Distribution of mortality patterns in cats with naturally occurring trauma: A Veterinary Committee on Trauma registry study

Hickey, Mara C.; Gray, Rachael; Galen, Gaby Van; Ward, Michael P.

doi:10.1016/j.tvjl.2021.105765

Cited by 4 publications

(14 citation statements)

References 27 publications

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“…However, financial constraints also played a large role in euthanasia (59.5%) and may have served as an even greater barrier to surgery in many of these cases, where surgery would have otherwise been recommended. When eliminating euthanasia due to finances, mortality rate decreases from 18% to 7.29%, which is almost identical to a recent study that assessed mortality in cats suffering from trauma and reported a >50% decreased mortality rate when eliminating euthanasia due to financial reasons (17.2% vs 8.1%) 29 . These findings suggest that finances can dramatically affect mortality rates in cats and support the utility of presenting 2 mortality rates in future studies: comprehensive mortality and mortality with financial factors eliminated.…”

Section: Discussionsupporting

confidence: 84%

“…When eliminating euthanasia due to finances, mortality rate decreases from 18% to 7.29%, which is almost identical to a recent study that assessed mortality in cats suffering from trauma and reported a >50% decreased mortality rate when eliminating euthanasia due to financial reasons (17.2% vs 8.1%). 29 These findings suggest that finances can dramatically affect mortality rates in cats and support the utility of presenting 2 mortality rates in future studies: comprehensive mortality and mortality with financial factors eliminated. While predominance of euthanasia as cause of death confounds overall survival analysis because of the various external factors that can play a role in this decision, the current study supports previous findings that cats with higher ATT scores have a lower likelihood of survival and that euthanasia was the most common cause of death in cats with trauma.…”

Section: Discussionmentioning

confidence: 72%

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Surgical interventions and outcome in a population of feline trauma patients

Fisher

Cavanagh

Liss

et al. 2023

J Vet Emergen Crit Care

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Objective: To determine signalment, injury type, trauma severity score, and outcome of feline trauma patients undergoing surgical (emergency room [ER] and operating room [OR]) and nonsurgical treatments in addition to time to surgery, specialty services involved, and cost in the OR surgery population. Design: Retrospective evaluation of medical record and hospital trauma registry data on feline trauma cases. Setting: University teaching hospital. Animals: Two hundred and fifty-one cats presenting for traumatic injury between May 2017 and July 2020. Interventions: None. Measurements and Main Results: Demographics and outcomes were compared for cats undergoing surgical intervention in an OR (12%, 31/251) or an ER (23%, 58/251) setting and feline trauma patients without surgical intervention (65%, 162/251).Between the 2 surgical groups, 99% survived to discharge compared to 73.5% of the nonsurgical group (P < 0.0001). For the OR surgical cohort, electronic medical records were reviewed to determine the specialty surgery service involved, time to and duration of anesthesia and surgery, and visit cost. The most common surgery services involved were orthopedics (41%, 12/29) and dentistry (38%, 11/29), and the most common surgeries performed were mandibular fracture stabilization (8/29) and internal fixation for long bone fractures (8/29). The ER surgical group had a significantly lower Animal Trauma Triage score than the OR group (P < 0.0001), but a significant difference was not found between OR surgical and nonsurgical groups (P = 0.0553). No difference in modified Glasgow Coma Scale score was found between any groups.

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Section: Discussionsupporting

confidence: 84%

Section: Discussionmentioning

confidence: 72%

Surgical interventions and outcome in a population of feline trauma patients

Fisher

Cavanagh

Liss

et al. 2023

J Vet Emergen Crit Care

View full text Add to dashboard Cite

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“…Several previous studies have reported the mortality rate from trauma in cats admitted to first-opinion and referral settings, varying from 7.7% to 19.1%. 2,3,17,21,[27][28][29][30] Two studies that evaluated cats with specific injuries -thoracic trauma necessitating surgery 31 and 'bottom-hung' window injury 32 -reported higher mortality rates (34.5% and 35%, respectively). One study reported that 74.5% of deaths in cats aged <12 months were due to traumatic injuries.…”

Section: Discussionmentioning

confidence: 99%

“…Indeed, a recent study from the VetCOT registry showed that, from an overall mortality rate of 17.2% in 6703 cats with trauma, fewer than half of the deaths (8.1%) were due to spontaneous reasons or euthanasia owing to a grave prognosis, with the remainder being partially or fully related to financial concerns. 30 Economic euthanasia is common in veterinary emergency medicine, 33,34 and recording of the causes for euthanasia is needed to mitigate this bias. 30 Mortality in this study was associated with the severity of injury; however, increased severity of injury could be associated with more complications and therefore higher cost of intensive care.…”

Section: Discussionmentioning

confidence: 99%

“…30 Economic euthanasia is common in veterinary emergency medicine, 33,34 and recording of the causes for euthanasia is needed to mitigate this bias. 30 Mortality in this study was associated with the severity of injury; however, increased severity of injury could be associated with more complications and therefore higher cost of intensive care. Moreover, patients with less severe injuries but still requiring surgical intervention have, in general, a higher cost of care than patients without surgical injuries.…”

Section: Discussionmentioning

confidence: 99%

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

Fitzgerald¹,

Cave

Yozova

2022

Journal of Feline Medicine and Surgery

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Objectives 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.

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ACVECC‐Veterinary Committee on Trauma registry report 2017–2019

Hall

Rutten

Baird

et al. 2023

J Vet Emergen Crit Care

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Objective To report summative data from the American College of Veterinary Emergency and Critical Care Veterinary Committee on Trauma (VetCOT) registry. Design Multi‐institutional registry data report, April 1, 2017 to December 31, 2019. Setting VetCOT identified and verified Veterinary Trauma Centers (VTCs). Animals Dogs and cats with evidence of trauma. Interventions Data were input to a web‐based data capture system (Research Electronic Data Capture) by data entry personnel trained in data software use and operational definitions of data variables. Data on demographics, trauma type, preadmission care, trauma severity assessment at presentation (modified Glasgow Coma Scale and Animal Trauma Triage score), key laboratory parameters, interventions, and case outcome were collected. Summary descriptive data for each species are reported. Measurements and Main Results Thirty‐one VTCs contributed data from 20,842 canine and 4003 feline trauma cases during the 33‐month reporting period. Most cases presented directly to a VTC (82.1% dogs, 82.1% cats). Admission to hospital rates were slightly lower in dogs (27.8%) than cats (32.7%). Highest mortality rates by mechanism of injury in dogs were struck by vehicle (18.3%), ballistic injury (17.6%), injured inside vehicle (13.2%), nonpenetrating bite wound (10.2%), and choking/pulling injury (8.5%). Highest mortality rates by mechanism of injury in cats were struck by vehicle (43.3%), ejected from vehicle (33.3%), nonpenetrating bite wound (30.7%), ballistic injury (27.8%), and choking/pulling injury (25.0%). The proportion of animals surviving to discharge was 93.1% (dogs) and 82.5% (cats). Conclusions The VetCOT registry is a powerful resource for collection of a large dataset on trauma in dogs and cats seen at VTCs. Overall survival to discharge was high indicating low injury severity for most recorded cases. Further evaluation of data on subsets of injury types, patient assessment parameters, interventions, and associated outcome are warranted. Data from the registry can be leveraged to inform clinical trial design and justification for naturally occurring trauma as a translational model to improve veterinary and human trauma patient outcome.

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Distribution of mortality patterns in cats with naturally occurring trauma: A Veterinary Committee on Trauma registry study

Cited by 4 publications

References 27 publications

Surgical interventions and outcome in a population of feline trauma patients

Surgical interventions and outcome in a population of feline trauma patients

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

ACVECC‐Veterinary Committee on Trauma registry report 2017–2019

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