Laleye B O F-X V, Seye Mamadou, Chiavaccini Ludovica
Département Santé Publique et Environnement, Ecole Inter-Etats des Sciences et Médecine Vétérinaires, Dakar, Senegal.
Sahelvet Clinique et Pharmacie Veterinaire, Thiès, Senegal.
Front Pain Res (Lausanne). 2024 Sep 5;5:1429849. doi: 10.3389/fpain.2024.1429849. eCollection 2024.
Limited knowledge exists on recognition and treatment of equine abdominal pain in low- and middle-income countries. This study aimed at finding indicators for recognizing abdominal pain, evaluating responses to clinical and behavioral changes, and assessing the impact of timely referral on colic outcomes in a suburban region of Senegal. The final goal was to identify factors that may be leveraged to improve the outcome of horses presented for abdominal pain in Senegal.
Retrospective, observational cohort study.
Data from 26 foals and 40 adult horses referred for acute abdomen between 2013 and 2014 and the first semester of 2023 were reviewed. Signs of abdominal pain were grouped into behavioral, posture modification and animal interactions with the environment. Time to referral was defined as the time between the recognition of abdominal pain and referral. The association of time to referral and the outcome was calculated for each subpopulation and compared using logistic regression analysis as appropriate.
A significant proportion of owners (47%) and veterinarians (77.8%) relied on behavioral changes to detect abdominal pain in foals. Most owners referred foals within 24 h, while veterinarians referred within 12 h. Mortality in foals exceeded 50% when referral was delayed by 12 h or more. In adult horses, groomers often were the first noticing behavioral changes (79%), and they referred the horse within three hours, whereas owners typically delayed referral for 24 h or longer, leading to increased hospitalization expenses.
The study considered a limited cohort in an suburban area of Senegal. Sourcing complete data was challenging. Additionally, accurately assessing owner experience was difficult due to the participant group's heterogeneity. Absence of a reliable system to measure daily horse-owner interaction time and logistical challenges in the abdominal pain symptom alert chain were also limiting factors.
Early detection is critical for positive colic outcomes in both foals and adult horses. Therefore, raising awareness and providing training to horse owners for prompt recognition of symptoms and referral is essential. This proactive approach aims to improve overall outcomes and reduce the financial burden of equine hospitalization in Senegal.
在低收入和中等收入国家，关于马腹痛的识别与治疗的知识有限。本研究旨在寻找识别腹痛的指标，评估对临床和行为变化的反应，并评估在塞内加尔一个郊区及时转诊对绞痛结局的影响。最终目标是确定可利用的因素，以改善塞内加尔出现腹痛的马匹的结局。
回顾性观察队列研究。
回顾了2013年至2014年以及2023年上半年转诊的26匹幼驹和40匹成年马的急性腹痛数据。腹痛体征分为行为、姿势改变以及动物与环境的互动。转诊时间定义为识别腹痛与转诊之间的时间。计算每个亚组转诊时间与结局的关联，并酌情使用逻辑回归分析进行比较。
很大一部分马主（47%）和兽医（77.8%）依靠行为变化来检测幼驹的腹痛。大多数马主在24小时内转诊幼驹，而兽医在12小时内转诊。当转诊延迟12小时或更长时间时，幼驹的死亡率超过50%。在成年马中，饲养员通常是最先注意到行为变化的人（79%），他们在三小时内转诊马匹，而马主通常会延迟转诊24小时或更长时间，导致住院费用增加。
该研究在塞内加尔的一个郊区考虑了有限的队列。获取完整数据具有挑战性。此外，由于参与者群体的异质性，准确评估马主经验很困难。缺乏可靠的系统来衡量马主与马的日常互动时间以及腹痛症状警报链中的后勤挑战也是限制因素。
早期发现对于幼驹和成年马的绞痛良好结局至关重要。因此，提高认识并为马主提供培训以促使他们迅速识别症状并转诊至关重要。这种积极主动的方法旨在改善总体结局并减轻塞内加尔马匹住院的经济负担。
