Peer-reviewed veterinary case report
Factors linked to survival in cats with bite wounds
By Tinsley, Ashlei T et al.Ā·Published in Journal of the American Veterinary Medical AssociationĀ·2023Ā·View original on PubMed ā
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Original publication title: Animal Trauma Triage Score, Modified Glasgow Coma Scale, age, and weight were associated with outcome in feline bite wounds (1,065 cases): a VetCOT registry study.
- Species:
- cat
Plain-English summary
A group of 1,065 cats with bite wounds was studied to understand what factors affected their survival. The research found that older cats had a higher chance of not surviving, while heavier cats had better odds of recovery. Cats that received surgical treatment were much more likely to survive compared to those that did not. Overall, about 82% of the cats survived to go home, while a smaller percentage were euthanized or died. This study highlights the importance of age, weight, and surgical intervention in the outcomes of cats with bite wounds.
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Abstract
OBJECTIVE: To identify associations between admission variables, Animal Trauma Triage (ATT) score, and Modified Glasgow Coma Scale (MGCS) score with need for transfusion or surgical interventions and survival to discharge in cats with bite wounds. ANIMALS: 1,065 cats with bite wounds. PROCEDURES: Records of cats with bite wounds were obtained from the VetCOT registry from April 2017 to June 2021. Variables included point of care laboratory values, signalment, weight, illness severity scores, and surgical intervention. Associations between admission parameters, terciles of MGCS, quantiles of ATT scores, and death or euthanasia were assessed using univariable and multivariable logistic regression analysis. RESULTS: 872 cats (82%) survived to discharge, while 170 (88%) were euthanized and 23(12%) died. In the multivariable model, age, weight, surgical treatment, ATT and MGCS scores were associated with nonsurvival. For every 1 year of age, odds of nonsurvival increased by 7% (P = .003) and for every 1 kg of body weight, odds of nonsurvival decreased by 14% (P = .005). Odds of dying increased with lower MGCS and higher ATT scores (MGCS: 104% [95% CI, 116% to 267%; P < .001]; ATT: 351% [95% CI, 321% to 632%; P < .001). Odds of dying decreased by 84% (P < .001) in cats that underwent surgery versus those that did not. CLINICAL RELEVANCE: This multicenter study indicated association of higher ATT and lower MGCS with worse outcome. Older age increased the odds of nonsurvival, while each kilogram increase in bodyweight decreased odds of nonsurvival. To our knowledge, this study is the first to describe associations of age and weight with outcome in feline trauma patients.
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Search related cases āOriginal publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/36913392/