Surgical/Trauma Flashcards

1
Q

Liver lobectomy as treatment for spontaneous
hemoabdomen secondary to a ruptured liver mass in dogs; Histopathologic findings and survival outcomes
Reist et al_JAVMA_2022

A

Well-differentiated hepatocellular carcinoma cases: 36% (72/200) overall survival days: 356 days, benign masses 27.5% (55/200) 905 days, hemangiosarcoma 25.5% (51/200) 45 days, and other malignant tumors 11% (22/200), 109 days. Overall survival time for all dogs was 897 days.
Prognostic factors for survival included diagnosis, increased ALT, anemia, and whether a transfusion
was received. Overall survival time in dogs with increased ALT was 644 versus 63 days with normal values.

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2
Q

Epidemiology of severe trauma in cats
Lee_JVECC_2022

A

Cats were categorized by ATTS0–2 (mild,65.1%) and ≥3 (severe, 34.9%). There was no age difference between categories. Male animals, particularly intact animals, were overrepresented. Blunt trauma was more common than penetrating, with blunt trauma and a combination of blunt and penetrating trauma being more common in the severe trauma group. While 96.6% of cats with ATTS 0–2 survived to discharge, only 58.5% with ATTS≥3 survived. Only 46.8% of cats with severe trauma had a point-of-care ultrasound performed, of which 8.9% had free abdominal fluid noted. Hospitalization and surgical procedures were more common in the severe trauma group. Transfusions occurred more frequently in the severe trauma group but only in 4.1% of these cats. Other than ionized calcium, all recorded clinicopathological data (plasma lactate, base excess, PCV, total plasma protein, blood glucose) differed between groups.

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3
Q

The effects of sex and neuter status on trauma survival in dogs
Fontes_2022_JVECC

A

Of 2649 eligible dogs, 56% survived to hospital discharge (n=1469). Neutered females had a significantly higher survival rate (58.3% vs 51.3%; P=0.03) compared to intact females, and neutered males had a significantly higher survival rate (56.6% vs 50.7%; P=0.04) compared to intact
males. There was no significant difference in survival between intact females and intact males (P=0.87) or between neutered females and neutered males (P=0.46). Mean cumulative ATT score was higher in intact groups and was found to be a significant predictor of survival (P<0.01). Based on logistic models, overall odds of survival were 20.7% greater in neutered dogs.

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