Factors associated with survival of horses following relaparotomy

Findley, Judith; Salem, Shebl E.; Burgess, Robert; Archer, Debra

doi:10.1111/evj.12635

Cited by 14 publications

(30 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The results of this study provide evidence that successful medical management can be achieved in horses with POR, with 73% of horses considered to have a medical reason for POR and 95% of medically managed horses surviving to hospital discharge. Short‐term survival of horses with a surgical reason for POR was also good (64%) compared with other studies of repeat celiotomy (39%‐86%) . Long‐term follow‐up, however, was not obtained, and future studies should compare survival (days alive) of horses with PO complications.…”

Section: Discussionmentioning

confidence: 78%

“…Short-term survival of horses with a surgical reason for POR was also good (64%) compared with other studies of repeat celiotomy (39%-86%). 11,12,20,21 Long-term follow-up, however, was not obtained, and future studies should compare survival (days alive) of horses with PO complications.…”

Section: Discussionmentioning

confidence: 99%

“…Median age of horses was 14 years (interquartile range [IQR] [10][11][12][13][14][15][16][17][18][19]. Breeds included thoroughbreds (n = 11); warmbloods (n = 10); American breeds (n = 13) including quarter horse, paint, appaloosa, saddlebred, Rocky Mountain horse, Kentucky mountain horse, Tennessee walking horse, and Missouri fox trotter; standardbreds (n = 3); and horses of other breeds (n = 14) including Clydesdale, draft horse, draft cross, crossbred, Friesian, Arabian, paso fino.…”

Section: Study Populationmentioning

confidence: 99%

“…Distinguishing between medical and surgical reasons for POR and deciding when to perform repeat celiotomy can be challenging. Recent reports cite complication rates after repeat celiotomy ranging from 59% to 76% . Because of the increased risk of complications and the additional expense, repeat celiotomy is best avoided, if possible.…”

Section: Introductionmentioning

confidence: 99%

“…Recent reports cite complication rates after repeat celiotomy ranging from 59% to 76%. [10][11][12] Because of the increased risk of complications and the additional expense, repeat celiotomy is best avoided, if possible. However, prolonged medical management and delaying repeat celiotomy in a horse with a surgical reason for POR increases expense, may negatively impact outcome, and is potentially inhumane.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Use of perioperative variables to determine the requirement for repeat celiotomy in horses with postoperative reflux after small intestinal surgery

2019

View full text Add to dashboard Cite

Objective To determine whether perioperative variables can be used to differentiate a medical vs a surgical reason for postoperative reflux (POR) after small intestinal (SI) surgery in horses. Study design Retrospective study. Sample population Horses >1 year of age that recovered from SI surgery and had POR. Methods Medical records of horses that underwent SI surgery and developed POR from 2009‐2015 were reviewed. Surgical reasons for POR were defined as an anastomosis complication, mechanical obstruction, or nonviable intestine identified at repeat celiotomy/necropsy. A medical reason for POR was presumed when the POR improved with medical treatment or when no surgical reasons were identified at repeat celiotomy/necropsy. Perioperative variables were analyzed and used to develop a logistic regression model. Results Fifty‐one horses had POR after SI surgery. After initial SI surgery, 14 horses had surgical reasons for POR diagnosed at repeat celiotomy or necropsy. Thirty‐seven horses were considered to have medical reasons for POR because their POR resolved with medical management or functional ileus was diagnosed at repeat celiotomy/necropsy. A greater volume and a greater duration of POR were not associated with a surgical reason for POR. Rather, a postoperative (PO) fever and the timing of colic in the PO period were associated with a surgical reason for POR. Conclusion Horses that developed a fever and colic in the PO period after SI surgery were more likely to have a surgical reason for POR. Clinical significance These findings may provide guidance for clinicians when they are making decisions about repeat celiotomy in horses with POR after SI surgery.

show abstract

Section: Discussionmentioning

confidence: 78%