The impact of clinical presentation, presence of SIRS and organ dysfunction on mortality in bitches with pyometra/O impacto da apresentação clínica, presença de SIRS e disfunção de órgãos em cadelas com piometra
This retrospective study evaluated the impact of the clinical presentation of pyometra on the morbidity and mortality of the affected bitches. The medical records of 47 bitches surgically treated for pyometra between May and December 2017 were evaluated. The admission data were analyzed to classify...
Saved in:
Published in | Ciência rural Vol. 54; no. 1; p. 1 |
---|---|
Main Authors | , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
Universidade Federal de Santa Maria
01.01.2024
|
Subjects | |
Online Access | Get full text |
Cover
Loading…
Abstract | This retrospective study evaluated the impact of the clinical presentation of pyometra on the morbidity and mortality of the affected bitches. The medical records of 47 bitches surgically treated for pyometra between May and December 2017 were evaluated. The admission data were analyzed to classify the animals according to the clinical presentation of pyometra, presence of systemic inflammatory response syndrome (SIRS) and organic dysfunctions (cardiovascular, neurological, renal, and hemostatic). The outcomes were recorded for up to 14 days. The overall mortality rate was 13%. Open and closed pyometra were identified in 62% (n= 29) and 38% (n= 18) of the cases, respectively. The SIRS was present in 44 (94%) bitches, and 27 (57%) had at least one organ dysfunction. The most prevalent dysfunction was hemostatic, followed by neurological, cardiovascular, and renal dysfunction. The clinical presentation of pyometra and the presence of SIRS did not correlate with each other, or with the presence of organ dysfunction and mortality. However, cumulative organ dysfunction (r=0.532, P=<0.001) and the presence of neurological (r= -0.371; P=0.012) and renal dysfunction (r=0.303; P=0.041) were correlated with mortality. Thus, the identification of organ dysfunction through physical examination and routine laboratory analysis proved to be more effective in identifying and predicting the critically ill patients than the SIRS criteria or clinical presentation of the disease. Key words: dog, open cervix, closed cervix, kidney dysfunction, neurological dysfunction. O impacto da apresentação clínica, presença de SIRS e disfunção de órgãos em cadelas com piometra O objetivo deste estudo retrospectivo foi avaliar o impacto da apresentação clínica da piometra na morbimortalidade das cadelas afetadas. Foram avaliados os registros clínicos de 47 cadelas tratadas cirurgicamente para piometra entre maio e dezembro de 2017. Os dados recolhidos na admissão foram analisados para classificar os animais quanto à apresentação clínica da piometra, presença de critérios da Síndrome da Resposta Inflamatória Sistêmica (SRIS) e disfunções orgânicas - cardiovascular, neurológica, renal e hemostática. Foi registrado o desfecho durante 14 dias. A mortalidade global foi de 13%. Piometra aberta e fechada foram identificadas em 62% (n= 29) e 38% (n= 18) respectivamente. SRIS esteve presente em 44 (94%) cadelas e 27 (57%) tiveram pelo menos uma disfunção orgânica. A disfunção mais prevalente foi a hemostática, seguida da neurológica, cardiovascular e renal. A apresentação clínica da piometra e a presença de SRIS não se correlacionaram entre si ou com presença de disfunção orgânica e mortalidade. No entanto, a quantidade de disfunções orgânicas (r=0.532, P=<0.001) e a presença das disfunções neurológica (r= -0.371; P=0.012) e renal (r=0.303; P=0.041) foram correlacionados com mortalidade. Assim, a identificação de disfunções orgânicas através do exame físico e análises laboratoriais de rotina mostrou-se mais eficaz na identificação e previsão de pacientes críticos do que os critérios de SRIS ou a apresentação clínica da doença. Palavras-chave: cão, cérvix aberta, cérvix fechada, disfunção renal, disfunção neurológica. |
---|---|
AbstractList | This retrospective study evaluated the impact of the clinical presentation of pyometra on the morbidity and mortality of the affected bitches. The medical records of 47 bitches surgically treated for pyometra between May and December 2017 were evaluated. The admission data were analyzed to classify the animals according to the clinical presentation of pyometra, presence of systemic inflammatory response syndrome (SIRS) and organic dysfunctions (cardiovascular, neurological, renal, and hemostatic). The outcomes were recorded for up to 14 days. The overall mortality rate was 13%. Open and closed pyometra were identified in 62% (n= 29) and 38% (n= 18) of the cases, respectively. The SIRS was present in 44 (94%) bitches, and 27 (57%) had at least one organ dysfunction. The most prevalent dysfunction was hemostatic, followed by neurological, cardiovascular, and renal dysfunction. The clinical presentation of pyometra and the presence of SIRS did not correlate with each other, or with the presence of organ dysfunction and mortality. However, cumulative organ dysfunction (r=0.532, P=<0.001) and the presence of neurological (r= -0.371; P=0.012) and renal dysfunction (r=0.303; P=0.041) were correlated with mortality. Thus, the identification of organ dysfunction through physical examination and routine laboratory analysis proved to be more effective in identifying and predicting the critically ill patients than the SIRS criteria or clinical presentation of the disease. Key words: dog, open cervix, closed cervix, kidney dysfunction, neurological dysfunction. O impacto da apresentação clínica, presença de SIRS e disfunção de órgãos em cadelas com piometra O objetivo deste estudo retrospectivo foi avaliar o impacto da apresentação clínica da piometra na morbimortalidade das cadelas afetadas. Foram avaliados os registros clínicos de 47 cadelas tratadas cirurgicamente para piometra entre maio e dezembro de 2017. Os dados recolhidos na admissão foram analisados para classificar os animais quanto à apresentação clínica da piometra, presença de critérios da Síndrome da Resposta Inflamatória Sistêmica (SRIS) e disfunções orgânicas - cardiovascular, neurológica, renal e hemostática. Foi registrado o desfecho durante 14 dias. A mortalidade global foi de 13%. Piometra aberta e fechada foram identificadas em 62% (n= 29) e 38% (n= 18) respectivamente. SRIS esteve presente em 44 (94%) cadelas e 27 (57%) tiveram pelo menos uma disfunção orgânica. A disfunção mais prevalente foi a hemostática, seguida da neurológica, cardiovascular e renal. A apresentação clínica da piometra e a presença de SRIS não se correlacionaram entre si ou com presença de disfunção orgânica e mortalidade. No entanto, a quantidade de disfunções orgânicas (r=0.532, P=<0.001) e a presença das disfunções neurológica (r= -0.371; P=0.012) e renal (r=0.303; P=0.041) foram correlacionados com mortalidade. Assim, a identificação de disfunções orgânicas através do exame físico e análises laboratoriais de rotina mostrou-se mais eficaz na identificação e previsão de pacientes críticos do que os critérios de SRIS ou a apresentação clínica da doença. Palavras-chave: cão, cérvix aberta, cérvix fechada, disfunção renal, disfunção neurológica. |
Audience | Academic |
Author | Lima, Virgínia Conceição Tavares da Câmara Barros, Felipe Farias Pereira Coelho, Cássia Maria Molinaro Blanc, Beatriz Teixeira Peixoto, Anna Julia Rodrigues Knackfuss, Fabiana Batalha Baldani, Cristiane Divan dos Santos Lopes Fernandes, Maria Eduarda Oliveira, Lucinéia Costa |
Author_xml | – sequence: 1 fullname: Peixoto, Anna Julia Rodrigues – sequence: 2 fullname: Lima, Virgínia Conceição Tavares – sequence: 3 fullname: dos Santos Lopes Fernandes, Maria Eduarda – sequence: 4 fullname: Oliveira, Lucinéia Costa – sequence: 5 fullname: Blanc, Beatriz Teixeira – sequence: 6 fullname: da Câmara Barros, Felipe Farias Pereira – sequence: 7 fullname: Knackfuss, Fabiana Batalha – sequence: 8 fullname: Baldani, Cristiane Divan – sequence: 9 fullname: Coelho, Cássia Maria Molinaro |
BookMark | eNqVkEFOwzAQRS1UJFLgBGzmALR12rRJlgiBYIVEu0eDM0kGJXYUG6Gch0VXrDhCjsFlcJSWPdJYHo_e1xt5KibaaBLiKpTzcJ3KhQzlapZEcaLapVz6CtMTEYSbOJlF63QzEcEfcSam1r5JuYxXURSIn11JwHWDyoHJQVWsWWEFTUuWtEPHRl8fXooGZPv4vAXUGZi2QA1ZZ_N3rQYOfNWmdVix64A1vLJTJVn4YFdC05maXIuLp4PPQIaAR1G_7z-N9_dfwwJHZb9HyGh0EmQ8uEbST_vvtvCtBapBYUYVWlCmhoZH04U4zbGydHm4z8X8_m53-zArsKIX1rnxkMIhWrPyP5qzn9_E600SrUJ__h34BU53iEA |
ContentType | Journal Article |
Copyright | COPYRIGHT 2024 Universidade Federal de Santa Maria |
Copyright_xml | – notice: COPYRIGHT 2024 Universidade Federal de Santa Maria |
DOI | 10.1590/0103-8478cr20220219 |
DatabaseTitleList | |
DeliveryMethod | fulltext_linktorsrc |
Discipline | Agriculture |
EISSN | 1678-4596 |
ExternalDocumentID | A756843184 |
GeographicLocations | Brazil |
GeographicLocations_xml | – name: Brazil |
GroupedDBID | .3O 2WC 5GY 7X2 A8Z ABDBF ABDHV ABXHO ADBBV AENEX AFKRA ALMA_UNASSIGNED_HOLDINGS APEBS APOWU ATCPS AZFZN BCNDV BENPR BHPHI C~G DU5 DYU E3Z EAD EAP EAS EBD EBS EJD EMK ESTFP ESX GROUPED_DOAJ HCIFZ IAO INF ITC KQ8 M0K M~E OK1 OZF PIMPY PV9 QF4 QM4 QN7 QO4 RDY RNS RSC RZL SCD XSB |
ID | FETCH-gale_infotracacademiconefile_A7568431843 |
ISSN | 0103-8478 |
IngestDate | Fri Feb 02 04:41:31 EST 2024 |
IsPeerReviewed | true |
IsScholarly | true |
Issue | 1 |
Language | English |
LinkModel | OpenURL |
MergedId | FETCHMERGED-gale_infotracacademiconefile_A7568431843 |
ParticipantIDs | gale_infotracacademiconefile_A756843184 |
PublicationCentury | 2000 |
PublicationDate | 20240101 |
PublicationDateYYYYMMDD | 2024-01-01 |
PublicationDate_xml | – month: 01 year: 2024 text: 20240101 day: 01 |
PublicationDecade | 2020 |
PublicationTitle | Ciência rural |
PublicationYear | 2024 |
Publisher | Universidade Federal de Santa Maria |
Publisher_xml | – name: Universidade Federal de Santa Maria |
SSID | ssj0027344 |
Score | 4.7138305 |
Snippet | This retrospective study evaluated the impact of the clinical presentation of pyometra on the morbidity and mortality of the affected bitches. The medical... |
SourceID | gale |
SourceType | Aggregation Database |
StartPage | 1 |
SubjectTerms | Cervix diseases Diseases Dogs |
Title | The impact of clinical presentation, presence of SIRS and organ dysfunction on mortality in bitches with pyometra/O impacto da apresentação clínica, presença de SIRS e disfunção de órgãos em cadelas com piometra |
Volume | 54 |
hasFullText | 1 |
inHoldings | 1 |
isFullTextHit | |
isPrint | |
link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV29btswECaSdGmHor_ob8ChQAfWjiNTtjS6cYK0cGsgdop0CiiRNgTEkiHJRdOp79IhU6c-gh-jL9M7_lhy4cEtYAg0TfMOPH66E8XvSMgrGbRE2G2FjYkX-A0-8dqNQHgcSpIfRipqyQ4SnD987Jye8_cX_sXO7vfarqVFGTXjbxt5Jf9jVagDuyJL9h8su-oUKqAM9oUrWBiuW9u4ojmuSI7zilKk7ynme6xXB0bvzkb6hYE-zonJ6wI9mwkbUzbTwTgG5knKogQtaulv8-tspko8lOhkaGVmTAomnDD9xr2rr-0MdNGlPipUqWDaCCaV0UPh-yGQv_5f-BWLb9v51FYVTM1YrBNaFrgJns0To009tD5KdOse5g9hOWYTqW77ydesNHyeNBWaEy7YWSbzZLqo9lAOkpnW9VNiBfeRsXaEvM5kXcOx-IK0LfdHCQqO8DDmgg2yOYyYW5wvLBsKujmWiMWVDxxegZdJ9BlPbLCIEzMEoZZXlKK-FuPxv9Zi3F4aCQMCojB16pUeUlBBGHH1pdwW4IKbA4yayrgfCB0a3Ddn_Dr_ZJJsr-HQOJvDjS7QD_WeUdd7nHtIpnaOaT23eK_rdwIIIQO-S2553dDHTbH9z-fVkkWbm-z4tjebtwtkHGyQYMOaWoA2vkfu2icr2jMwuU92VPqA3OlNc5tdRj0kvwEw1Exemk2oAwytA-YNdXDBJjhNKZiSarjQGlwofFZwoUlKLVwowoU6uBwMrbyMSkFXYFneLH9kIH_5ExVwIpc3gkplZCpqoGFaQu3yVz6FYkHVjFooUIACdVB4RJonx-Oj0waOzSXaCipjYekvWaowA9tlZYr2Y7KXQvUTQr1WxLsSHnoiwbn0VQTPE0JEcA-NQj8K-FPyestOn23d8jm5XU3tF2SvzBfqJQTeZbSvF6z29Qz5A5NB5xM |
link.rule.ids | 315,786,790,870,27955,27956 |
linkProvider | CAB International |
openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=The+impact+of+clinical+presentation%2C+presence+of+SIRS+and+organ+dysfunction+on+mortality+in+bitches+with+pyometra%2FO+impacto+da+apresenta%C3%A7%C3%A3o+cl%C3%ADnica%2C+presen%C3%A7a+de+SIRS+e+disfun%C3%A7%C3%A3o+de+%C3%B3rg%C3%A3os+em+cadelas+com+piometra&rft.jtitle=Ci%C3%AAncia+rural&rft.au=Peixoto%2C+Anna+Julia+Rodrigues&rft.au=Lima%2C+Virg%C3%ADnia+Concei%C3%A7%C3%A3o+Tavares&rft.au=dos+Santos+Lopes+Fernandes%2C+Maria+Eduarda&rft.au=Oliveira%2C+Lucin%C3%A9ia+Costa&rft.date=2024-01-01&rft.pub=Universidade+Federal+de+Santa+Maria&rft.issn=0103-8478&rft.eissn=1678-4596&rft.volume=54&rft.issue=1&rft.spage=1&rft_id=info:doi/10.1590%2F0103-8478cr20220219&rft.externalDocID=A756843184 |
thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=0103-8478&client=summon |
thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=0103-8478&client=summon |
thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=0103-8478&client=summon |