Schneider Sabrina, Hartmann Katrin, Dörfelt René
Clinic of Small Animal Medicine, Centre for Clinical Veterinary Medicine, LMU Munich, Munich, Germany.
Front Vet Sci. 2023 Jun 5;10:1198534. doi: 10.3389/fvets.2023.1198534. eCollection 2023.
To evaluate the effect of parenteral amino acid application in hospitalized hypoalbuminemic dogs.
Medical records of client-owned hypoalbuminemic dogs (albumin ≤ 25 g/L) were analyzed. Dogs receiving amino acids for only 1-2 days, receiving transfusions or surgery, or <6 months of age were excluded. Dogs were grouped as those receiving intravenous amino acids (AA, 80 dogs) over 3 days and longer, and those without additional amino acid treatment (CON, 78 dogs). Duration of hospitalization, albumin, and total protein concentrations were compared between groups by Mann-Whitney U test. Course of albumin and total protein concentration was evaluated by Friedman test and Dunn's multiple comparison test. Significance was set to ≤ 0.05.
Dogs in group AA received 10% amino acid solution intravenously over median 4 days (3-11 days). No significant differences regarding survival and adverse effects were observed between groups. Dogs of group AA had significantly longer duration of hospitalization (median 8 days; 3-33 days) compared to group CON dogs (median 6 days, 3-24 days; < 0.001). Initial albumin concentration was lower in group AA compared to CON ( < 0.001). This difference was no longer present on day 2 ( = 0.134).
Intravenous application of 10% amino acid solution in hypoalbuminemic dogs can improve albumin concentration after 2 days, but does not influence outcome.
评估肠外氨基酸应用于住院低白蛋白血症犬的效果。
分析客户拥有的低白蛋白血症犬(白蛋白≤25 g/L)的病历。排除仅接受1 - 2天氨基酸治疗、接受输血或手术或年龄小于6个月的犬。将犬分为接受静脉氨基酸(AA组,80只犬)治疗3天及以上的犬和未接受额外氨基酸治疗的犬(CON组,78只犬)。采用Mann-Whitney U检验比较两组之间的住院时间、白蛋白和总蛋白浓度。通过Friedman检验和Dunn多重比较检验评估白蛋白和总蛋白浓度的变化过程。显著性设定为≤0.05。
AA组犬静脉输注10%氨基酸溶液,中位时间为4天(3 - 11天)。两组之间在生存率和不良反应方面未观察到显著差异。与CON组犬(中位时间6天,3 - 24天)相比,AA组犬的住院时间显著更长(中位时间8天,3 - 33天;P < 0.001)。AA组的初始白蛋白浓度低于CON组(P < 0.001)。在第2天时这种差异不再存在(P = 0.134)。
低白蛋白血症犬静脉输注10%氨基酸溶液2天后可提高白蛋白浓度,但不影响预后。