Hall Kelly E, Boller Manuel, Hoffberg Jayme, McMichael Maureen, Raffe Marc R, Sharp Claire R
American College of Veterinary and Emergency Critical Care Veterinary Committee on Trauma (ACVECC-VetCOT) (Chair), Stillwater, MN, 55082.
the Faculty of Veterinary and Agricultural Sciences and the Translational Research and Clinical Trials (TRACTS) Group, University of Melbourne, Werribee, VIC, Australia.
J Vet Emerg Crit Care (San Antonio). 2018 Nov;28(6):497-502. doi: 10.1111/vec.12766. Epub 2018 Oct 7.
To report summative data from the American College of Veterinary Emergency and Critical Care Veterinary Committee on Trauma (VetCOT) registry.
Multi-institutional veterinary trauma registry data report.
VetCOT identified veterinary trauma centers (VTCs).
Dogs and cats with evidence of trauma presented to VTCs with data entered in the VetCOT registry September 1, 2013-March 31, 2017.
VetCOT created a standardized data collection methodology for dog and cat trauma. Data were input to a web-based data capture system (REDCap) by data entry personnel trained in data software use and operational definitions of data variables. Data on demographics, trauma type (blunt vs penetrating), preadmission care, hospitalization and intensive care requirement, trauma severity assessment at presentation (eg, modified Glasgow coma scale and animal trauma triage score), key laboratory parameters, necessity for surgical intervention, and case outcome were collected. Summary descriptive data for each species are reported.
Twenty-nine VTCs in North America, Europe, and Australia contributed information from 17,335 dog and 3,425 cat trauma cases during the 42-month reporting period. A large majority of cases presented directly to the VTC after injury (80.4% dogs and 78.1% cats). Blunt trauma was the most common source for injury in cats (56.7%); penetrating trauma was the most common source for injury in dogs (52.3%). Note that 43.8% of dogs and 36.2% of cats were reported to have surgery performed. The proportion surviving to discharge was 92.0% (dogs) and 82.5% (cats).
The VetCOT registry proved to be a powerful resource for collection of a large dataset on trauma in dogs and cats seen at VTCs. While overall survival to discharge was quite high, further evaluation of data on subsets of injury types, patient assessment parameters, interventions, and associated outcome are warranted.
报告美国兽医急诊与重症护理学会创伤兽医委员会(VetCOT)登记处的总结性数据。
多机构兽医创伤登记处数据报告。
VetCOT认定的兽医创伤中心(VTC)。
2013年9月1日至2017年3月31日期间,有创伤证据并被送至VTC且数据录入VetCOT登记处的犬猫。
VetCOT为犬猫创伤创建了标准化数据收集方法。数据由经过数据软件使用和数据变量操作定义培训的数据录入人员输入基于网络的数据采集系统(REDCap)。收集了关于人口统计学、创伤类型(钝性伤与穿透性伤)、入院前护理、住院和重症护理需求、就诊时的创伤严重程度评估(如改良格拉斯哥昏迷量表和动物创伤分诊评分)、关键实验室参数、手术干预必要性及病例结果的数据。报告了每个物种的总结性描述数据。
在42个月的报告期内,北美、欧洲和澳大利亚的29个VTC提供了17335例犬创伤病例和3425例猫创伤病例的信息。绝大多数病例在受伤后直接被送至VTC(犬为80.4%,猫为78.1%)。钝性伤是猫受伤的最常见原因(56.7%);穿透性伤是犬受伤的最常见原因(52.3%)。注意,据报告43.8%的犬和36.2%的猫接受了手术。出院存活率为92.0%(犬)和82.5%(猫)。
VetCOT登记处被证明是收集VTC所见犬猫大量创伤数据集的有力资源。虽然总体出院存活率相当高,但仍有必要进一步评估损伤类型子集、患者评估参数、干预措施及相关结果的数据。