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Prospective survey of veterinary practitioners’ primary assessment of equine colic: clinical features, diagnoses, and treatment of 120 cases of large colon impaction

Jennings, Kyra; Curtis, Laila; Burford, John; Freeman, S.L.

Authors

Kyra Jennings

Laila Curtis lailacurtis@hotmail.co.uk

SARAH FREEMAN sarah.freeman@nottingham.ac.uk
Professor of Veterinary Surgery



Abstract

Background

Large colon impactions are a common cause of colic in the horse. There are no scientific reports on the clinical presentation, diagnostic tests and treatments used in first opinion practice for large colon impaction cases. The aim of this study was to describe the presentation, diagnostic approach and treatment at the primary assessment of horses with large colon impactions.

Methods

Data were collected prospectively from veterinary practitioners on the primary assessment of equine colic cases over a 12 month period. Inclusion criteria were a diagnosis of primary large colon impaction and positive findings on rectal examination. Data recorded for each case included history, signalment, clinical and diagnostic findings, treatment on primary assessment and final case outcome. Case outcomes were categorised into three groups: simple medical (resolved with single treatment), complicated medical (resolved with multiple medical treatments) and critical (required surgery, were euthanased or died). Univariable analysis using one-way ANOVA and Tukey’s post-hoc test, Kruskal Wallis with Dunn’s post-hoc test and Chi squared analysis were used to compare between different outcome categories.

Results

1032 colic cases were submitted by veterinary practitioners: 120 cases met the inclusion criteria for large colon impaction. Fifty three percent of cases were categorised as simple medical, 36.6% as complicated medical, and 9.2% as critical. Most cases (42.1%) occurred during the winter. Fifty nine percent of horses had had a recent change in management, 43% of horses were not ridden, and 12.5% had a recent / current musculoskeletal injury. Mean heart rate was 43bpm (range 26-88) and most cases showed mild signs of pain (67.5%) and reduced gut sounds (76%). Heart rate was significantly increased and gut sounds significantly decreased in critical compared to simple medical cases (p

Citation

Jennings, K., Curtis, L., Burford, J., & Freeman, S. (2014). Prospective survey of veterinary practitioners’ primary assessment of equine colic: clinical features, diagnoses, and treatment of 120 cases of large colon impaction. BMC Veterinary Research, 10(Suppl), https://doi.org/10.1186/1746-6148-10-S1-S2

Journal Article Type Article
Acceptance Date Jun 17, 2014
Publication Date Jul 7, 2014
Deposit Date Feb 10, 2017
Publicly Available Date Feb 10, 2017
Journal BMC Veterinary Research
Electronic ISSN 1746-6148
Publisher Springer Verlag
Peer Reviewed Peer Reviewed
Volume 10
Issue Suppl
Article Number S2
DOI https://doi.org/10.1186/1746-6148-10-S1-S2
Public URL http://eprints.nottingham.ac.uk/id/eprint/40529
Publisher URL http://dx.doi.org/10.1186/1746-6148-10-S1-S2
Copyright Statement Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by/4.0

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Copyright Statement
Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by/4.0





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