Use of pelvic flexure biopsy scores to predict short-term survival after large colon volvulus

Veterinary Surgery : VS
Ohad LeviSarah S le Jeune

Abstract

To (1) determine if histologic scores of pelvic flexure biopsies can predict short-term survival in horses with large colon volvulus (LCV) and (2) identify clinical variables predictive of short-term survival. Case series. Horses (n = 28) with LCV (≥ 360°). Medical records (January 2000-February 2008) of 28 horses were reviewed and clinical data recorded. Pelvic flexure biopsies were reviewed by 2 board-certified veterinary pathologists, unaware of clinical history and outcome, using 2 scoring systems. Exact logistic regression analysis was used to determine the relationship between histopathology scores (tissue viability), clinical data, and short-term survival (hospital discharge). Twenty-four horses (86%) survived to hospital discharge. Using a similar cutoff, neither scoring system was capable of predicting short-term survival. One scoring system failed to correctly predict clinical outcome in 5/25 horses (20%) and the other failed in 6/28 horses (22.4%). Heart rate (at admission and 24 hours after surgery) and packed cell volume 24 hours after surgery were significantly associated with short-term survival. Histopathologic evaluation of pelvic flexure biopsies did not accurately predict short-term survival in a significant ...Continue Reading

References

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Citations

Sep 22, 2012·Equine Veterinary Journal·J M SuthersD C Archer
Apr 15, 2014·Veterinary Surgery : VS·Jamie K FiegeLouise L Southwood
Feb 7, 2018·Equine Veterinary Journal·D E Freeman
Dec 18, 2020·Frontiers in Veterinary Science·Carlotta LambertiniAlessandro Spadari

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