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- Title
Epidemiology of severe trauma in cats: An ACVECC VetCOT registry study.
- Authors
Lee, Jack A.; Chien-Min Huang; Hall, Kelly E.
- Abstract
Objectives: To identify demographic information, epidemiological factors, and clinical abnormalities that differentiate cats with severe trauma, defined as an Animal Trauma Triage Score (ATTS) ≥3 from those withmild injury (ATTS 0-2). Design: Multicenter observational study utilizing data from the American College of Veterinary Emergency and Critical Care (ACVECC) Veterinary Committee on Trauma (VetCOT) registry. Setting: ACVECC VetCOT Veterinary Trauma Centers. Animals: A total of 3859 cats with trauma entered into the ACVECC VetCOT registry between April 1, 2017 and December 31, 2019. Interventions: None Measurements and Main Results: Cats were categorized by ATTS 0-2 (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. Conclusion: Feline trauma patients with an ATTS ≥3 commonly present to Veterinary Trauma Centers and have decreased survival to discharge compared to patients with ATTS 0-2. Differences exist between these groups, including an increased frequency of blunt force trauma (particularly vehicular trauma), head and spinal trauma, and certain clinicopathological changes in the ATTS ≥3 population. Relatively low incidences of point-of-care ultrasound evaluation and transfusions merit further investigation.
- Subjects
BLUNT trauma; VETERINARY critical care; BLOOD lactate; CATS; PENETRATING wounds
- Publication
Journal of Veterinary Emergency & Critical Care, 2022, Vol 32, Issue 6, p705
- ISSN
1479-3261
- Publication type
Article
- DOI
10.1111/vec.13229