School of Veterinary Medicine and Science, University of Nottingham, Loughborough, UK
School of Veterinary Medicine and Science, University of Nottingham, Loughborough, UK.
Vet Rec. 2020 Dec 19;187(12):492. doi: 10.1136/vr.105881. Epub 2020 Jul 27.
This study aimed to describe the presentation and outcomes of horses with signs of colic (abdominal pain) seen 'out-of-hours' in equine practice.
This was a retrospective study of horses seen 'out-of-hours' with colic by two equine veterinary practices between 2011 and 2013. Case outcomes were categorised as 'critical' or 'not critical'. A critical outcome was defined as requiring medical or surgical hospital treatment, or resulting in euthanasia or death. A non-critical outcome was defined as resolving with simple medical treatment. A hierarchical generalised linear model was used to identify 'red flag' parameters (aspects of signalment, history and presenting clinical signs) associated with critical outcomes.
Data were retrieved from 941 cases that presented with colic; 23.9 per cent (n=225/941) were critical. Variables significantly associated with the likelihood of a critical outcome in the final multivariable model were increased heart rate (P<0.001), age of the horse (P=0.013) and abnormal mucous membrane colour (P<0.001). Overall 18 per cent (n=168/941) of cases were euthanased.
This study highlights the mortality associated with colic. The 'red flag' parameters identified should be considered an essential component of the primary assessment of horses with colic.
本研究旨在描述在兽医诊所“非工作时间”就诊的表现出腹痛（腹部疼痛）症状的马的表现和结果。
这是一项回顾性研究，研究了 2011 年至 2013 年间两家兽医诊所“非工作时间”就诊的患有腹痛的马。病例结果分为“危急”或“非危急”。危急结果定义为需要医疗或手术住院治疗，或导致安乐死或死亡。非危急结果定义为通过简单的医疗治疗得到解决。使用分层广义线性模型来确定与危急结果相关的“危险信号”参数（特征、病史和表现出的临床症状）。
从 941 例表现出腹痛的病例中检索到数据；23.9%（n=225/941）为危急。在最终多变量模型中，与危急结果发生可能性相关的变量有心率增加（P<0.001）、马的年龄（P=0.013）和异常黏膜颜色（P<0.001）。总体而言，18%（n=168/941）的病例被安乐死。
本研究强调了腹痛相关的死亡率。确定的“危险信号”参数应被视为对腹痛马进行初步评估的重要组成部分。
