Peer-reviewed veterinary case report
Signs linked to survival in 109 dogs hospitalized
By Kuzi, Sharon et al.·Published in The Veterinary record·2020·Hebrew University of Jerusalem Koret School of Veterinary Medicine·View original on PubMed →
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Original publication title: Prognostic markers and assessment of a previously published clinical severity index in 109 hospitalised dogs with acute presentation of pancreatitis.
- Species:
- dog
Plain-English summary
A 5-year-old Labrador was brought to the vet for vomiting and abdominal pain, and was diagnosed with acute pancreatitis. The vet used a clinical severity index to assess the dog's condition, which helped determine the risk of complications. Out of 109 dogs studied, 75% survived, but those with kidney issues or fluid in the abdomen had a higher chance of not making it. The findings suggest that a score of 4 or higher on the severity index indicates a greater risk of death. Fortunately, many dogs can recover with prompt treatment.
People also search for: dog vomiting pancreatitis treatment · Labrador pancreatitis survival rate · dog abdominal pain prognosis
Abstract
BACKGROUND: Acute pancreatitis (AP) is common in dogs. Nevertheless, validated clinical severity index (CSI) scoring systems to assess severity and guide treatment in current, large-scale studies are unavailable. METHODS: This is a retrospective study including 109 dogs. Pancreatitis was diagnosed based on clinical signs, abdominal sonographic evidence, positive pancreatic lipase assays and experts' assessment consensus. RESULTS: The survival rate was 75 per cent (82 dogs). Azotaemia and presence of local complications (ie, ascites) and secondary complications (ie, acute kidney injury and acute respiratory distress syndrome) were significantly associated with death. In agreement with the previously published CSI, respiratory anomalies were significantly associated with death. However, in disagreement with that study, high scores in the kidney and local abdominal complication categories and the sum of scores of all nine categories, but not high gastrointestinal category score, were also significantly associated with death. A final CSI score of at least 4 was associated with death. CONCLUSIONS: This study has validated a nine-category CSI, proven a useful assessment tool in dogs with AP. Several previously reported and novel prognostic markers were assessed.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/31662578/