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Short-Term Survival and Postoperative Complications Rates in Horses Undergoing Colic Surgery: A Multicentre Study

Authors :
Alessandro Spadari
Rodolfo Gialletti
Marco Gandini
Emanuela Valle
Anna Cerullo
Damiano Cavallini
Alice Bertoletti
Riccardo Rinnovati
Giulia Forni
Nicola Scilimati
Gessica Giusto
Source :
Animals, Vol 13, Iss 6, p 1107 (2023)
Publication Year :
2023
Publisher :
MDPI AG, 2023.

Abstract

The occurrence of colic could be influenced by the characteristics of a population, geographical area, and feeding management. The aim of this study was to report the short-term postoperative complications and survival rates and to identify factors that might affect the outcome of horses that underwent colic surgery in three Italian surgical referral centres. Data of horses subjected to colic surgery in three referral centres (2018–2021) were analysed. Comparisons of the outcomes were performed using a Mann–Whitney or a Chi square test. Areas under the receiver operating characteristic (ROC) curve and multivariable logistic regression analysis were used for parameters that were significant in the previous univariate analysis. The goodness-of-fit of the model was assessed using the Akike information criterion (AIC). Significance was defined as p < 0.05, and odds ratios and 95% confidence intervals were calculated as percentages. A total of 451 horses were included. The survival rate was 68.5% of all of the horses that underwent colic surgery and 80% of the horses surviving anaesthesia. Age, BCS, PCV and TPP before and after surgery, amount of reflux, type of disease, type of lesion, duration of surgery, surgeon’s experience, and amount of intra- and postoperative fluids administered influenced the probability of short-term survival. The multivariate analysis revealed that PCV at arrival, TPP after surgery, and BCS had the highest predictive power. This is the first multicentre study in Italy. The results of this study may help surgeons to inform owners regarding the prognosis of colic surgery.

Details

Language :
English
ISSN :
20762615
Volume :
13
Issue :
6
Database :
Directory of Open Access Journals
Journal :
Animals
Publication Type :
Academic Journal
Accession number :
edsdoj.21aa1d58e65a4294b3e9ed9cd29b057f
Document Type :
article
Full Text :
https://doi.org/10.3390/ani13061107