Long-term outcome and risk factors associated with death or the need for revision surgery in dogs with permanent tracheostomies
| Autor: | Catherine A. M. Vetter, Kelley M. Thieman-Mankin, Brad M. Matz, Katelyn C. Hlusko, Samantha Lin, Karen K. Cornell, Chad W. Schmiedt, Valery F. Scharf, Janet A. Grimes, Anastacia M Davis, Allyson A. Sterman, Mandy L. Wallace |
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| Rok vydání: | 2019 |
| Předmět: |
Reoperation
medicine.medical_specialty 040301 veterinary sciences Tracheal collapse Aspiration pneumonia 0403 veterinary science Stoma 03 medical and health sciences Dogs Tracheostomy 0302 clinical medicine Risk Factors Occlusion medicine Animals Dog Diseases Retrospective Studies Cause of death General Veterinary business.industry Medical record Retrospective cohort study 04 agricultural and veterinary sciences medicine.disease Surgery Stenosis Treatment Outcome 030220 oncology & carcinogenesis business |
| Zdroj: | Journal of the American Veterinary Medical Association. 254:1086-1093 |
| ISSN: | 0003-1488 |
| Popis: | OBJECTIVE To evaluate long-term outcomes and identify factors associated with death or the need for revision surgery in dogs with permanent tracheostomies (PTs). DESIGN Retrospective cohort study. ANIMALS 69 client-owned dogs that received a PT between January 2002 and June 2016 at 1 of 4 veterinary teaching hospitals. PROCEDURES Medical records were reviewed, and data extracted included signalment, history, clinical signs, radiographic and laryngeal examination findings, presence of esophageal abnormalities, date and reason for receiving a PT, postoperative complications, cause of death, and survival time. Dogs surviving < 2 weeks after receiving a PT were excluded. RESULTS Major complications occurred in 42 of 69 (61%) dogs, with aspiration pneumonia (13 [19%]), skinfold occlusion (13 [19%]), and stoma stenosis (12 [17%]) being most common. Revision surgery was performed in 24 of 69 (35%) dogs, most commonly because of stoma stenosis or skinfold occlusion (9/24 [38%] each). Brachycephalic dogs were more likely (OR, 3.5; 95% confidence interval, 1.2 to 10.2) to require revision surgery than were nonbrachycephalic dogs. The overall median survival time was 1,825 days, and dogs that received corticosteroids before receiving a PT, had tracheal collapse, or were older had shorter survival times. CONCLUSIONS AND CLINICAL RELEVANCE Results of the present study indicated that creation of a PT was a viable treatment option for obstructive upper airway diseases in dogs and that long-term survival after receiving a PT was possible; however, a PT may not reduce the risk of aspiration pneumonia in dogs. |
| Databáze: | OpenAIRE |
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