Department of Small Animal Clinical Sciences, University of Tennessee College of Veterinary Medicine, Knoxville, Tennessee, USA.
Franklin A. Graybill Statistical Laboratory, Colorado State University, Fort Collins, Colorado, USA.
J Vet Emerg Crit Care (San Antonio). 2022 Nov;32(6):705-713. doi: 10.1111/vec.13229. Epub 2022 Aug 10.
To identify demographic information, epidemiological factors, and clinical abnormalities that differentiate cats with severe trauma, defined as an Animal Trauma Triage Score (ATTS) ≥3 from those with mild injury (ATTS 0-2).
Multicenter observational study utilizing data from the American College of Veterinary Emergency and Critical Care (ACVECC) Veterinary Committee on Trauma (VetCOT) registry.
ACVECC VetCOT Veterinary Trauma Centers.
A total of 3859 cats with trauma entered into the ACVECC VetCOT registry between April 1, 2017 and December 31, 2019.
None MEASUREMENTS AND MAIN RESULTS: Cats were categorized by ATTS 0-2 (mild, 65.1%) and ≥3 (severe, 34.9%). There was no age difference between categories. Male animals, particularly intact animals, were overrepresented. Blunt trauma was more common than penetrating, with blunt trauma and a combination of blunt and penetrating trauma being more common in the severe trauma group. While 96.6% of cats with ATTS 0-2 survived to discharge, only 58.5% with ATTS ≥3 survived. Only 46.8% of cats with severe trauma had a point-of-care ultrasound performed, of which 8.9% had free abdominal fluid noted. Hospitalization and surgical procedures were more common in the severe trauma group. Transfusions occurred more frequently in the severe trauma group but only in 4.1% of these cats. Other than ionized calcium, all recorded clinicopathological data (plasma lactate, base excess, PCV, total plasma protein, blood glucose) differed between groups.
Feline trauma patients with an ATTS ≥3 commonly present to Veterinary Trauma Centers and have decreased survival to discharge compared to patients with ATTS 0-2. Differences exist between these groups, including an increased frequency of blunt force trauma (particularly vehicular trauma), head and spinal trauma, and certain clinicopathological changes in the ATTS ≥3 population. Relatively low incidences of point-of-care ultrasound evaluation and transfusions merit further investigation.
确定能够区分严重创伤猫（创伤急救评分 ATTS≥3）与轻度损伤猫（ATTS 0-2）的人口统计学信息、流行病学因素和临床异常。
利用美国兽医急诊与危重病学院（ACVECC）兽医创伤委员会（VetCOT）登记处的数据进行的多中心观察性研究。
ACVECC VetCOT 兽医创伤中心。
2017 年 4 月 1 日至 2019 年 12 月 31 日期间，共有 3859 只患有创伤的猫进入 ACVECC VetCOT 登记处。
无
根据 ATTS 0-2（轻度，65.1%）和≥3（重度，34.9%）对猫进行分类。两个类别之间无年龄差异。雄性动物，尤其是未绝育的雄性动物，所占比例过高。钝性创伤比穿透性创伤更常见，在重度创伤组中，钝性创伤和钝性与穿透性混合创伤更常见。虽然 96.6%的 ATTS 0-2 猫存活至出院，但只有 58.5%的 ATTS≥3 猫存活。只有 46.8%的重度创伤猫进行了即时护理超声检查，其中 8.9%的猫有游离腹腔积液。在重度创伤组中，住院和手术更为常见。在重度创伤组中更频繁地进行输血，但这些猫中只有 4.1%进行了输血。除了离子钙外，两组间所有记录的临床病理数据（血浆乳酸、碱剩余、PCV、总血浆蛋白、血糖）均存在差异。
创伤急救评分 ATTS≥3 的猫通常会到兽医创伤中心就诊，与 ATTS 0-2 的猫相比，其存活至出院的比例较低。这些群体之间存在差异，包括钝性外力创伤（特别是车辆创伤）、头部和脊柱创伤以及 ATTS≥3 群体中某些临床病理变化的发生率增加。即时护理超声评估和输血的相对低发生率值得进一步研究。
