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Gastric dilation‐volvulus in dogs attending UK emergency‐care veterinary practices: prevalence, risk factors and survival
Author(s) -
O'Neill D. G.,
Case J.,
Boag A. K.,
Church D. B.,
McGreevy P. D.,
Thomson P. C.,
Brodbelt D. C.
Publication year - 2017
Publication title -
journal of small animal practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.7
H-Index - 67
eISSN - 1748-5827
pISSN - 0022-4510
DOI - 10.1111/jsap.12723
Subject(s) - medicine , odds ratio , confidence interval , population , emergency department , logistic regression , cross sectional study , veterinary medicine , pathology , environmental health , psychiatry
Objective To report prevalence, risk factors and clinical outcomes for presumptive gastric dilation‐volvulus diagnosed among an emergency‐care population of UK dogs. Methods The study used a cross‐sectional design using emergency‐care veterinary clinical records from the VetCompass Programme spanning September 1, 2012 to February 28, 2014 and risk factor analysis using multivariable logistic regression modelling. Results The study population comprised 77,088 dogs attending 50 Vets Now clinics. Overall, 492 dogs had presumptive gastric dilation‐volvulus diagnoses, giving a prevalence of 0·64% (95% Confidence interval: 0·58 to 0·70%). Compared with cross‐bred dogs, breeds with the highest odds ratios for the diagnosis of presumptive gastric dilation‐volvulus were the great Dane (odds ratio: 114·3, 95% Confidence interval 55·1 to 237·1, P<0·001), akita (odds ratio: 84·4, 95% Confidence interval 33·6 to 211·9, P<0·001) and dogue de Bordeaux (odds ratio: 82·9, 95% Confidence interval 39·0 to 176·3, P<0·001). Odds increased as dogs aged up to 12 years and neutered male dogs had 1·3 (95% Confidence interval 1·0 to 1·8, P=0·041) times the odds compared with entire females. Of the cases that were presented alive, 49·7% survived to discharge overall, but 79·3% of surgical cases survived to discharge. Clinical Significance Approximately 80% of surgically managed cases survived to discharge. Certain large breeds were highly predisposed.