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Retrospective evaluation of factors influencing transfusion requirements and outcome in cats with pelvic injury (2009–2014): 122 cases
Author(s) -
Gant Poppy,
Asztalos Imola,
Kulendra Elvin,
Lee Karla,
Humm Karen
Publication year - 2019
Publication title -
journal of veterinary emergency and critical care
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.886
H-Index - 47
eISSN - 1476-4431
pISSN - 1479-3261
DOI - 10.1111/vec.12852
Subject(s) - medicine , cats , blood transfusion , retrospective cohort study , injury severity score , population , pelvic fracture , surgery , triage , pelvis , anesthesia , emergency medicine , poison control , injury prevention , environmental health
Objective To characterize a population of cats with pelvic trauma and evaluate factors influencing transfusion requirement and outcome. Design Retrospective case series (2009–2014). Setting University teaching hospital. Animals One hundred twelve client‐owned cats with pelvic trauma. Interventions None. Measurements and main results Twenty‐one (18.8%) cats received a transfusion. Most cats required only 1 fresh whole blood transfusion (85.8%). Packed cell volume at admission was significantly lower in cats that required transfusion but was not associated with hospitalization time or survival to discharge. Increasing Animal Trauma Triage (ATT) score at admission was significantly associated with transfusion requirement ( P = 0.0001) and nonsurvival to discharge ( P = 0.03). Number of pelvic fractures was not associated with transfusion requirement but cats with sacroiliac luxations and pubic fractures were more likely to require a transfusion ( P = 0.0015 and P = 0.0026, respectively). However, fracture type was not associated with survival to discharge. Most cats (86%) required a surgical procedure and half of transfusions were administered preoperatively. No surgical comorbidities were associated with transfusion requirement or survival. Transfusion requirement was associated with longer length of hospitalization but not survival to discharge. Conclusions Transfusion requirement in this population of cats with pelvic fractures was fairly high. Transfusion requirement was associated with lower packed cell volume, higher ATT score at admission, longer length of hospitalization, and certain types of pelvic fractures. Transfusion requirement was not associated with surgical comorbidities, surgical intervention, or survival to discharge. Lower ATT score at admission was associated with survival to discharge.