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Postoperative regurgitation in dogs after upper airway surgery to treat brachycephalic obstructive airway syndrome: 258 cases (2013-2017).

犬上气道手术治疗短头阻塞性气道综合征术后反流 258 例 (2013-2017)。

  • 影响因子:1.16
  • DOI:10.1111/vsu.13297
  • 作者列表:"Fenner JVH","Quinn RJ","Demetriou JL
  • 发表时间:2020-01-01
Abstract

OBJECTIVE:To determine the incidence of and risk factors for regurgitation in dogs within 24 hours of surgical management of brachycephalic obstructive airway syndrome (BOAS). STUDY DESIGN:Retrospective single center study of dogs undergoing BOAS surgery over four years (2013-2017). ANIMALS:Two hundred fifty-eight client-owned dogs referred for surgical intervention for BOAS. METHODS:Electronic medical records were searched for dogs that had undergone surgery for BOAS at a UK specialist referral hospital. Data were assessed by using univariable binomial logistic regression; confounding factors were then identified in a multivariable model. RESULTS:There was an increase in the proportion of dogs that regurgitated while hospitalized preoperatively vs during the first 24 hours postoperatively, from 28 (10.9%) to 89 (34.5%), respectively (P < .0001). History of regurgitation (P = .017, odds ratio [OR] 2.539, 95% confidence interval [CI] 1.178-5.469) and age (P = .008, OR 0.712, 95% CI 0.553-0.916) were detected as risk factors for postoperative regurgitation. For every 1-year increase in age, the odds of experiencing postoperative regurgitation were reduced by 28.8%. CONCLUSION:Corrective surgery for BOAS was associated with a marked incidence of postoperative regurgitation. Younger dogs and those with a history of regurgitation were predisposed to postoperative regurgitation. CLINICAL SIGNIFICANCE:The increased frequency of regurgitation after surgical treatment of BOAS, especially in younger dogs, provides justification for counseling owners regarding this postoperative complication.

摘要

目的: 探讨犬短头阻塞气道综合征 (BOAS) 手术治疗后 24 h内反流的发生率及危险因素。 研究设计: 四年内接受BOAS手术的犬的回顾性单中心研究 (2013-2017)。 动物: 200 条客户拥有的狗被转介为BOAS进行手术干预。 方法: 在英国一家专科转诊医院对接受BOAS手术的犬进行电子病历检索。使用单变量二项logistic回归评估数据; 然后在多变量模型中确定混杂因素。 结果: 术前住院时反刍犬的比例高于术后 24 小时,从 28 只 (10.9%) 增加到 89 只 (34.5%),分别 (p <.0001)。反流史 (P =。017,比值比 [OR] 2.539,95% 可信区间 [CI] 1.178-5.469) 和年龄 (P = .008,OR 0.712,95% CI 0.553-0.916) 被检测为术后反流的危险因素。年龄每增加 1 年,发生术后反流的几率降低 28.8%。 结论: BOAS的矫正手术与术后反流的发生率显著相关。年轻犬和有反流史的犬易患术后反流。 临床意义: BOAS手术治疗后反流频率增加,尤其是年轻犬,为咨询业主关于这种术后并发症提供了理由。

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影响因子:0.95
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影响因子:2.43
发表时间:2020-01-15
DOI:10.5435/JAAOS-D-16-00918
作者列表:["Grigoryan G","Korcek L","Eidelman M","Paley D","Nelson S"]

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