Open AccessVestibular disease in dogs under UK primary veterinary care: Epidemiology and clinical management
Author(s) -
Radulescu Sinziana Maria,
Humm Karen,
Eramanis Louis Mark,
Volk Holger A.,
Church David B.,
Brodbelt David,
O'Neill Dan Gerard
Publication year - 2020
Publication title -
journal of veterinary internal medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.356
H-Index - 103
eISSN - 1939-1676
pISSN - 0891-6640
DOI - 10.1111/jvim.15869
Subject(s) - medicine , interquartile range , retrospective cohort study , epidemiology , odds ratio , cohort , logistic regression , pediatrics
Background Vestibular disease (VD), central or peripheral, can be a dramatic primary‐care presentation. Current literature describes mostly dogs examined in referral centers. Hypothesis/Objectives Describe the prevalence, presentation, clinical management, and outcomes of VD in dogs under primary veterinary care at UK practices participating in VetCompass. Animals Seven hundred and fifty‐nine vestibular cases identified out of 905 544 study dogs. Methods Retrospective cohort study. Potential VD cases clinically examined during 2016 were verified by reviewing clinical records for signalment, presenting clinical signs, treatments, and outcomes. Multivariable logistic regression was used to evaluate factors associated with VD. Results The overall prevalence of VD was 8 per 10 000 dogs (95% CI = 7‐9). Median age at first diagnosis was 12.68 years (interquartile range [IQR], 11.28‐14.64). Compared with crossbreeds, breeds with the highest odds of VD diagnosis included French Bulldogs (odds ratio [OR] = 9.25, 95% CI = 4.81‐17.76, P < .001), Bulldogs (OR = 6.53, 95% CI = 2.66‐16.15, P < .001), King Charles Spaniels (OR = 4.96, 95% CI = 2.52‐9.78, P < .001), Cavalier King Charles Spaniels (OR = 3.56, 95% CI = 2.50‐5.06, P < .001), and Springer Spaniels (OR = 3.37, 95% CI = 2.52‐4.52, P < .001). The most common presenting signs were head tilt (69.8%), nystagmus (68.1%), and ataxia (64.5%). The most frequently used treatments were antiemetics (43.2%), systemic glucocorticoids (33.1%), antimicrobials (25%), and propentofylline (23.25%). There were 3.6% of cases referred. Improvement was recorded in 41.8% cases after a median of 4 days (IQR, 2‐10.25). Conclusions Our study identifies strong breed predispositions for VD. The low referral rates suggest that primary‐care data sources offer more generalizable information for benchmarking to help clinicians review their own clinical activities.