Clinical parameters at time of admission as prognostic indicators in cats presented for trauma to an emergency centre in New Zealand: a retrospective analysis.

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dc.citation.issue12
dc.citation.volume24
dc.contributor.authorFitzgerald WR
dc.contributor.authorCave NJ
dc.contributor.authorYozova ID
dc.coverage.spatialEngland
dc.date.available2022-12
dc.date.issued2022-12
dc.description(c) The Author/s
dc.description.abstractOBJECTIVES: The aims of this study were to describe the clinical features of cats presented for trauma in a first-opinion and referral teaching hospital in New Zealand, and to determine the relationship between those features and outcome. METHODS: The electronic medical records of cats presented for trauma to the Massey University Pet Emergency Centre between September 2013 and January 2019 were examined, from which the signalment, clinical parameters and patient outcomes were extracted. Cases were assigned an Animal Trauma Triage (ATT) score and Modified Glasgow Coma Scale (MGCS) score. Variables were selected for inclusion in a logistic regression model to predict survival, and backward elimination was used to find the minimal significant model. RESULTS: In total, 530 cats met the inclusion criteria. The cause of injury was not known in the majority of cases (38.0%). The most common location of injury was the hindlimbs/pelvis/tail (n = 247; 41%), and skin lacerations/abrasions were the most common specific injury. Multivariate analysis revealed altered mentation (odds ratio [OR] 0.31, P = 0.029), hypothermia (rectal temperature <37.8°C [<100.04°F]; OR 0.45, P = 0.015) and an ATT score ⩾5 (OR 0.13, P <0.001) to be statistically significantly associated with mortality. CONCLUSIONS AND RELEVANCE: Altered mentation and hypothermia are easily measurable perfusion parameter abnormalities associated with mortality in cats presenting with trauma. The ATT score appears to be an accurate prognostic indicator in cats presenting with trauma in New Zealand. These results highlight the importance of incorporating a hands-on triage examination in each cat that presents as an emergency after trauma.
dc.description.publication-statusPublished
dc.format.extent1294 - 1300
dc.identifierhttps://www.ncbi.nlm.nih.gov/pubmed/36018375
dc.identifier.citationJ Feline Med Surg, 2022, 24 (12), pp. 1294 - 1300
dc.identifier.doi10.1177/1098612X221115674
dc.identifier.eissn1532-2750
dc.identifier.elements-id455714
dc.identifier.harvestedMassey_Dark
dc.languageeng
dc.relation.isPartOfJ Feline Med Surg
dc.rightsCC BY-ND 4.0
dc.subjectAnimal Trauma Triage score
dc.subjectHypothermia
dc.subjectModified Glasgow Coma Scale
dc.subjectlevel of consciousness
dc.subjecttriage
dc.subjectCats
dc.subjectAnimals
dc.subjectRetrospective Studies
dc.subjectPrognosis
dc.subjectNew Zealand
dc.subjectHindlimb
dc.subject.anzsrc0707 Veterinary Sciences
dc.titleClinical parameters at time of admission as prognostic indicators in cats presented for trauma to an emergency centre in New Zealand: a retrospective analysis.
dc.typeJournal article
pubs.notesNot known
pubs.organisational-group/Massey University
pubs.organisational-group/Massey University/College of Sciences
pubs.organisational-group/Massey University/College of Sciences/School of Veterinary Science
pubs.organisational-group/Massey University/College of Sciences/School of Veterinary Science/Veterinary Clinic & Teaching Hospital
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