Surgical and postoperative factors influencing short-term survival of horses following small intestinal resection: 92 cases (1994-2001)

Summary Although short‐term survival rates following small intestinal resection reportedly range from 48–88%, there is little information on predicting which horse may or may not survive small intestinal (SI) resection and anastomosis. The aim of this study was to identify factors that contribute to...

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Bibliographic Details
Published in:Equine veterinary journal 2002-07, Vol.34 (5), p.450-454
Main Authors: MORTON, A. J., BLIKSLAGER, A. T.
Format: Article
Language:English
Subjects:
Anastomosis, Surgical - mortality
Anastomosis, Surgical - veterinary
Animals
Confidence Intervals
Female
horse
Horse Diseases - mortality
Horse Diseases - surgery
Horses
Intestinal Obstruction - epidemiology
Intestinal Obstruction - mortality
Intestinal Obstruction - surgery
Intestinal Obstruction - veterinary
Intestine, Small - surgery
jejunocaecostomy
jejunojejunostomy
Male
Odds Ratio
Postoperative Complications - epidemiology
Postoperative Complications - mortality
Postoperative Complications - veterinary
postoperative ileus
Postoperative Period
Retrospective Studies
Risk Factors
strangulating obstruction
Survival Rate
Time Factors
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Summary:Summary Although short‐term survival rates following small intestinal resection reportedly range from 48–88%, there is little information on predicting which horse may or may not survive small intestinal (SI) resection and anastomosis. The aim of this study was to identify factors that contribute to nonsurvival in horses following small intestinal resection. Medical records of horses which recovered from anaesthesia following SI resection were reviewed. Clinical and surgical variables were evaluated for their association with short‐term survival using logistic regression and were reported as odds ratios (OR), including the 95% confidence interval (CI), indicating the likelihood of horses not surviving to hospital discharge. Ninety‐two records met the criteria for inclusion. Thirty‐six (81.8%) of the horses that underwent jejunojejunostomy (JJ) and 34 (70.8%) of the horses that underwent jejunocaecostomy (JC) survived to discharge. Multiple logistic analysis indicated that postoperative ileus (OR = 29.7; 95% CI 2.5–354.6), repeat celiotomy (OR = 18; CI 1.7–187.6), and an elevated heart rate of ≥ 60 beats/min (OR = 5.6; CI 1.5–20.6) were the principal factors associated with nonsurvival. A low total plasma protein of
ISSN:0425-1644
2042-3306
DOI:10.2746/042516402776117700