International Cat Care, Tisbury, UK.
Lumbry Park Veterinary Specialists, Alton, UK.
J Feline Med Surg. 2022 Oct;24(10):e380-e393. doi: 10.1177/1098612X221117348. Epub 2022 Aug 31.
The aim of this study was to determine how frequently body weight, body condition score (BCS) and terms pertaining to weight status are recorded in the electronic health records (EHRs) of veterinary practices in the UK, as well as to examine the variables affecting recording and associated with body weight, where recorded.
Data recorded in EHRs were searched in two 3-month periods in 2019 and 2020. For each visit, variables including type and time of consultation, signalment, recording of body weight, recording of BCS, weight (kg), BCS value and whether an overweight or weight-loss term was used in free text were recorded. Linear mixed-effects models were created to examine associations between body weight and variables, while mixed-effects logistic regression was used to determine associations between the same variables and weight or BCS recording.
The statistical data set comprised 129,076 visits from 129,076 cats at 361 practices. Weight was recorded at most (95.2%) visits, BCS was recorded at only 22.5% of visits, and terms associated with weight loss and overweight status were recorded in 10.0% and 7.2% of free-text records, respectively. Where BCS was recorded, approximately one-third of cats had an overweight score (8.0% of total visits). Using either an overweight term ( <0.001) or weight-loss term ( <0.001) was associated with increased odds of body weight being recorded, while being an out-of-hours ( <0.001) or non-routine consultation ( <0.001) were associated with decreased odds. Increasing age ( <0.001), using a weight-loss term ( <0.001) and using an overweight term ( <0.001) were associated with increased odds of BCS being recorded, while being a non-routine consultation ( <0.001) was associated with decreased odds. Recording BCS was negatively associated with recording body weight and vice versa.
Cats are regularly weighed in UK practice, but BCS is less frequently recorded, and both are less often recorded in non-routine consultations. To improve both the treatment and assessment of health and nutrition in cats, veterinary professionals should record body weight and BCS concurrently at every consultation.
本研究旨在确定在英国兽医实践的电子健康记录（EHR）中，体重、体况评分（BCS）和与体重状况相关的术语的记录频率，以及检查与记录相关的、与体重相关的变量，这些变量在记录时存在。
在 2019 年和 2020 年的两个 3 个月期间，搜索 EHR 中记录的数据。对于每次就诊，记录的变量包括就诊类型和时间、特征、体重记录、BCS 记录、体重（kg）、BCS 值以及是否在自由文本中使用超重或体重减轻术语。创建线性混合效应模型来检查体重与变量之间的关联，同时使用混合效应逻辑回归来确定相同变量与体重或 BCS 记录之间的关联。
统计数据集包含 361 家诊所的 129076 只猫的 129076 次就诊。大多数就诊时（95.2%）记录了体重，仅 22.5%的就诊时记录了 BCS，10.0%和 7.2%的自由文本记录分别记录了与体重减轻和超重状态相关的术语。在记录 BCS 的情况下，大约三分之一的猫超重（占总就诊的 8.0%）。使用超重术语（<0.001）或体重减轻术语（<0.001）与记录体重的可能性增加相关，而夜间（<0.001）或非常规就诊（<0.001）与记录体重的可能性降低相关。年龄增加（<0.001）、使用体重减轻术语（<0.001）和使用超重术语（<0.001）与记录 BCS 的可能性增加相关，而非常规就诊（<0.001）与记录 BCS 的可能性降低相关。记录 BCS 与记录体重呈负相关，反之亦然。
在英国的实践中，猫经常被称重，但 BCS 的记录频率较低，非常规就诊时两者的记录频率都较低。为了改善猫的健康和营养治疗和评估，兽医专业人员应在每次就诊时同时记录体重和 BCS。
