Risk Factors for Death in Dogs Treated for Esophageal Foreign Body Obstruction: A Retrospective Cohort Study of 222 Cases (1998–2017)
Autor: | Michael S. Kent, Andrew G. Burton, C. T. Talbot |
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Jazyk: | angličtina |
Rok vydání: | 2017 |
Předmět: |
Male
medicine.medical_specialty 040301 veterinary sciences Perforation (oil well) Standard Article Esophageal Diseases Esophageal Hemorrhage Canine 0403 veterinary science Dogs Esophagus Risk Factors Case fatality rate medicine Esophagitis Animals Veterinary Sciences Dog Diseases Esophageal stricture Retrospective Studies General Veterinary medicine.diagnostic_test business.industry Medical record 0402 animal and dairy science Gastroenterology Retrospective cohort study Endoscopy 04 agricultural and veterinary sciences medicine.disease Foreign Bodies 040201 dairy & animal science Standard Articles Surgery Female SMALL ANIMAL Esophagoscopy Queensland business |
Zdroj: | Journal of Veterinary Internal Medicine Journal of veterinary internal medicine, vol 31, iss 6 Burton, AG; Talbot, CT; & Kent, MS. (2017). Risk Factors for Death in Dogs Treated for Esophageal Foreign Body Obstruction: A Retrospective Cohort Study of 222 Cases (1998–2017). Journal of Veterinary Internal Medicine, 31(6), 1686-1690. doi: 10.1111/jvim.14849. UC Davis: Retrieved from: http://www.escholarship.org/uc/item/0v0495q6 |
ISSN: | 1939-1676 0891-6640 |
DOI: | 10.1111/jvim.14849. |
Popis: | Copyright © 2017 The Authors. Journal of Veterinary Internal Medicine published by Wiley Periodicals, Inc. on behalf of the American College of Veterinary Internal Medicine. Background: Limited data exist describing risk factors for death, and long-term outcomes in dogs with esophageal foreign body (EFB) obstruction. Hypothesis/Objectives: To evaluate short- and long-term outcomes, and analyze risk factors for death in dogs with EFB obstruction. We hypothesized duration of entrapment and treatment type would affect outcome. Animals: A total of 222 dogs were treated for EFB obstruction at an emergency and referral hospital between March 1998 and March 2017. Methods: Medical records for dogs with EFB were retrospectively evaluated. Results: Foreign material most frequently was osseous (180/222 [81%]), with distal esophagus the most common location (110/222 [49.5%]). Duration of clinical signs was not associated with risk of death (OR = 1.08, 95% CI 0.99–1.17; P = 0.2). Entrapment was treated by endoscopy (204/222 [91.8%]), surgery after endoscopic attempt (13/222 [5.9%]), and repeat endoscopy after surgery was recommended but declined (5/222 [2.3%]). In-hospital case fatality rate was 11/222 (5%). Risk of death was significantly higher with surgery (OR = 20.1, 95% CI 3.59–112.44; P = 0.001), and 5/5 (100%) of dogs died if undergoing endoscopy after surgery was recommended but declined. Increasing numbers of postprocedural complications (OR = 3.44, CI 2.01–5.91; P < 0.001), esophageal perforation (OR = 65.47, CI 4.27–1004.15; P = 0.003), and postprocedure esophageal hemorrhage (OR = 11.81, CI 1.19–116.77; P = 0.04) increased in-hospital risk of death. Esophageal strictures were reported in 4/189 (2.1%) of survivors available for follow-up. Conclusions and Clinical Importance: Death is uncommon in canine EFB; however, treatment type affects outcome, and these data should be used to guide decision-making in dogs with EFB. |
Databáze: | OpenAIRE |
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