Use of physiologic and arterial blood gas variables to predict short-term survival in horses with large colon volvulus. 2013

Maureen E Kelleher, and Robert J Brosnan, and Philip H Kass, and Sarah S le Jeune
William R. Pritchard Veterinary Medical Teaching Hospital, School of Veterinary Medicine, University of California-Davis, Davis, CA 95616, USA.

OBJECTIVE To determine if preoperative physical examination and blood work values, intraoperative physiologic variables, and intraoperative treatments can be correlated with survival to anesthetic recovery and short-term survival to hospital discharge in horses that undergo exploratory celiotomy for large colon volvulus (LCV) with and without colon resection. METHODS Retrospective case series. METHODS Horses (n = 156) undergoing exploratory celiotomy for correction of LCV ≥ 360(ο) . METHODS Medical records (January 2000-December 2009) of horses that had surgical correction of LCV ≥ 360(ο) were reviewed. Data collection included signalment, preoperative physical examination variables and hematologic values as well as intraoperative physiologic variables, intraoperative treatments, and arterial blood gas values. Risk factors for survival to anesthetic recovery and hospital discharge were determined using exact logistic regression. RESULTS High preoperative heart rate and packed cell volume were associated with not surviving to anesthetic recovery or hospital discharge. A low intraoperative total serum protein concentration was associated with not surviving to anesthetic recovery or to hospital discharge. Intraoperative tachycardia and hypercapnia were associated with not surviving to hospital discharge. Intraoperative hypotension was a negative predictor of survival to anesthetic recovery. There was no increase in death for horses in which a resection and anastomosis was performed compared with those having manual correction. CONCLUSIONS Several hematologic and cardiorespiratory variables that are easily measured preoperatively and intraoperatively show good correlation with postanesthetic survival in horses undergoing surgical correction of LCV. These measurements might be useful for prognosticating survival in horses admitted for correction of LCV ≥ 360(ο) .

UI MeSH Term Description Entries
D011237 Predictive Value of Tests In screening and diagnostic tests, the probability that a person with a positive test is a true positive (i.e., has the disease), is referred to as the predictive value of a positive test; whereas, the predictive value of a negative test is the probability that the person with a negative test does not have the disease. Predictive value is related to the sensitivity and specificity of the test. Negative Predictive Value,Positive Predictive Value,Predictive Value Of Test,Predictive Values Of Tests,Negative Predictive Values,Positive Predictive Values,Predictive Value, Negative,Predictive Value, Positive
D001784 Blood Gas Analysis Measurement of oxygen and carbon dioxide in the blood. Analysis, Blood Gas,Analyses, Blood Gas,Blood Gas Analyses,Gas Analyses, Blood,Gas Analysis, Blood
D006734 Horse Diseases Diseases of domestic and wild horses of the species Equus caballus. Equine Diseases,Disease, Equine,Disease, Horse,Diseases, Equine,Diseases, Horse,Equine Disease,Horse Disease
D006736 Horses Large, hoofed mammals of the family EQUIDAE. Horses are active day and night with most of the day spent seeking and consuming food. Feeding peaks occur in the early morning and late afternoon, and there are several daily periods of rest. Equus caballus,Equus przewalskii,Horse, Domestic,Domestic Horse,Domestic Horses,Horse,Horses, Domestic
D000818 Animals Unicellular or multicellular, heterotrophic organisms, that have sensation and the power of voluntary movement. Under the older five kingdom paradigm, Animalia was one of the kingdoms. Under the modern three domain model, Animalia represents one of the many groups in the domain EUKARYOTA. Animal,Metazoa,Animalia
D012189 Retrospective Studies Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons. Retrospective Study,Studies, Retrospective,Study, Retrospective
D045822 Intestinal Volvulus A twisting in the intestine (INTESTINES) that can cause INTESTINAL OBSTRUCTION. Volvulus,Volvulus, Intestine,Volvulus, Intestinal

Related Publications

Maureen E Kelleher, and Robert J Brosnan, and Philip H Kass, and Sarah S le Jeune
July 2012, Veterinary surgery : VS,
Maureen E Kelleher, and Robert J Brosnan, and Philip H Kass, and Sarah S le Jeune
March 2013, Equine veterinary journal,
Maureen E Kelleher, and Robert J Brosnan, and Philip H Kass, and Sarah S le Jeune
February 2006, Journal of the American Veterinary Medical Association,
Maureen E Kelleher, and Robert J Brosnan, and Philip H Kass, and Sarah S le Jeune
January 2000, Veterinary surgery : VS,
Maureen E Kelleher, and Robert J Brosnan, and Philip H Kass, and Sarah S le Jeune
May 2015, Equine veterinary journal,
Maureen E Kelleher, and Robert J Brosnan, and Philip H Kass, and Sarah S le Jeune
June 2006, Veterinary surgery : VS,
Maureen E Kelleher, and Robert J Brosnan, and Philip H Kass, and Sarah S le Jeune
December 2008, Veterinary surgery : VS,
Maureen E Kelleher, and Robert J Brosnan, and Philip H Kass, and Sarah S le Jeune
January 2024, BMC nephrology,
Maureen E Kelleher, and Robert J Brosnan, and Philip H Kass, and Sarah S le Jeune
April 2017, Veterinary surgery : VS,
Maureen E Kelleher, and Robert J Brosnan, and Philip H Kass, and Sarah S le Jeune
April 2020, Veterinary surgery : VS,
Copied contents to your clipboard!