Retrospective case series to identify the most common conditions seen ‘out-of-hours’ by first-opinion equine veterinary practitioners
Boynova, Polina; Bowden, Adelle; Boynova, P.N.; England, Gary C W; Brennan, Marnie Louise; Mair, Tim S; Furness, Wendy A; Freeman, Sarah L; Burford, John H
ADELLE BOWDEN Adelle.Bowden@nottingham.ac.uk
GARY ENGLAND email@example.com
Foundation Dean & Prof Comparative Veterinary Reproduction
MARNIE BRENNAN MARNIE.BRENNAN@NOTTINGHAM.AC.UK
Tim S Mair
Wendy A Furness
SARAH FREEMAN firstname.lastname@example.org
Professor of Veterinary Surgery
Dr JOHN BURFORD email@example.com
Background: The study aim was to describe conditions seen ‘out-of-hours’ in equine practice.
Methods: This was a retrospective case series of first opinion ‘out-of-hours’ cases seen at two equine practices between 2011-2013. Data was retrieved on case presentation, diagnostic testing, treatment administered and outcome, and diseases categorised using a systems-based coding system. A hierarchical logistic regression, formulated using a Generalised Linear Model, was used to identify clinical variables associated with a binary outcome of ‘critical’ cases (required hospitalisation or euthanasia or died).
Results: Data from 2,602 cases were analysed. The most common reasons for ‘out-of-hours’ visits were colic (35%, n=923/2,620), wounds (20%, n=511/2,620) and lameness (11%, n=288/2,620). The majority of cases required a single treatment (58%, n=1,475/2,550), 26% (n=656/2,550) needed multiple treatments, and 13% (n=339/2,550) were euthanased. Eighteen percent (n=480/2602) of cases had a critical outcome. Increased heart rate at primary presentation was associated with critical outcome in both practices (Practice A, OR 1.07 (95%CI 1.06-1.09), Practice B OR 1.08 (95%CI 1.07-1.09; p [less than] 0.001)).
Conclusion: Colic, wounds and lameness were the most common equine ‘out-of-hours’ conditions; 13% of cases were euthanased. Further research is required into out-of-hours euthanasia decision-making.
Boynova, P., Bowden, A., Boynova, P., England, G. C. W., Brennan, M. L., Mair, T. S., …Burford, J. H. (2020). Retrospective case series to identify the most common conditions seen ‘out-of-hours’ by first-opinion equine veterinary practitioners. Veterinary Record, 187(10), 404-404. https://doi.org/10.1136/vr.105880
|Journal Article Type||Article|
|Acceptance Date||Jun 11, 2020|
|Online Publication Date||Jul 27, 2020|
|Deposit Date||Jun 25, 2020|
|Publicly Available Date||Jul 27, 2020|
|Publisher||BMJ Publishing Group|
|Peer Reviewed||Peer Reviewed|
|Keywords||equine, horse, emergency, out-of-hours, case series, veterinary practice|
|Additional Information||This article has been accepted for publication in Veterinary Record, 2020 following peer review, and the Version of Record can be accessed online at http://dx.doi.org/10.1136/vr.105880
© British Veterinary Association 2020. No commercial re-use.
Retrospective case series
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