O'Neill D G, Case J, Boag A K, Church D B, McGreevy P D, Thomson P C, Brodbelt D C
Pathobiology and Population Sciences, The Royal Veterinary College, Hatfield, Herts AL9 7TA, UK.
Vets Now Ltd., Castle Riggs, Dunfermline KY11 8SG, UK.
J Small Anim Pract. 2017 Nov;58(11):629-638. doi: 10.1111/jsap.12723. Epub 2017 Aug 21.
To report prevalence, risk factors and clinical outcomes for presumptive gastric dilation-volvulus diagnosed among an emergency-care population of UK dogs.
The study used a cross-sectional design using emergency-care veterinary clinical records from the VetCompass Programme spanning September 1, 2012 to February 28, 2014 and risk factor analysis using multivariable logistic regression modelling.
The study population comprised 77,088 dogs attending 50 Vets Now clinics. Overall, 492 dogs had presumptive gastric dilation-volvulus diagnoses, giving a prevalence of 0·64% (95% Confidence interval: 0·58 to 0·70%). Compared with cross-bred dogs, breeds with the highest odds ratios for the diagnosis of presumptive gastric dilation-volvulus were the great Dane (odds ratio: 114·3, 95% Confidence interval 55·1 to 237·1, P<0·001), akita (odds ratio: 84·4, 95% Confidence interval 33·6 to 211·9, P<0·001) and dogue de Bordeaux (odds ratio: 82·9, 95% Confidence interval 39·0 to 176·3, P<0·001). Odds increased as dogs aged up to 12 years and neutered male dogs had 1·3 (95% Confidence interval 1·0 to 1·8, P=0·041) times the odds compared with entire females. Of the cases that were presented alive, 49·7% survived to discharge overall, but 79·3% of surgical cases survived to discharge.
Approximately 80% of surgically managed cases survived to discharge. Certain large breeds were highly predisposed.
报告在英国犬类急诊护理群体中确诊的疑似胃扩张-扭转的患病率、风险因素及临床结果。
本研究采用横断面设计，利用2012年9月1日至2014年2月28日VetCompass项目的急诊兽医临床记录，并通过多变量逻辑回归模型进行风险因素分析。
研究群体包括在50家Vets Now诊所就诊的77,088只犬。总体而言，492只犬被确诊为疑似胃扩张-扭转，患病率为0.64%（95%置信区间：0.58至0.70%）。与杂种犬相比，确诊疑似胃扩张-扭转几率最高的品种是大丹犬（几率比：114.3，95%置信区间55.1至237.1，P<0.001）、秋田犬（几率比：84.4，95%置信区间33.6至211.9，P<0.001）和波尔多犬（几率比：82.9，95%置信区间39.0至176.3，P<0.001）。几率随着犬龄增长至12岁而增加，绝育雄犬的几率是未绝育雌犬的1.3倍（95%置信区间1.0至1.8，P = 0.041）。在存活到就诊的病例中，总体49.7%存活至出院，但手术病例中有79.3%存活至出院。
约80%接受手术治疗的病例存活至出院。某些大型品种易患此病。
