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对来自爱尔兰共和国和北爱尔兰(2010 - 2020年)的131颗猫尿路结石进行回顾性分析。

Retrospective analysis of 131 feline uroliths from the Republic of Ireland and Northern Ireland (2010-2020).

作者信息

Ortega Cristina J, Stavroulaki Evangelia M, Lawlor Amanda, Lulich Jody, Cuq Benoit

机构信息

Section of Small Animal Clinical Studies, University College Dublin School of Veterinary Medicine, Belfield, Dublin, Ireland.

Minnesota Urolith Center, Department of Veterinary Clinical Sciences, College of Veterinary Medicine, University Minnesota, St Paul, MN, USA.

出版信息

Ir Vet J. 2023 Feb 6;76(1):2. doi: 10.1186/s13620-023-00232-1.

Abstract

BACKGROUND

The proportions of different urolith types have not been investigated in cats from the Republic of Ireland (ROI) and Northern Ireland (NI) previously. The objective of this study was to investigate the proportions of different feline urolith types submitted to Minnesota Urolith Center from the ROI and NI from 2010 to 2020. An additional aim of this study was to identify potential risk factors associated with each urolith type in cats in this geographic area.

RESULTS

One hundred and thirty-one uroliths were submitted for the studied period with 44.3% being struvite, 43.5% calcium oxalate and 7.6% compound. Only 11 uroliths were submitted in the first 4 years. The number of submissions increased after 2015, peaking in 2019 with 25 submissions. Due to low numbers no conclusions could be made about changes in incidence of urolith types over time. Cats ≤7 years of age were significantly more likely to be diagnosed with struvite uroliths (OR, 2.87 [1.37-6.06]; p = 0.007) while cats ≥7 years of age with calcium oxalate uroliths (OR, 2.67, [1.29-5.37], p = 0.004).

CONCLUSIONS

This is the first epidemiologic study of urolithiasis from cats in the ROI and NI. The most prevalent types of uroliths in our study population were struvite and calcium oxalate. Due to the low number of urolith submissions, changes in the incidence of different uroliths could not be accurately determined. Increasing age was associated with calcium oxalate formation while younger cats were more commonly diagnosed with struvite urolithiasis which can be medically dissolved. Therefore, urolith dissolution is more likely to be successful in young cats than older cats.

摘要

背景

此前尚未对来自爱尔兰共和国(ROI)和北爱尔兰(NI)的猫的不同尿路结石类型的比例进行过调查。本研究的目的是调查2010年至2020年期间提交给明尼苏达尿路结石中心的来自ROI和NI的不同猫尿路结石类型的比例。本研究的另一个目的是确定该地理区域内与每种猫尿路结石类型相关的潜在风险因素。

结果

在研究期间共提交了131颗尿路结石,其中磷酸铵镁结石占44.3%,草酸钙结石占43.5%,复合结石占7.6%。在最初的4年中仅提交了11颗尿路结石。2015年后提交数量增加,2019年达到峰值,为25颗。由于数量较少,无法得出尿路结石类型发病率随时间变化的结论。≤7岁的猫被诊断为磷酸铵镁结石的可能性显著更高(比值比,2.87 [1.37 - 6.06];p = 0.007),而≥7岁的猫患草酸钙结石的可能性更高(比值比,2.67,[1.29 - 5.37],p = 0.004)。

结论

这是对ROI和NI猫尿路结石病的首次流行病学研究。我们研究人群中最常见的尿路结石类型是磷酸铵镁和草酸钙。由于尿路结石提交数量较少,无法准确确定不同尿路结石发病率的变化。年龄增长与草酸钙形成有关,而年轻猫更常被诊断为可通过药物溶解的磷酸铵镁结石。因此,尿路结石溶解在年轻猫中比在老年猫中更可能成功。

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