Perioperative mortality rate and risk factors for death in dogs undergoing surgery for treatment of thoracic trauma: 157 cases (1990–2014)

Cassie N. Lux, William T.N. Culp, Matthew S Mellema, Desiree D. Rosselli, Chad W. Schmiedt, Ameet Singh, April Haynes, Emily Schoenrock, Laura E. Selmic, Heidi Phillips, Milan Milovancev, Philipp D. Mayhew, Dorothy C. Brown

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

OBJECTIVE To determine perioperative mortality rate and identify risk factors associated with outcome in dogs with thoracic trauma that underwent surgical procedures and to evaluate the utility of the animal trauma triage (ATT) score in predicting outcome. DESIGN Retrospective case series. ANIMALS 157 client-owned dogs. PROCEDURES Medical records databases of 7 veterinary teaching hospitals were reviewed. Dogs were included if trauma to the thorax was documented and the patient underwent a surgical procedure. History, signalment, results of physical examination and preoperative laboratory tests, surgical procedure, perioperative complications, duration of hospital stay, and details of follow-up were recorded. Descriptive statistics and ATT scores were calculated, and logistic regression analysis was performed. RESULTS 123 of 157 (78%) patients underwent thoracic surgery, and 134 of 157 (85.4%) survived to discharge. Mean ± SD ATT score for nonsurvivors was 8 ± 2.4. In the multivariable model, female dogs and dogs that did not experience cardiac arrest as a postoperative complication had odds of survival 6 times and 102 times, respectively, those of male dogs and dogs that did experience cardiac arrest as a postoperative complication. Additionally, patients with a mean ATT score < 7 had odds of survival 5 times those of patients with an ATT score ≥ 7. CONCLUSIONS AND CLINICAL RELEVANCE The overall perioperative mortality rate was low for patients with thoracic trauma undergoing surgery in this study. However, male dogs and dogs that experienced cardiac arrest had a lower likelihood of survival to discharge. The ATT score may be a useful adjunct to assist clinical decision-making in veterinary patients with thoracic trauma.

Original languageEnglish (US)
Pages (from-to)1097-1107
Number of pages11
JournalJournal of the American Veterinary Medical Association
Volume252
Issue number9
DOIs
StatePublished - May 1 2018

ASJC Scopus subject areas

  • veterinary(all)

Fingerprint Dive into the research topics of 'Perioperative mortality rate and risk factors for death in dogs undergoing surgery for treatment of thoracic trauma: 157 cases (1990–2014)'. Together they form a unique fingerprint.

  • Cite this

    Lux, C. N., Culp, W. T. N., Mellema, M. S., Rosselli, D. D., Schmiedt, C. W., Singh, A., Haynes, A., Schoenrock, E., Selmic, L. E., Phillips, H., Milovancev, M., Mayhew, P. D., & Brown, D. C. (2018). Perioperative mortality rate and risk factors for death in dogs undergoing surgery for treatment of thoracic trauma: 157 cases (1990–2014). Journal of the American Veterinary Medical Association, 252(9), 1097-1107. https://doi.org/10.2460/javma.252.9.1097