Peer-reviewed veterinary case report
Blood urea and death risk in dogs with protein-losing enteropathy
By Kathrani, Aarti et al.·Published in Journal of veterinary internal medicine·2019·Royal Veterinary College, United Kingdom·View original on PubMed →
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Original publication title: Association of chronic enteropathy activity index, blood urea concentration, and risk of death in dogs with protein-losing enteropathy.
- Species:
- dog
Plain-English summary
A group of 71 dogs diagnosed with protein-losing enteropathy (PLE), a condition affecting their intestines, were studied to see if certain health markers could predict their risk of dying. The researchers found that higher scores on a specific health index (CCEAI) and higher blood urea levels were linked to a greater chance of death. Dogs with lower CCEAI scores and blood urea levels lived significantly longer, with some surviving nearly 280 days longer than those with higher levels. This suggests that monitoring these markers can help veterinarians assess the health and prognosis of dogs with PLE.
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Abstract
BACKGROUND: Malnutrition is associated with increased risk of premature death in humans with inflammatory bowel disease. HYPOTHESIS/OBJECTIVE: To determine if historical, clinical, and laboratory markers of malnutrition in dogs at the time of histologic diagnosis of protein-losing enteropathy (PLE) caused by chronic enteropathy (CE) or lymphangiectasia are associated with increased risk of death. ANIMALS: Seventy-one client-owned dogs diagnosed with PLE. METHODS: The medical records were retrospectively searched for cases of PLE, diagnosed with CE or lymphangiectasia on the basis of histopathology of intestinal biopsies at a referral hospital. For each case, various variables at the time of diagnostic investigation were recorded and follow-up obtained by telephone contact with the referring veterinarian. RESULTS: A multivariable cox model indicated that canine chronic enteropathy activity index (CCEAI) and blood urea concentration were significantly associated with death (P values <.01). For each unit increase in CCEAI, the hazard of death increased by 22.9% (confidence interval [CI]: 6.9%-41.2%). Dogs with a CCEAI of ≤8 and dogs with urea ≤7 mmol/L survived 256 days longer (P = .001, CI: 106.7-405.4 days) and 279 days longer (P = .009, CI: 70.0-488.7 days) than those with a CCEAI of >8 and urea >7 mmol/L on average, respectively, when followed up for 647 days. CONCLUSIONS AND CLINICAL IMPORTANCE: Increased CCEAI and blood urea concentration at the time of diagnosis might be predictive of death in dogs with PLE caused by CE or lymphangiectasia.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/30784115/