Department of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, Florida, USA.
Department of Large Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, Florida, USA.
J Vet Emerg Crit Care (San Antonio). 2021 Sep;31(5):629-637. doi: 10.1111/vec.13066. Epub 2021 Jul 30.
To examine the relationship between after-hours (ie, nights and weekends) emergency general surgery and morbidity or mortality in dogs and cats during hospitalization.
Cross-sectional study from September 1, 2013 to May 31, 2017.
University teaching hospital.
Four hundred seventy-four dogs and 66 cats that underwent emergency general surgery (gastrointestinal, hepatobiliary, urogenital, soft tissue traumatic injury, splenectomy/excision of bleeding abdominal tumor, surgical revision, and negative exploratory categories) with the emergency surgery service. All patients were required to have complete medical records.
None.
Study animals were grouped as exposed or not exposed to after-hours emergency surgery. They were further classified as either postoperatively dead or suffering morbidity (yes or no). Additional exposure factors (eg, age, sex, American Society of Anesthesiology [ASA] status) were investigated. Multivariable logistic regression was used to identify and quantify any associations with mortality or morbidity. In dogs, exposure to after-hours emergency general surgery was not associated with mortality or morbidity. In dogs, both mortality and morbidity were associated with ASA status. In cats, mortality was not examined because the number of dead cats was small (n = 5). The odds of morbidity were 3.4 times lower (1/0.29) in cats having emergency surgery after hours, compared to cats admitted during regular hours (odds ratio [OR], 0.29; 95% Confidence Interval (CI), 0.09-0.93; P = 0.03). No other investigated exposure factors were associated with morbidity in study cats.
After-hours emergency surgery in dogs was not associated with increased risk of mortality and morbidity at the study facility. Feline patients having emergency surgery during regular hospital hours had a higher risk of morbidity; further investigation of modifiable risk factors is warranted.
研究犬猫住院期间夜间（即夜间和周末）急诊普通外科手术与发病率或死亡率之间的关系。
2013 年 9 月 1 日至 2017 年 5 月 31 日的横断面研究。
大学教学医院。
接受急诊普通外科手术（胃肠道、肝胆、泌尿生殖、软组织创伤性损伤、脾切除术/切除出血性腹部肿瘤、手术修正和阴性探查分类）的 474 只狗和 66 只猫，有急诊外科服务。所有患者都必须有完整的病历。
无。
将研究动物分为接受或不接受夜间急诊手术。他们进一步分为术后死亡或患有发病率（是或否）。还调查了其他暴露因素（例如，年龄、性别、美国麻醉师协会 [ASA] 状态）。多变量逻辑回归用于确定和量化与死亡率或发病率的任何关联。在狗中，夜间急诊普通外科手术的暴露与死亡率或发病率无关。在狗中，死亡率和发病率均与 ASA 状态有关。在猫中，由于死亡猫的数量较少（n=5），因此未检查死亡率。与白天接受常规治疗的猫相比，夜间接受紧急手术的猫患病的可能性低 3.4 倍（OR，0.29；95%CI，0.09-0.93；P=0.03）。在研究猫中，没有其他调查的暴露因素与发病率有关。
在研究机构中，夜间急诊手术在犬中与死亡率和发病率增加无关。在白天接受常规治疗的猫中，急诊手术的猫发病率更高；需要进一步调查可改变的危险因素。
