Department of Small Animal Emergency and Critical Care, The Veterinary Teaching Hospital, Koret School of Veterinary Medicine, The Hebrew University of Jerusalem, Rehovot, Israel.
Small Animal Surgery, The Veterinary Teaching Hospital, Koret School of Veterinary Medicine, The Hebrew University of Jerusalem, Rehovot, Israel.
J Feline Med Surg. 2022 Feb;24(2):107-115. doi: 10.1177/1098612X211010735. Epub 2021 May 13.
Bite wounds are a common cause of trauma in cats; nevertheless, large-scale studies of this trauma in cats are lacking. The aims of the present study were to characterise the clinical and clinicopathological findings in these cats, to assess the association of these variables and therapeutic measures with survival, and to assess the association between the animal trauma triage (ATT) score and severity of injuries score (SS) at presentation with survival.
The medical records of cats presented to a veterinary teaching hospital and two large referral clinics were reviewed retrospectively.
The study included 72 cats diagnosed with canine bite wounds (with the dog attacks having been witnessed). Seventy-one percent of cats suffered multiple injuries, and there was a significant association between the number of injured body areas and survival, and between severity of injury and survival ( = 0.02 and = 0.012, respectively). The median ATT scores and SSs for non-survivors were significantly higher compared with survivors ( <0.0001). There was a strong and significant correlation between ATT scores and SSs ( = 0.704, <0.0001). Total protein and albumin were significantly lower and alanine aminotransferase significantly higher in non-survivors compared with survivors ( ⩽0.032). Fifty percent of cats were treated conservatively, 32% by local surgical debridement and 18% of cats required an exploratory procedure. Cats undergoing more aggressive treatments were significantly less likely to survive ( = 0.029). Fifty-seven cats (79%) survived to discharge.
Cats sustaining canine bite wounds have a good overall prognosis for survival to discharge. High ATT score, high SS, multiple body area injuries, penetrating injuries, radiographic evidence of vertebral body fractures and body wall abnormalities, as well as hypoproteinaemia and elevated alanine aminotransferase, are negative predictors of survival.
咬伤是猫创伤的常见原因；然而，针对此类创伤的大规模研究却很少。本研究旨在描述这些猫的临床和临床病理表现，评估这些变量与治疗措施与存活率之间的关系，并评估就诊时动物创伤分类（ATT）评分和严重程度评分（SS）与存活率之间的关系。
回顾性分析了一家兽医教学医院和两家大型转诊诊所就诊的猫的病历。
研究共纳入 72 只被诊断为犬咬伤（有目击犬袭击）的猫。71%的猫有多处损伤，受伤身体部位的数量与存活率之间存在显著关联，损伤严重程度与存活率之间也存在显著关联（ = 0.02 和 = 0.012）。非幸存者的 ATT 评分和 SS 中位数显著高于幸存者（ <0.0001）。ATT 评分和 SS 之间存在很强且显著的相关性（ = 0.704， <0.0001）。非幸存者的总蛋白和白蛋白明显低于幸存者，丙氨酸氨基转移酶明显高于幸存者（ ⩽0.032）。50%的猫接受了保守治疗，32%的猫接受了局部清创术，18%的猫需要进行探查手术。接受更积极治疗的猫存活率显著降低（ = 0.029）。57 只猫（79%）存活出院。
患有犬咬伤的猫总体预后良好，可存活至出院。高 ATT 评分、高 SS、多处身体区域损伤、穿透性损伤、椎骨骨折和体壁异常的放射影像学证据以及低蛋白血症和丙氨酸氨基转移酶升高是预后不良的预测因素。
