Abdominal fluid score as a predictor of transfusion needs and outcome in cats following trauma

IF 1.1 3区农林科学 Q3 VETERINARY SCIENCES Journal of veterinary emergency and critical care Pub Date : 2025-01-22 DOI:10.1111/vec.13437

Theresa J. Langlois DVM, Alicia Mastrocco DVM, DACVECC, Jennifer E. Prittie DVM, DACVIM, DACVECC, Joel G. Weltman DVM, PhD, DACVECC

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Abstract

Objective

To assess the value of the abdominal fluid score (AFS) in cats following trauma in determining surgical needs, transfusion needs, and mortality.

Design

Multicenter retrospective observational study utilizing data from the Veterinary Committee on Trauma (VetCOT) registry.

Setting

VetCOT Veterinary Trauma Centers.

Animals

A total of 2309 cats entered into the VetCOT registry between January 1, 2013, and December 31, 2020, were included.

Interventions

None.

Measurements and Main Results

Of the included cats, 148 had abdominal effusion on presentation (AFS 1–4, positive AFS [pAFS]). pAFS cats demonstrated a lower total plasma protein (6.2 g/dL, range: 2.8–9.2 g/dL vs 6.8 g/dL, range: 2.6–11 g/dL, P < 0.001) and a more negative base excess (BE) (−9, range: −23.7 to 10 vs −6.1, range: −31.7 to 1, P = 0.001) than cats without abdominal effusion (negative AFS [nAFS]). pAFS cats also had a higher baseline Animal Trauma Triage score (ATTS) than nAFS cats (5, range 0–12 vs 3, range 0–17, respectively, P < 0.001). pAFS cats were more likely to require blood transfusions (16% [23/148] vs 4% [94/2161], P < 0.001) than nAFS cats, but need for surgical intervention did not differ between groups. A pAFS was associated with increased need for hospitalization (62.8% [93/148] vs 47.7% [1030/2160], P < 0.001), but length of hospital stay did not differ. Cats with pAFS experienced higher mortality compared to nAFS cats (42.6% [63/148] vs 22.7% [491/2161], P < 0.001).

Conclusion

The presence of abdominal effusion in cats following trauma was associated with increased morbidity in this study, as demonstrated by greater need for transfusion, increased likelihood of hospitalization, and greater mortality. Cats in the pAFS group had more negative BE and higher ATTS, but need for surgery, length of hospitalization, PCV, and blood glucose, plasma lactate, and ionized calcium concentrations were not different between groups.

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腹部液体评分作为创伤后猫输血需求和结果的预测因子。

目的：评估创伤后猫腹部液体评分（AFS）在确定手术需求、输血需求和死亡率方面的价值。设计：多中心回顾性观察研究，利用兽医创伤委员会（VetCOT）登记的数据。地点：VetCOT兽医创伤中心。动物：2013年1月1日至2020年12月31日期间，共有2309只猫进入了VetCOT登记处。干预措施:没有。测量结果和主要结果：纳入的猫中，148只猫出现腹部积液（AFS 1-4， AFS阳性[pas]）。pAFS猫表现出较低的总血浆蛋白（6.2 g/dL，范围：2.8-9.2 g/dL vs 6.8 g/dL，范围：2.6-11 g/dL）， P结论：在本研究中，创伤后猫腹部积液的存在与发病率增加有关，如输血需求增加、住院可能性增加和死亡率增加。pAFS组的猫有更多的负BE和更高的ATTS，但手术需求、住院时间、PCV、血糖、血浆乳酸和电离钙浓度在两组之间没有差异。

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

Journal of veterinary emergency and critical care 农林科学-兽医学

CiteScore

2.50

自引率

15.40%

发文量

121

审稿时长

18-36 weeks

期刊介绍： The Journal of Veterinary Emergency and Critical Care’s primary aim is to advance the international clinical standard of care for emergency/critical care patients of all species. The journal’s content is relevant to specialist and non-specialist veterinarians practicing emergency/critical care medicine. The journal achieves it aims by publishing descriptions of unique presentation or management; retrospective and prospective evaluations of prognosis, novel diagnosis, or therapy; translational basic science studies with clinical relevance; in depth reviews of pertinent topics; topical news and letters; and regular themed issues. The journal is the official publication of the Veterinary Emergency and Critical Care Society, the American College of Veterinary Emergency and Critical Care, the European Veterinary Emergency and Critical Care Society, and the European College of Veterinary Emergency and Critical Care. It is a bimonthly publication with international impact and adheres to currently accepted ethical standards.