University of Surrey

Test tubes in the lab Research in the ATI Dance Research

Factors associated with survival of epiploic foramen entrapment colic: a multicentre, international study.

Archer, DC, Pinchbeck, GL and Proudman, CJ (2011) Factors associated with survival of epiploic foramen entrapment colic: a multicentre, international study. Equine Vet J Suppl (39). pp. 56-62.

Full text not available from this repository.

Abstract

REASONS FOR PERFORMING STUDY: Epiploic foramen entrapment (EFE) has been associated with reduced post operative survival compared to other types of colic but specific factors associated with reduced long-term survival of these cases have not been evaluated in a large number of horses using survival analysis. OBJECTIVE: To describe post operative survival of EFE cases and to identify factors associated with long-term survival. METHODS: A prospective, multicentre, international study was conducted using clinical data and long-term follow-up information for 126 horses diagnosed with EFE during exploratory laparotomy at 15 clinics in the UK, Ireland and USA. Descriptive data were generated and survival analysis performed to identify factors associated with reduced post operative survival. RESULTS: For the EFE cohort that recovered following anaesthesia, survival to hospital discharge was 78.5%. Survival to 1 and 2 years post operatively was 50.6 and 34.3%, respectively. The median survival time of EFE cases undergoing surgery was 397 days. Increased packed cell volume (PCV) and increased length of small intestine (SI) resected were significantly associated with increased likelihood of mortality when multivariable analysis of pre- and intraoperative variables were analysed. When all pre-, intra- and post operative variables were analysed separately, only horses that developed post operative ileus (POI) were shown to be at increased likelihood of mortality. CONCLUSIONS: Increased PCV, increased length of SI resected and POI are all associated with increased likelihood of mortality of EFE cases. This emphasises the importance of early diagnosis and treatment and the need for improved strategies in the management of POI in order to reduce post operative mortality in these cases. POTENTIAL RELEVANCE: The present study provides evidence-based information to clinicians and owners of horses undergoing surgery for EFE about long-term survival. These results are applicable to university and large private clinics over a wide geographical area.

Item Type: Article
Authors :
NameEmailORCID
Archer, DCUNSPECIFIEDUNSPECIFIED
Pinchbeck, GLUNSPECIFIEDUNSPECIFIED
Proudman, CJc.proudman@surrey.ac.ukUNSPECIFIED
Date : August 2011
Identification Number : https://doi.org/10.1111/j.2042-3306.2011.00409.x
Uncontrolled Keywords : Animals, Colic, Euthanasia, Animal, Great Britain, Hematocrit, Horse Diseases, Horses, Intestine, Small, Ireland, Postoperative Complications, Prospective Studies, Risk Factors, Survival Analysis, United States
Related URLs :
Depositing User : Symplectic Elements
Date Deposited : 17 May 2017 09:57
Last Modified : 17 May 2017 14:46
URI: http://epubs.surrey.ac.uk/id/eprint/825768

Actions (login required)

View Item View Item

Downloads

Downloads per month over past year


Information about this web site

© The University of Surrey, Guildford, Surrey, GU2 7XH, United Kingdom.
+44 (0)1483 300800