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脓毒症犬的胆固醇浓度与预后及细菌感染类型均无关。

Cholesterol concentration is associated with neither prognosis nor bacterial infection type in septic dogs.

作者信息

Perez-Rodriguez Veronica, Kidd Alexis, Colee James, Wolf Jake

机构信息

Department of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, 2015 SW 16th Avenue, PO Box 100126, Gainesville, Florida 32610-012, USA (Perez-Rodriguez, Kidd, Wolf); IFAS Statistical Consulting, University of Florida, 402 McCarty Hall C, PO Box 110339, Gainesville, Florida 32611-0339, USA (Colee).

出版信息

Can Vet J. 2025 Jan;66(1):79-85.

Abstract

OBJECTIVE

The objective was to assess whether cholesterol concentration at admission was associated with outcome and disease severity in dogs with sepsis, and to determine whether there was a significant difference in cholesterol between dogs with gram-positive gram-negative sepsis.

ANIMALS AND PROCEDURE

Electronic medical records of dogs diagnosed with sepsis at a tertiary teaching hospital from 2012 to 2022 were evaluated. A total of 299 dogs were included. Data obtained included signalment, comorbidities, cholesterol concentration, culture results, duration of hospitalization, cost of hospitalization, and outcome. An acute patient physiological and laboratory evaluation fast score (APPLE) was calculated for every included dog.

RESULTS

In septic dogs, there was no significant difference in cholesterol concentration between survivors and non-survivors. Cholesterol concentration was not significantly associated with disease severity in dogs with sepsis and there was no significant difference in cholesterol concentration between dogs with grampositive gram-negative sepsis. However, a higher cholesterol concentration was associated with longer duration of hospitalization in surviving dogs.

CONCLUSION AND CLINICAL RELEVANCE

There were no significant correlations between cholesterol concentration and outcome, disease severity, or bacterial type in dogs with sepsis. Therefore, cholesterol does not appear to be a reliable biomarker of sepsis in dogs. Further research is warranted to understand the role of lipids in response to sepsis in dogs.

摘要

目的

评估脓毒症犬入院时的胆固醇浓度是否与预后及疾病严重程度相关,并确定革兰氏阳性菌脓毒症犬与革兰氏阴性菌脓毒症犬之间的胆固醇是否存在显著差异。

动物与方法

对2012年至2022年在一家三级教学医院诊断为脓毒症的犬的电子病历进行评估。共纳入299只犬。获取的数据包括特征、合并症、胆固醇浓度、培养结果、住院时间、住院费用及预后。为每只纳入的犬计算急性患者生理和实验室评估快速评分(APPLE)。

结果

在脓毒症犬中,存活犬与非存活犬的胆固醇浓度无显著差异。脓毒症犬的胆固醇浓度与疾病严重程度无显著相关性,革兰氏阳性菌脓毒症犬与革兰氏阴性菌脓毒症犬之间的胆固醇浓度也无显著差异。然而,较高的胆固醇浓度与存活犬较长的住院时间相关。

结论与临床意义

脓毒症犬的胆固醇浓度与预后、疾病严重程度或细菌类型之间无显著相关性。因此,胆固醇似乎不是犬脓毒症的可靠生物标志物。有必要进一步研究以了解脂质在犬对脓毒症反应中的作用。

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本文引用的文献

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The Many Roles of Cholesterol in Sepsis: A Review.胆固醇在脓毒症中的多种作用:综述。
Am J Respir Crit Care Med. 2022 Feb 15;205(4):388-396. doi: 10.1164/rccm.202105-1197TR.
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Sepsis Rapid Response Teams.Sepsis 快速反应团队。
Crit Care Clin. 2018 Apr;34(2):253-258. doi: 10.1016/j.ccc.2017.12.004. Epub 2018 Jan 20.

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