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国际犬类脊髓损伤观察性注册研究的建立:一个优化脊髓损伤转化研究的协作性数据共享网络。

Development of an International Canine Spinal Cord Injury observational registry: a collaborative data-sharing network to optimize translational studies of SCI.

作者信息

Moore Sarah A, Zidan Natalia, Spitzbarth Ingo, Nout-Lomas Yvette S, Granger Nicolas, da Costa Ronaldo C, Levine Jonathan M, Jeffery Nick D, Stein Veronika M, Tipold Andrea, Olby Natasha J

机构信息

Department of Veterinary Clinical Sciences, The Ohio State University College of Veterinary Medicine, Columbus, OH, USA.

Department of Clinical Sciences, College of Veterinary Medicine, North Carolina State University, Raleigh, NC, USA.

出版信息

Spinal Cord. 2018 Jul;56(7):656-665. doi: 10.1038/s41393-018-0145-4. Epub 2018 May 23.

Abstract

STUDY DESIGN

Prospective cross-sectional cohort study.

OBJECTIVES

The canine spontaneous model of spinal cord injury (SCI) is as an important pre-clinical platform as it recapitulates key facets of human injury in a naturally occurring context. The establishment of an observational canine SCI registry constitutes a key step in performing epidemiologic studies and assessing the impact of therapeutic strategies to enhance translational research. Further, accumulating information on dogs with SCI may contribute to current "big data" approaches to enhance understanding of the disease using heterogeneous multi-institutional, multi-species datasets from both pre-clinical and human studies.

SETTING

Multiple veterinary academic institutions across the United States and Europe.

METHODS

Common data elements recommended for experimental and human SCI studies were reviewed and adapted for use in a web-based registry, to which all dogs presenting to member veterinary tertiary care facilities were prospectively entered over ~1 year.

RESULTS

Analysis of data accumulated during the first year of the registry suggests that 16% of dogs with SCI present with severe, sensorimotor-complete injury and that 15% of cases are seen by a tertiary care facility within 8 h of injury. Similar to the human SCI population, 34% were either overweight or obese.

CONCLUSIONS

Severity of injury and timing of presentation suggests that neuroprotective studies using the canine clinical model could be conducted efficiently using a multi-institutional approach. Additionally, pet dogs with SCI experience similar comorbidities to people with SCI, in particular obesity, and could serve as an important model to evaluate the effects of this condition.

摘要

研究设计

前瞻性横断面队列研究。

目的

犬脊髓损伤(SCI)的自发模型是一个重要的临床前平台,因为它在自然发生的情况下概括了人类损伤的关键方面。建立一个观察性犬SCI登记册是进行流行病学研究和评估治疗策略影响以加强转化研究的关键一步。此外,积累有关SCI犬的信息可能有助于当前的“大数据”方法,利用来自临床前和人类研究的异质多机构、多物种数据集来增进对该疾病的了解。

地点

美国和欧洲的多个兽医学术机构。

方法

对推荐用于实验性和人类SCI研究的通用数据元素进行了审查,并对其进行调整以用于基于网络的登记册,在约1年的时间里,所有前往成员兽医三级护理机构就诊的犬都被前瞻性地录入该登记册。

结果

对登记册第一年积累的数据进行分析表明,16%的SCI犬表现为严重的感觉运动完全性损伤;15%的病例在受伤后8小时内被三级护理机构诊治。与人类SCI人群相似,34%的犬超重或肥胖。

结论

损伤的严重程度和就诊时间表明,使用多机构方法可以有效地利用犬临床模型进行神经保护研究。此外,患有SCI的宠物犬与患有SCI的人有相似的合并症,尤其是肥胖,并且可以作为评估这种情况影响的重要模型。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0230/6035082/f4e130f9c51d/nihms958551f1.jpg

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