Borgeat K, Wright J, Garrod O, Payne J R, Fuentes V L
Royal Veterinary College, Hatfield, Hertfordshire, UK.
J Vet Intern Med. 2014 Jan-Feb;28(1):102-8. doi: 10.1111/jvim.12249. Epub 2013 Nov 15.
Population characteristics and outcome of cats with arterial thromboembolism (ATE) managed in general practice (GP) have been poorly described.
Cats with ATE presenting to GP are usually euthanized at presentation, but survival times >1 year are possible.
Cats with ATE managed by 3 GP clinics in the United Kingdom.
Records of cases presenting to GP over a 98-month period (2004-2012) were reviewed. Cats with an antemortem diagnosis of limb ATE were included. Outcome information was obtained.
Over 98 months, 250 cats were identified with ATE. Prevalence was approximately 0.3%. At presentation, 153 cats (61.2%) were euthanized, with 68/97 (70.1%) of the remaining cats (27.2% of the total population) surviving >24 hours after presentation. Of these, 30/68 (44.1%) survived for at least 7 days. Hypothermia (HR, 1.44; 95% CI, 1.002-2.07; P = .049) and management by Clinic 2 (HR, 5.53; 95% CI, 1.23-24.8; P = .026) were independent predictors of 24-hour euthanasia or death. For cats surviving >24 hours, hypothermia (HR, 2.25; 95% CI, 1.12-4.48; P = .021) and failure to receive aspirin, clopidogrel, or both (HR, 8.26; 95% CI, 1.39-50; P = .001) were independent predictors of euthanasia or death within 7 days. For cats that survived ≥7 days, median survival time was 94 (95% CI, 42-164) days, with 6 cats alive 1 year after presentation.
Although 153/250 cats were euthanized at presentation, 6 cats survived >12 months. No factors were identified that predicted euthanasia on presentation.
关于在普通诊所（GP）接受治疗的患有动脉血栓栓塞（ATE）的猫的种群特征和预后情况，目前描述较少。
就诊于普通诊所的患有动脉血栓栓塞的猫通常在就诊时被实施安乐死，但存活时间超过1年是有可能的。
由英国3家普通诊所治疗的患有动脉血栓栓塞的猫。
回顾了98个月期间（2004年至2012年）就诊于普通诊所的病例记录。纳入生前诊断为肢体动脉血栓栓塞的猫。获取预后信息。
在98个月期间，共识别出250只患有动脉血栓栓塞的猫。患病率约为0.3%。就诊时，153只猫（61.2%）被实施安乐死，其余97只猫中的68只（占猫总数的27.2%）在就诊后存活超过24小时。其中，30只（44.1%）存活至少7天。体温过低（HR，1.44；95%CI，1.002 - 2.07；P = 0.049）和由诊所2进行治疗（HR，5.53；95%CI，1.23 - 24.8；P = 0.026）是24小时内实施安乐死或死亡的独立预测因素。对于存活超过24小时的猫，体温过低（HR，2.25；95%CI，1.12 - 4.48；P = 0.021）以及未接受阿司匹林、氯吡格雷或两者（HR，8.26；95%CI，1.39 - 50；P = 0.001）是7天内实施安乐死或死亡的独立预测因素。对于存活≥7天的猫，中位生存时间为94天（95%CI，42 - 164天），有6只猫在就诊1年后仍然存活。
尽管153/250只猫在就诊时被实施安乐死，但有6只猫存活超过12个月。未发现能预测就诊时实施安乐死的因素。
