, diagnoses, and treatment of 120 cases of large colon impaction

et al. 2014

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Diagnostic Approach to Colic

Desrochers

White

2017

The Equine Acute Abdomen

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Prospective case study of critical decision making for horses referred for treatment of colic

Burrell,

Sutton‐Walker,

England

et al. 2023

Veterinary Record

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BackgroundThere is limited evidence on factors affecting critical decision making for horses with colic. This study's aim was to describe the assessment and decision making involved in horses referred for management of colic.MethodsAn in‐depth case analysis was used to document case presentation, decision making and outcomes for horses referred for colic to two UK equine veterinary practices over a 12‐month period. The data recorded included previous history, presenting signs, response to treatment, case outcome and factors affecting decisions for further treatment or euthanasia.ResultsData were available for 60 cases: 55 were hospitalised for medical or surgical treatment and five horses were euthanased following initial assessment. The main factors affecting treatment decisions were severity of clinical signs (80%, 47/59), financial concerns (10%, 6/59) and ongoing health issues or previous history of colic (5%, 3/59). Factors associated with euthanasia decisions were postoperative complications (5/18), poor prognosis (4/18), deteriorating clinical signs (3/18) and financial concerns (3/18).LimitationThe limited study population may affect the extent to which the findings can be generalised.ConclusionThe severity of clinical signs was the key factor in treatment decision making. The main factors affecting euthanasia decisions were clinical deterioration, poor prognosis and financial constraints. These findings should be incorporated into clinical case recording to capture the multifactorial nature of decision making.

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Patient Signalment and History

Cited by 5 publications

References 28 publications

Prospective survey of veterinary practitioners’ primary assessment of equine colic: clinical features, diagnoses, and treatment of 120 cases of large colon impaction

Prospective survey of veterinary practitioners’ primary assessment of equine colic: clinical features, diagnoses, and treatment of 120 cases of large colon impaction

Diagnostic Approach to Colic

Prospective case study of critical decision making for horses referred for treatment of colic

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