Study of variables commonly used in examination of equine colic cases to assess prognostic value

Puotunen-Reinert, Anu

doi:10.1111/j.2042-3306.1986.tb03626.x

Cited by 54 publications

(40 citation statements)

References 4 publications

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“…This is in disagreement with [17,12] and [14]. In the present study most horses were given analgesics and/or NSAID before and for some horses during the transportation.…”

Section: Resultscontrasting

confidence: 89%

Evaluation of Clinical and Laboratory Variables as Prognostic Indicators in Hospitalised Gastrointestinal Colic Horses

Ihler

Venger

Skjerve³

2004

Acta Vet Scand

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Ihler CF, Larsen J and Skjerve E: Evaluation of clinical and laboratory variables as prognostic indicators in hospitalised gastrointestinal colic horses. Acta vet. scand. 2004, 45, 109-118. -The present prospective study included 106 horses referred to the Department of Large Animal Sciences, The Norwegian School of Veterinary Science, as non-responders to the initial colic treatment in general practise. In 14 of these cases a required surgical treatment was not performed due to economical or other reasons and were excluded from the study. Clinical and laboratory data were obtained at the arrival in the hospital. The outcome for all analyses was survival/ non-survival. A multivariable logistic regression was performed. The analyses were used in medically (46 horses) and surgically treated cases (46 horses) separately. The same analyses were also run for all 92 horses in a simulated "field" situation, where only clinical variables and D-dimer values were included. The fraction of survivors was 78% in the medical and 48% in the surgical cases. In total 63% of the horses survived. In the final multivariable logistic regression model packed cell volume (PCV) was the only important predictor for medically treated cases, and heart rate and presence of hyperaemic or cyanotic mucous membranes were the predictors in the surgically treated cases as well as in the simulated "field" situation. In conclusion, traditional variables as heart rate, mucous membranes and PCV were the important predictors for the outcome in hospitalised colic cases.

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“…This is in disagreement with [17,12] and [14]. In the present study most horses were given analgesics and/or NSAID before and for some horses during the transportation.…”

Section: Resultscontrasting

confidence: 89%

Evaluation of Clinical and Laboratory Variables as Prognostic Indicators in Hospitalised Gastrointestinal Colic Horses

Ihler

Venger

Skjerve³

2004

Acta Vet Scand

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“…Previous prognostic models (Parry et al 1983;Puotunen-Reinert 1986;Orsini et al 1988;Reeves et al , 1990Reeves et al , 1992Pascoe et al 1990;Furr et al 1995) have sought to use pre-operative clinical data to predict short-term outcome. T h e modelling techniques used in our study also differ from those employed previously.…”

Section: Discussionmentioning

confidence: 99%

“…The most common application has been the development of prognostic models (Parry et al 1983;Puotunen-Reinert 1986;Orsini et al 1988;Reeves et al , 1990Reeves et al , 1992Pascoe et al 1990;Furr et a l . 1995).…”

Section: Introductionmentioning

confidence: 99%

Long‐term survival of equine surgical colic cases. Part 2: Modelling postoperative survival

Proudman

SMITH

Edwards

et al. 2002

Equine Veterinary Journal

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SummaryColic surgery is a frequently performed operation with high postoperative mort a l i t y. This study was undertaken to identify variables associated with decreased postoperative survival. We used data from 321 horse years of postoperative survival time to model the probability of survival following re c o v e ry from colic surgery. Continuous variables were modelled using a 6 variable, penalised Cox re g ression model. This demonstrated approximately linear re l a t i o n s h i p s between survival and the following variables: increase in packed cell volume (PCV), intestinal resection length, time to

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“…the wide variety in location, nature, extent and duration of lesions, that prediction of success or failure in individual cases is almost impossible. Besides, nobody has hitherto been able to demonstrate clear criteria/parameters for a reliable prognosis, though it has been established (7,8) that those variables which assess cardiovascular integrity are the most valuable indices. But these parameters cannot take into account intra-and post-operative complications, the skills of the surgeon, and non-quantifiable factors such as the character of the patient.…”

Section: Discussionmentioning

confidence: 99%

Results of operative treatment of equine colic with special reference to surgery of the ileum

Kersjes

Brás

Németh

et al. 1988

Veterinary Quarterly

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SUMMARY This retrospective study presents the results of surgical treatment of obstructive colic in horses operated in the last decade (1976)(1977)(1978)(1979)(1980)(1981)(1982)(1983)(1984)(1985). The overall short-term recovery rate (i.e. discharged from hospital) was 51% of casespresented for surgery, and 68% of cases which were considered to be amenable to surgical therapy. For long-term results (6 months -8 years follow up) these percentages must be reduced by about 15% due to mortality after discharge. Special attention has been given to surgery of the ileum, which is often involved in strangulation or obturation, and accounts for about 26% of gastrointestinal surgical disorders. The long-term recovery rate of ileal surgery was 54.3%, but ileocaecal intussusception and jejunocaecostomy with resection have a much poorer prognosis. The results of this study indicate that resection of the ileum should be avoided unless necrosis is present or threatening. The alternative is creation of a shunt between (distal) jejunum and caecum, thus bypassing the ileum and ileocaecal junction and preserving the original anatomical relationships.

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Study of variables commonly used in examination of equine colic cases to assess prognostic value

Cited by 54 publications

References 4 publications

Evaluation of Clinical and Laboratory Variables as Prognostic Indicators in Hospitalised Gastrointestinal Colic Horses

Evaluation of Clinical and Laboratory Variables as Prognostic Indicators in Hospitalised Gastrointestinal Colic Horses

Long‐term survival of equine surgical colic cases. Part 2: Modelling postoperative survival

Results of operative treatment of equine colic with special reference to surgery of the ileum

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