Return to use and performance following exploratory celiotomy for colic in horses: 195 cases (2003-2010)

Summary Reasons for performing study: There are few objective data on return to use and performance in horses following colic surgery. Objective: To investigate return to functional use of horses following colic surgery and factors associated with a negative outcome. Methods: The North Carolina Stat...

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Veröffentlicht in:Equine veterinary journal 2013-03, Vol.45 (2), p.224-228
Hauptverfasser: DAVIS, W., FOGLE, C. A., GERARD, M. P., LEVINE, J. F., BLIKSLAGER, A. T.
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container_end_page 228
container_issue 2
container_start_page 224
container_title Equine veterinary journal
container_volume 45
creator DAVIS, W.
FOGLE, C. A.
GERARD, M. P.
LEVINE, J. F.
BLIKSLAGER, A. T.
description Summary Reasons for performing study: There are few objective data on return to use and performance in horses following colic surgery. Objective: To investigate return to functional use of horses following colic surgery and factors associated with a negative outcome. Methods: The North Carolina State University Equine Colic Database was reviewed for horses that underwent exploratory celiotomy for colic (2003–2010). Horses were excluded from the study if they survived
doi_str_mv 10.1111/j.2042-3306.2012.00615.x
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A. ; GERARD, M. P. ; LEVINE, J. F. ; BLIKSLAGER, A. T.</creator><creatorcontrib>DAVIS, W. ; FOGLE, C. A. ; GERARD, M. P. ; LEVINE, J. F. ; BLIKSLAGER, A. T.</creatorcontrib><description>Summary Reasons for performing study: There are few objective data on return to use and performance in horses following colic surgery. Objective: To investigate return to functional use of horses following colic surgery and factors associated with a negative outcome. Methods: The North Carolina State University Equine Colic Database was reviewed for horses that underwent exploratory celiotomy for colic (2003–2010). Horses were excluded from the study if they survived &lt;6 months, had no intended use preoperatively, or if further data were not available at attempted follow‐up. Information retrieved included history, background, use, and selected pre‐, intra‐, and post operative factors. Telephone interviews were used to obtain follow‐up data. Logistic regression was used to investigate associations between clinical data and outcome, reported as odds ratios with a 95% confidence interval and corresponding P value. Results: Of patients surviving to 6 months, 133/195 (68%) were performing their intended use and 85/156 (54%) were at or above preoperative performance. At one year, 145/190 (76%) horses were performing their intended use and 101/153 (66%) were at or above preoperative performance. Animals were significantly less likely to return to use/performance if they had a previous celiotomy, stall rest for an orthopaedic condition, a nonstrangulating lesion type, incisional hernia, diarrhoea or laminitis. Conclusions: The overall prognosis for return to use and performance following colic surgery is fair to good. Multiple pre‐ and post operative factors may affect the likelihood of return to use and performance. Potential relevance: Targeted owner education regarding preoperative lameness, post operative rehabilitation and treatment for complications, such as incisional hernioplasty, may help inform owners about their horse's potential for return to use and performance following colic surgery.</description><identifier>ISSN: 0425-1644</identifier><identifier>EISSN: 2042-3306</identifier><identifier>DOI: 10.1111/j.2042-3306.2012.00615.x</identifier><identifier>PMID: 22853644</identifier><identifier>CODEN: EQVJAI</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Animals ; colic ; Colic - surgery ; Colic - veterinary ; Confidence intervals ; Female ; horse ; Horse Diseases - surgery ; Horses ; Logistic Models ; Male ; Odds Ratio ; Postoperative Complications ; prognosis ; Surgery</subject><ispartof>Equine veterinary journal, 2013-03, Vol.45 (2), p.224-228</ispartof><rights>2012 EVJ Ltd</rights><rights>2012 EVJ Ltd.</rights><rights>2013 EVJ Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4345-101e59ef9c049a8e4281a30ec5836236c6a31bfee42bb91bda69c7c2503e6b163</citedby><cites>FETCH-LOGICAL-c4345-101e59ef9c049a8e4281a30ec5836236c6a31bfee42bb91bda69c7c2503e6b163</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.2042-3306.2012.00615.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.2042-3306.2012.00615.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22853644$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>DAVIS, W.</creatorcontrib><creatorcontrib>FOGLE, C. A.</creatorcontrib><creatorcontrib>GERARD, M. P.</creatorcontrib><creatorcontrib>LEVINE, J. F.</creatorcontrib><creatorcontrib>BLIKSLAGER, A. T.</creatorcontrib><title>Return to use and performance following exploratory celiotomy for colic in horses: 195 cases (2003-2010)</title><title>Equine veterinary journal</title><addtitle>Equine Vet J</addtitle><description>Summary Reasons for performing study: There are few objective data on return to use and performance in horses following colic surgery. Objective: To investigate return to functional use of horses following colic surgery and factors associated with a negative outcome. Methods: The North Carolina State University Equine Colic Database was reviewed for horses that underwent exploratory celiotomy for colic (2003–2010). Horses were excluded from the study if they survived &lt;6 months, had no intended use preoperatively, or if further data were not available at attempted follow‐up. Information retrieved included history, background, use, and selected pre‐, intra‐, and post operative factors. Telephone interviews were used to obtain follow‐up data. Logistic regression was used to investigate associations between clinical data and outcome, reported as odds ratios with a 95% confidence interval and corresponding P value. Results: Of patients surviving to 6 months, 133/195 (68%) were performing their intended use and 85/156 (54%) were at or above preoperative performance. At one year, 145/190 (76%) horses were performing their intended use and 101/153 (66%) were at or above preoperative performance. Animals were significantly less likely to return to use/performance if they had a previous celiotomy, stall rest for an orthopaedic condition, a nonstrangulating lesion type, incisional hernia, diarrhoea or laminitis. Conclusions: The overall prognosis for return to use and performance following colic surgery is fair to good. Multiple pre‐ and post operative factors may affect the likelihood of return to use and performance. Potential relevance: Targeted owner education regarding preoperative lameness, post operative rehabilitation and treatment for complications, such as incisional hernioplasty, may help inform owners about their horse's potential for return to use and performance following colic surgery.</description><subject>Animals</subject><subject>colic</subject><subject>Colic - surgery</subject><subject>Colic - veterinary</subject><subject>Confidence intervals</subject><subject>Female</subject><subject>horse</subject><subject>Horse Diseases - surgery</subject><subject>Horses</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Odds Ratio</subject><subject>Postoperative Complications</subject><subject>prognosis</subject><subject>Surgery</subject><issn>0425-1644</issn><issn>2042-3306</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNUU1v00AQXSEqGgp_oVqJS3twut-2ERcITfmoQFQtHFfrzbh1sL3prq0m_55JU3LgxF72aea9mac3hFDOphzf2XIqmBKZlMwg4mLKmOF6un5GJvvGczJBqDNulDokL1NaMialUOIFORSi0BLrE3J3BcMYezoEOiagrl_QFcQ6xM71Hmgd2jY8NP0thfWqDdENIW6oh7YJQ-g22I_Uh7bxtOnpXYgJ0lvKS029Q0hPBO7M0CE7fUUOatcmeP30H5Gb-fn17FN2-f3i8-z9ZeaVVOiWcdAl1KVnqnQFKFFwJxl4XUgjpPHGSV7VgI2qKnm1cKb0uReaSTAVN_KInOzmrmK4HyENtmsSGm5dD2FMlotC5sKUkiH1zT_UZcAs0N0jS2iRqwJZxY7lY0gpQm1Xselc3FjO7PYadmm3odtt6HZ7Dft4DbtG6fHTgrHqYLEX_o0fCe92hIemhc1_D7bnP78gQHm2kzdpgPVe7uJva3KZa_vr24XNP8yv5h9nX-0P-QfgmaRM</recordid><startdate>201303</startdate><enddate>201303</enddate><creator>DAVIS, W.</creator><creator>FOGLE, C. A.</creator><creator>GERARD, M. P.</creator><creator>LEVINE, J. F.</creator><creator>BLIKSLAGER, A. T.</creator><general>Blackwell Publishing Ltd</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>201303</creationdate><title>Return to use and performance following exploratory celiotomy for colic in horses: 195 cases (2003-2010)</title><author>DAVIS, W. ; FOGLE, C. A. ; GERARD, M. P. ; LEVINE, J. F. ; BLIKSLAGER, A. T.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4345-101e59ef9c049a8e4281a30ec5836236c6a31bfee42bb91bda69c7c2503e6b163</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Animals</topic><topic>colic</topic><topic>Colic - surgery</topic><topic>Colic - veterinary</topic><topic>Confidence intervals</topic><topic>Female</topic><topic>horse</topic><topic>Horse Diseases - surgery</topic><topic>Horses</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Odds Ratio</topic><topic>Postoperative Complications</topic><topic>prognosis</topic><topic>Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>DAVIS, W.</creatorcontrib><creatorcontrib>FOGLE, C. A.</creatorcontrib><creatorcontrib>GERARD, M. P.</creatorcontrib><creatorcontrib>LEVINE, J. F.</creatorcontrib><creatorcontrib>BLIKSLAGER, A. T.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Equine veterinary journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>DAVIS, W.</au><au>FOGLE, C. A.</au><au>GERARD, M. P.</au><au>LEVINE, J. F.</au><au>BLIKSLAGER, A. T.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Return to use and performance following exploratory celiotomy for colic in horses: 195 cases (2003-2010)</atitle><jtitle>Equine veterinary journal</jtitle><addtitle>Equine Vet J</addtitle><date>2013-03</date><risdate>2013</risdate><volume>45</volume><issue>2</issue><spage>224</spage><epage>228</epage><pages>224-228</pages><issn>0425-1644</issn><eissn>2042-3306</eissn><coden>EQVJAI</coden><abstract>Summary Reasons for performing study: There are few objective data on return to use and performance in horses following colic surgery. Objective: To investigate return to functional use of horses following colic surgery and factors associated with a negative outcome. Methods: The North Carolina State University Equine Colic Database was reviewed for horses that underwent exploratory celiotomy for colic (2003–2010). Horses were excluded from the study if they survived &lt;6 months, had no intended use preoperatively, or if further data were not available at attempted follow‐up. Information retrieved included history, background, use, and selected pre‐, intra‐, and post operative factors. Telephone interviews were used to obtain follow‐up data. Logistic regression was used to investigate associations between clinical data and outcome, reported as odds ratios with a 95% confidence interval and corresponding P value. Results: Of patients surviving to 6 months, 133/195 (68%) were performing their intended use and 85/156 (54%) were at or above preoperative performance. At one year, 145/190 (76%) horses were performing their intended use and 101/153 (66%) were at or above preoperative performance. Animals were significantly less likely to return to use/performance if they had a previous celiotomy, stall rest for an orthopaedic condition, a nonstrangulating lesion type, incisional hernia, diarrhoea or laminitis. Conclusions: The overall prognosis for return to use and performance following colic surgery is fair to good. Multiple pre‐ and post operative factors may affect the likelihood of return to use and performance. Potential relevance: Targeted owner education regarding preoperative lameness, post operative rehabilitation and treatment for complications, such as incisional hernioplasty, may help inform owners about their horse's potential for return to use and performance following colic surgery.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>22853644</pmid><doi>10.1111/j.2042-3306.2012.00615.x</doi><tpages>5</tpages></addata></record>
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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Animals
colic
Colic - surgery
Colic - veterinary
Confidence intervals
Female
horse
Horse Diseases - surgery
Horses
Logistic Models
Male
Odds Ratio
Postoperative Complications
prognosis
Surgery
title Return to use and performance following exploratory celiotomy for colic in horses: 195 cases (2003-2010)
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