School of Veterinary Medicine and Science, University of Nottingham, Nottingham, UK.
Equine Vet J. 2020 Mar;52(2):262-267. doi: 10.1111/evj.13173. Epub 2019 Sep 23.
Colic is the most common emergency problem in the horse. An owner's ability to recognise colic and seek assistance is a critical first step in determining case outcome.
The aim of this study was to assess horse owners' knowledge and opinions on recognising colic.
Cross-sectional study.
An online questionnaire was distributed to horse owners with open and closed questions on their knowledge of normal clinical parameters in the horse, confidence and approach to recognising colic (including assessment through case scenarios), and their demographics. Descriptive and chi squared statistical analyses were performed.
There were 1564 participants. Many respondents either did not know or provided incorrect estimates for their horse's normal clinical parameters: only 45% (n = 693/1540) gave correct normal values for heart rate, 45% (n = 694/1541) for respiratory rate and 67% (n = 1028/1534) for rectal temperature. Knowledge of normal values was statistically associated with participants' educational qualifications (P<0.01). Owners said if they suspected their horse had colic they would assess faecal output (76%; n = 1131/1486), gastrointestinal sounds (75%; n = 1113/1486), respiratory rate (65%; n = 967/1486) and heart rate (54%; n = 797/1486). There was a lack of consensus on whether to call a vet for behavioural signs of colic, unless the signs were severe or persistent. The majority of participants (61%) were confident that they could recognise most types of colic. In the case scenarios, 49% were confident deciding that a surgical case had colic, but 9% were confident deciding an impaction case had colic.
Most respondents were UK based; risk of self-selection bias for owners with previous experience of colic.
There was marked variation in horse owners' recognition and responses to colic, and significant gaps in knowledge. This highlights the need for the development of accessible educational resources to support owners' decision-making.
绞痛是马最常见的紧急问题。马主能否识别绞痛并寻求帮助,是决定病例结果的关键第一步。
本研究旨在评估马主对识别绞痛的知识和看法。
横断面研究。
向马主发放在线问卷,询问他们对马正常临床参数的了解程度、对识别绞痛的信心和方法(包括通过病例情景进行评估),以及他们的人口统计学信息。进行描述性和卡方统计分析。
共有 1564 名参与者。许多受访者要么不知道,要么提供了他们马的正常临床参数的错误估计:只有 45%(n=693/1540)给出了正确的正常心率值,45%(n=694/1541)给出了正常呼吸率值,67%(n=1028/1534)给出了正常直肠温度值。对正常值的了解与参与者的教育程度呈统计学相关(P<0.01)。如果主人怀疑他们的马患有绞痛,他们会评估粪便排出量(76%;n=1131/1486)、胃肠道声音(75%;n=1113/1486)、呼吸率(65%;n=967/1486)和心率(54%;n=797/1486)。对于是否应该因为绞痛的行为迹象而给兽医打电话,除非这些迹象严重或持续,意见不一致。大多数参与者(61%)有信心能够识别大多数类型的绞痛。在病例情景中,49%的人有信心确定手术病例有绞痛,但 9%的人有信心确定阻塞病例有绞痛。
大多数受访者来自英国;存在因绞痛的既往经历而自我选择偏倚的风险。
马主对绞痛的识别和反应存在明显差异,知识也存在显著差距。这突出表明需要开发易于获取的教育资源,以支持主人的决策。