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老年马匹的诊断、临床病理检查结果及治疗结果:345例病例(2006 - 2010年)

Diagnoses, clinical pathology findings, and treatment outcome of geriatric horses: 345 cases (2006-2010).

作者信息

Silva Adriana G, Furr Martin O

机构信息

Marion duPont Scott Equine Medical Center, Virginia-Maryland Regional College of Veterinary Medicine, Virginia Tech, Leesburg, VA 20177.

出版信息

J Am Vet Med Assoc. 2013 Dec 15;243(12):1762-8. doi: 10.2460/javma.243.12.1762.

DOI:10.2460/javma.243.12.1762
PMID:24299549
Abstract

OBJECTIVE

To compare clinical, clinical pathology, and outcome variables between geriatric and nongeriatric horses.

DESIGN

Retrospective case-control study.

ANIMALS

690 horses (345 horses ≥ 20 years old and 345 horses > 1 and < 20 years old) examined at a referral hospital.

PROCEDURES

Medical records were examined, and data collected included horse description, diagnosis, outcome, and CBC and serum biochemical analysis results. Cases were horses ≥ 20 years old, and controls were horses > 1 and < 20 years old.

RESULTS

Mean ± SD age was 23.9 ± 4.6 years for cases and 9.2 ± 3.6 years for controls. Arabian and pony breeds were significantly overrepresented in the geriatric group, compared with the control group. Diagnoses related to the digestive system, musculoskeletal system, and respiratory system were most common in this hospital population overall (cases and controls). Colic was the most common health problem overall. Digestive system disorders were significantly more prevalent among cases. Short-term survival rates for most categories of colic were no different for cases than for controls, with the exception of the category idiopathic colic. Considering all conditions, cases were significantly more likely to be nonsurvivors than were controls. Minor differences in serum biochemical results were found in some disease subcategories. Geriatric horses with colic were not more commonly euthanized than were adult nongeriatric horses.

CONCLUSIONS AND CLINICAL RELEVANCE

Results indicated that in this population of horses in a referral hospital, age was associated with the prevalence of specific disease conditions. Few differences between cases and controls were found in serum biochemical values.

摘要

目的

比较老年马和非老年马的临床、临床病理学及预后变量。

设计

回顾性病例对照研究。

动物

690匹马(345匹年龄≥20岁,345匹年龄>1岁且<20岁)在一家转诊医院接受检查。

方法

检查病历,收集的数据包括马匹描述、诊断、预后以及全血细胞计数和血清生化分析结果。病例为年龄≥20岁的马,对照为年龄>1岁且<20岁的马。

结果

病例组的平均年龄±标准差为23.9±4.6岁,对照组为9.2±3.6岁。与对照组相比,阿拉伯马和矮种马品种在老年组中占比显著过高。在该医院总体马群(病例组和对照组)中,与消化系统、肌肉骨骼系统和呼吸系统相关的诊断最为常见。绞痛是最常见的健康问题。消化系统疾病在病例组中明显更为普遍。除特发性绞痛类别外,大多数绞痛类别的短期存活率在病例组和对照组之间无差异。考虑所有病症,病例组比对照组更有可能死亡。在一些疾病亚类中发现血清生化结果存在微小差异。患有绞痛的老年马并不比成年非老年马更常被实施安乐死。

结论及临床意义

结果表明,在这家转诊医院的马群中,年龄与特定疾病状况的患病率相关。病例组和对照组的血清生化值差异不大。

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