Prevalence of acute kidney injury and outcome in cats treated as inpatients versus outpatients following lily exposure.

IF 1.6 2区农林科学 Q2 VETERINARY SCIENCES Javma-journal of The American Veterinary Medical Association Pub Date : 2024-10-16 DOI:10.2460/javma.24.05.0355

Justin Lam, Rebecka S Hess, Erica L Reineke

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Abstract

Objective: To investigate the prevalence of acute kidney injury (AKI) and outcome in cats treated for lily exposure as inpatients (IPs) or outpatients (OPs).

Methods: Medical records of cats with lily exposure were retrospectively evaluated; 112 cats were included. Signalment, type of exposure, time from exposure to presentation, decontamination procedures, treatment group (IPs vs OPs), creatinine and International Renal Interest Society AKI grade at specific time points (initial presentation, 0 to 24 hours, 24 to 48 hours, and 48 hours to 2 weeks), whether an AKI developed at any point, whether AKI grade was static or improved when comparing baseline to last documented AKI grade, and outcome (alive or dead/euthanized) were recorded.

Results: There were no significant differences in prevalence of AKI between the IP cats (45 of 96 [46.9%]) and OP cats (7 of 16 [43.8%]). Of the AKI cats, 27 IP cats (60%) and 4 OP cats (57.1%) had a static or improved AKI grade. Inpatient cats had a significantly higher survival compared to OP cats (100% vs 86.5%).

Conclusions: Cats exposed to lilies in both groups had a higher prevalence of AKI than previously reported; however, many cats with AKIs had a static or improved AKI grade by the last documented AKI grade. Although the survival was lower in OP cats compared to IP cats, overall survival was excellent.

Clinical relevance: Results of our study suggested that IP cats have a superior outcome than OP cats; however, cats treated as OPs may still have favorable outcomes.

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猫接触百合后住院治疗与门诊治疗的急性肾损伤发生率和结果。

目的调查因接触百合而接受治疗的住院病人（IPs）或门诊病人（OPs）中急性肾损伤（AKI）的发生率和结果：方法：对暴露于百合的猫的病历进行回顾性评估，共纳入 112 只猫。记录了信号、暴露类型、从暴露到发病的时间、净化程序、治疗组（IPs 与 OPs）、特定时间点（发病初期、0 至 24 小时、24 至 48 小时、48 小时至 2 周）的肌酐和国际肾脏兴趣协会 AKI 分级、是否在任何时间点发生了 AKI、与基线和最后记录的 AKI 分级相比，AKI 分级是保持不变还是有所改善，以及结果（存活或死亡/安乐死）：IP猫（96 只中的 45 只 [46.9%]）和 OP 猫（16 只中的 7 只 [43.8%]）的 AKI 患病率没有明显差异。在 AKI 猫中，27 只 IP 猫（60%）和 4 只 OP 猫（57.1%）的 AKI 等级保持不变或有所提高。与 OP 猫相比，住院猫的存活率明显更高（100% vs 86.5%）：结论：两组暴露于百合花的猫的 AKI 患病率均高于之前的报道；但是，许多患有 AKI 的猫的 AKI 等级在最后一次记录的 AKI 等级中保持不变或有所改善。虽然 OP 猫的存活率比 IP 猫低，但总体存活率很高：临床相关性：我们的研究结果表明，IP 猫的预后优于 OP 猫；但是，作为 OP 猫接受治疗的猫咪仍有可能获得良好的预后。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Javma-journal of The American Veterinary Medical Association 农林科学-兽医学

CiteScore

1.60

自引率

15.80%

发文量

539

审稿时长

6-16 weeks

期刊介绍： Published twice monthly, this peer-reviewed, general scientific journal provides reports of clinical research, feature articles and regular columns of interest to veterinarians in private and public practice. The News and Classified Ad sections are posted online 10 days to two weeks before they are delivered in print.

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