Perioperative outcome in dogs with hemoperitoneum: 83 cases (2005-2010)

Research output: Contribution to journalArticle

21 Citations (Scopus)

Abstract

Objective-To characterize the clinical course of dogs with hemoperitoneum in the perioperative setting and to determine risk factors that may affect short-term outcome. Design-Retrospective case series. Animals-83 client-owned dogs. Procedures-The medical records of dogs with hemoperitoneum that underwent surgery between 2005 and 2010 were reviewed. Data were analyzed to determine risk factors asso-ciated with perioperative outcome. The perioperative period was defined as the time from admission to the hospital for treatment of hemoperitoneum until the time of discharge or euthanasia (within the same visit). Results-13 of 83 (16%) dogs died or were euthanized in the perioperative period. The median hospitalization time for surviving dogs was 2 days (range, 1 to 5 days). The require-ment for a massive transfusion with blood products was a negative prognostic indicator for hospital discharge. The source of bleeding was isolated to the spleen in 75 of 83 (90%) dogs; a splenic source of hemorrhage was determined to be a positive predictor of survival to discharge from the hospital. Conclusions and Clinical Relevance-In the present study, factors associated with death and failure to be discharged from the hospital included tachycardia, a requirement for mas-sive transfusion with blood products, and the development of respiratory disease second-ary to suspected pulmonary thromboembolism or acute respiratory distress syndrome. The presence of disease within the spleen was positively associated with survival to discharge. Surgical intervention for treatment of hemoperitoneum, regardless of etiology, resulted in discharge from the hospital for 70 of the 83 (84%) dogs in this series.

Original languageEnglish (US)
Pages (from-to)1385-1391
Number of pages7
JournalJournal of the American Veterinary Medical Association
Volume242
Issue number10
DOIs
StatePublished - May 2013

Fingerprint

Hemoperitoneum
Dogs
dogs
Perioperative Period
Blood Transfusion
hemorrhage
spleen
risk factors
Spleen
Hemorrhage
Euthanasia
blood
Adult Respiratory Distress Syndrome
euthanasia
Pulmonary Embolism
disease course
Tachycardia
respiratory tract diseases
Medical Records
etiology

ASJC Scopus subject areas

  • veterinary(all)

Cite this

@article{2abdb7d11c714a049aa7694da0b5264f,
title = "Perioperative outcome in dogs with hemoperitoneum: 83 cases (2005-2010)",
abstract = "Objective-To characterize the clinical course of dogs with hemoperitoneum in the perioperative setting and to determine risk factors that may affect short-term outcome. Design-Retrospective case series. Animals-83 client-owned dogs. Procedures-The medical records of dogs with hemoperitoneum that underwent surgery between 2005 and 2010 were reviewed. Data were analyzed to determine risk factors asso-ciated with perioperative outcome. The perioperative period was defined as the time from admission to the hospital for treatment of hemoperitoneum until the time of discharge or euthanasia (within the same visit). Results-13 of 83 (16{\%}) dogs died or were euthanized in the perioperative period. The median hospitalization time for surviving dogs was 2 days (range, 1 to 5 days). The require-ment for a massive transfusion with blood products was a negative prognostic indicator for hospital discharge. The source of bleeding was isolated to the spleen in 75 of 83 (90{\%}) dogs; a splenic source of hemorrhage was determined to be a positive predictor of survival to discharge from the hospital. Conclusions and Clinical Relevance-In the present study, factors associated with death and failure to be discharged from the hospital included tachycardia, a requirement for mas-sive transfusion with blood products, and the development of respiratory disease second-ary to suspected pulmonary thromboembolism or acute respiratory distress syndrome. The presence of disease within the spleen was positively associated with survival to discharge. Surgical intervention for treatment of hemoperitoneum, regardless of etiology, resulted in discharge from the hospital for 70 of the 83 (84{\%}) dogs in this series.",
author = "Lux, {Cassie N.} and Culp, {William T} and Philipp Mayhew and Kim Tong and Rebhun, {Robert B} and Kass, {Philip H}",
year = "2013",
month = "5",
doi = "10.2460/javma.242.10.1385",
language = "English (US)",
volume = "242",
pages = "1385--1391",
journal = "Journal of the American Veterinary Medical Association",
issn = "0003-1488",
publisher = "American Veterinary Medical Association",
number = "10",

}

TY - JOUR

T1 - Perioperative outcome in dogs with hemoperitoneum

T2 - 83 cases (2005-2010)

AU - Lux, Cassie N.

AU - Culp, William T

AU - Mayhew, Philipp

AU - Tong, Kim

AU - Rebhun, Robert B

AU - Kass, Philip H

PY - 2013/5

Y1 - 2013/5

N2 - Objective-To characterize the clinical course of dogs with hemoperitoneum in the perioperative setting and to determine risk factors that may affect short-term outcome. Design-Retrospective case series. Animals-83 client-owned dogs. Procedures-The medical records of dogs with hemoperitoneum that underwent surgery between 2005 and 2010 were reviewed. Data were analyzed to determine risk factors asso-ciated with perioperative outcome. The perioperative period was defined as the time from admission to the hospital for treatment of hemoperitoneum until the time of discharge or euthanasia (within the same visit). Results-13 of 83 (16%) dogs died or were euthanized in the perioperative period. The median hospitalization time for surviving dogs was 2 days (range, 1 to 5 days). The require-ment for a massive transfusion with blood products was a negative prognostic indicator for hospital discharge. The source of bleeding was isolated to the spleen in 75 of 83 (90%) dogs; a splenic source of hemorrhage was determined to be a positive predictor of survival to discharge from the hospital. Conclusions and Clinical Relevance-In the present study, factors associated with death and failure to be discharged from the hospital included tachycardia, a requirement for mas-sive transfusion with blood products, and the development of respiratory disease second-ary to suspected pulmonary thromboembolism or acute respiratory distress syndrome. The presence of disease within the spleen was positively associated with survival to discharge. Surgical intervention for treatment of hemoperitoneum, regardless of etiology, resulted in discharge from the hospital for 70 of the 83 (84%) dogs in this series.

AB - Objective-To characterize the clinical course of dogs with hemoperitoneum in the perioperative setting and to determine risk factors that may affect short-term outcome. Design-Retrospective case series. Animals-83 client-owned dogs. Procedures-The medical records of dogs with hemoperitoneum that underwent surgery between 2005 and 2010 were reviewed. Data were analyzed to determine risk factors asso-ciated with perioperative outcome. The perioperative period was defined as the time from admission to the hospital for treatment of hemoperitoneum until the time of discharge or euthanasia (within the same visit). Results-13 of 83 (16%) dogs died or were euthanized in the perioperative period. The median hospitalization time for surviving dogs was 2 days (range, 1 to 5 days). The require-ment for a massive transfusion with blood products was a negative prognostic indicator for hospital discharge. The source of bleeding was isolated to the spleen in 75 of 83 (90%) dogs; a splenic source of hemorrhage was determined to be a positive predictor of survival to discharge from the hospital. Conclusions and Clinical Relevance-In the present study, factors associated with death and failure to be discharged from the hospital included tachycardia, a requirement for mas-sive transfusion with blood products, and the development of respiratory disease second-ary to suspected pulmonary thromboembolism or acute respiratory distress syndrome. The presence of disease within the spleen was positively associated with survival to discharge. Surgical intervention for treatment of hemoperitoneum, regardless of etiology, resulted in discharge from the hospital for 70 of the 83 (84%) dogs in this series.

UR - http://www.scopus.com/inward/record.url?scp=84877046093&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84877046093&partnerID=8YFLogxK

U2 - 10.2460/javma.242.10.1385

DO - 10.2460/javma.242.10.1385

M3 - Article

C2 - 23634683

AN - SCOPUS:84877046093

VL - 242

SP - 1385

EP - 1391

JO - Journal of the American Veterinary Medical Association

JF - Journal of the American Veterinary Medical Association

SN - 0003-1488

IS - 10

ER -