Wells Raegan J, Gionfriddo Juliet R, Hackett Timothy B, Radecki Steven V
Veterinary Medical Center, Department of Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins, CO 80523, USA.
J Am Vet Med Assoc. 2007 Jul 15;231(2):251-3. doi: 10.2460/javma.231.2.251.
To determine the frequency of canine and feline emergency visits with respect to the lunar cycle.
Retrospective case series.
11,940 dogs and cats evaluated on an emergency basis during an 11-year period.
Date of emergency visit, signalment, and chief complaint were retrieved from a medical records database. Emergency type was categorized as animal bite, cardiac arrest, epilepsy, ophthalmic, gastric dilatation-volvulus, trauma, multiple diseases, neoplasia, or toxicosis. The corresponding lunar phase was calculated and recorded as new moon, waxing crescent, first quarter, waxing gibbous, full moon, waning gibbous, last quarter, or waning crescent. The effect of lunar phase on the frequency of emergency visits was evaluated by calculating relative risk.
Of 11,940 cases, 9,407 were canine and 2,533 were feline. Relative risk calculations identified a significant increase in emergencies for dogs and cats on fuller moon days (waxing gibbous to waning gibbous), compared with all other days.
Results suggested that more emergency room visits occurred on fuller moon days for dogs and cats. It is unlikely that an attending clinician would notice the fractional increase in visits (0.59 and 0.13 more canine and feline visits, respectively) observed in this study at a facility with a low caseload. If the study is repeated at a facility with a robust emergency caseload, these results may lead to reorganization of staffing on fuller moon dates. A prospective study evaluating these findings under conditions of high caseload is necessary to determine the clinical relevance.
确定犬猫急诊就诊次数与月相周期的关系。
回顾性病例系列研究。
11年间接受急诊评估的11940只犬猫。
从医疗记录数据库中检索急诊就诊日期、动物特征及主要诉求。急诊类型分为动物咬伤、心脏骤停、癫痫、眼科疾病、胃扩张扭转、外伤、多种疾病、肿瘤或中毒。计算并记录相应的月相,分为新月、娥眉月、上弦月、盈凸月、满月、亏凸月、下弦月或残月。通过计算相对风险评估月相对急诊就诊次数的影响。
11940例病例中,犬9407例,猫2533例。相对风险计算结果显示,与其他所有日期相比,犬猫在满月期间(盈凸月至亏凸月)的急诊次数显著增加。
结果表明,犬猫在满月期间的急诊室就诊次数更多。在病例量较低的机构中,主治医生不太可能注意到本研究中观察到的就诊次数的微小增加(犬猫就诊次数分别增加0.59次和0.13次)。如果在急诊病例量较大的机构重复本研究,这些结果可能会导致在满月日期重新安排人员配置。有必要进行一项前瞻性研究,在高病例量条件下评估这些发现,以确定其临床意义。