Wainberg Shannon H, Brisson Brigitte A, Reabel Stephanie N, Hay Jennifer, Hayes Galina, Shmon Cindy L, Murphy Kim, Sears William
Departments of Clinical Studies (Wainberg, Brisson, Reabel) and Population Medicine (Sears), Ontario Veterinary College, University of Guelph, Guelph, Ontario N1G 2W1; Department of Clinical Sciences (Hay, Shmon), Western College of Veterinary Medicine, University of Saskatchewan, Saskatoon, Saskatchewan S7N 5A2; Department of Clinical Sciences (Hayes), College of Veterinary Medicine, Cornell University, Ithaca, New York 14853, USA (Murphy).
Can Vet J. 2019 Feb;60(2):167-173.
The objectives of this retrospective case series study were to describe a group of 66 dogs with lung lobe torsion (LLT) and to investigate the incidence of complications and risk factors for mortality and overall outcome in this population. Sixty-six dogs with LLT from 3 independent academic institutions were investigated. Information on signalment, history, clinical findings, and interventions was obtained. Associations with mortality outcome were examined logistic regression. Dogs with a depressed mentation at presentation were 21 times more likely to die than dogs with normal mentation [ = 0.008, 95% confidence interval (CI) = 1.949 to 579.904]. The overall odds of mortality were increased by 18% for each unit change in Acute Patient Physiologic and Laboratory Evaluation (APPLE) score ( = 0.04, 95% CI = 0.998 to 1.44). No other clinical abnormalities correlated with outcome.
本回顾性病例系列研究的目的是描述一组66只患有肺叶扭转（LLT）的犬，并调查该群体中并发症的发生率以及死亡和总体预后的风险因素。对来自3个独立学术机构的66只患有LLT的犬进行了调查。获取了有关信号、病史、临床发现和干预措施的信息。通过逻辑回归分析与死亡结局的相关性。就诊时精神沉郁的犬死亡可能性是精神正常犬的21倍[P = 0.008，95%置信区间（CI）= 1.949至579.904]。急性患者生理和实验室评估（APPLE）评分每变化一个单位，死亡的总体几率增加18%（P = 0.04，95% CI = 0.998至1.44）。没有其他临床异常与结局相关。
