Analyze Diet

Clinical findings, diagnoses, and outcomes of horses presented for colic to a referral hospital in Atlantic Canada (2000-2015).

Abstract: Medical records of equine patients presented for signs of abdominal pain to the Atlantic Veterinary College Teaching Hospital between 2000 and 2015 were reviewed. A total of 575 patients were enrolled, and the most common clinical findings, diagnoses, and outcomes are described. Potential predictors of survival to discharge were assessed. The most common diagnosis was large colon impaction (18.4%), followed by large colon volvulus (6.2%). Overall survival to discharge was 69%. The survival rates for horses were 82.9% for those with no diagnosis, 74.6% for those with large intestine lesions, and 38.5% for those with small intestine lesions. Significant predictors for non-survival were increasing age, increasing duration of colic signs, severity of colic, and a lesion in the small intestine. These data are important for veterinarians in the region who are treating cases of equine colic and advising clients. Trouvailles cliniques, diagnostics et issues de chevaux présentés pour colique à un centre de référence dans les provinces atlantiques canadiennes (2000–2015). Les dossiers médicaux de patients équins présentés pour des signes de douleur abdominale à l’hôpital d’enseignement vétérinaire du Atlantic Veterinary College entre 2000 et 2015 ont été revus. Un total de 575 patients furent recrutés, et les trouvailles cliniques, diagnostics et issues les plus fréquents sont décrits. Les prédicteurs potentiels de survie jusqu’au congé sont évalués. Le diagnostic le plus fréquent était l’impaction du côlon (18,4 %), suivi du volvulus du côlon (6,2 %). La survie globale jusqu’au congé était de 69 %. Les taux de survie pour les chevaux étaient de 82,9 % pour ceux sans diagnostic, 74,6 % pour ceux avec des lésions au gros intestin et de 38,5 % pour ceux avec des lésions au petit intestin. Les prédicteurs significatifs pour la non-survie étaient une augmentation de l’âge, une augmentation de la durée des signes cliniques, la sévérité des coliques et une lésion au petit intestin. Ces données sont importantes pour les vétérinaires en région qui traitent les cas de cliques équines et conseillent les clients.(Traduit par Dr Serge Messier).
Publication Date: 2020-03-14 PubMed ID: 32165752PubMed Central: PMC7020639
The Equine Research Bank provides access to a large database of publicly available scientific literature. Inclusion in the Research Bank does not imply endorsement of study methods or findings by Mad Barn.
  • Journal Article

Summary

This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.

This research article reviews medical records of 575 horses suffering from abdominal pain, commonly known as colic, presented at the Atlantic Veterinary College Teaching Hospital between 2000 and 2015. It identifies common symptoms, diagnoses, and survival rates, while also assessing factors that potentially predict successful discharge, in this region of Atlantic Canada.

Study Participants and Method

  • The study involved a review of the medical records of 575 equine patients that were presented with signs of abdominal pain at the Atlantic Veterinary College Teaching Hospital over a 15-year period (2000-2015).
  • Variables such as age, duration of colic symptoms, severity of the condition, presence of intestinal lesions, and diagnosis were taken into consideration.
  • The study aimed to describe the most common clinical findings, diagnoses, outcomes, and potential predictors of survival to discharge in horses presenting with colic in Atlantic Canada.

Key Findings

  • The most frequently observed diagnosis was large colon impaction (18.4%), followed by large colon volvulus (6.2%).
  • The overall survival rate to discharge was found to be 69% with horses showing no diagnosis having the highest survival rate of 82.9%.
  • Horses associated with large intestine lesions had a survival rate of 74.6%, while those with small intestine lesions had a significantly lower survival rate of 38.5%.

Significant Predictors of Survival

  • The research revealed several significant predictors for non-survival: increased age, greater duration of colic symptoms, severity of the condition, and presence of a lesion in the small intestine.
  • The study’s findings indicate that these factors can influence survival rates and are crucial in treating cases of equine colic and advising clients in veterinary practice.

Impact and Relevance of the Study

  • The data gathered in this study is significant to veterinarians, particularly those operating in the Atlantic Canada region, as it provides detailed insights into the major clinical findings, diagnoses, and outcomes in horses presenting with colic.
  • These findings could be used to better manage and treat equine patients suffering from colic, potentially improving survival rates for affected horses.

Cite This Article

APA
Kaufman JM, Nekouei O, Doyle AJ, Biermann NM. (2020). Clinical findings, diagnoses, and outcomes of horses presented for colic to a referral hospital in Atlantic Canada (2000-2015). Can Vet J, 61(3), 281-288.

Publication

ISSN: 0008-5286
NlmUniqueID: 0004653
Country: Canada
Language: English
Volume: 61
Issue: 3
Pages: 281-288

Researcher Affiliations

Kaufman, Jaclyn M
  • Department of Health Management, Atlantic Veterinary College, University of Prince Edward Island, Charlottetown, Prince Edward Island.
Nekouei, Omid
  • Department of Health Management, Atlantic Veterinary College, University of Prince Edward Island, Charlottetown, Prince Edward Island.
Doyle, Aimie J
  • Department of Health Management, Atlantic Veterinary College, University of Prince Edward Island, Charlottetown, Prince Edward Island.
Biermann, Nora M
  • Department of Health Management, Atlantic Veterinary College, University of Prince Edward Island, Charlottetown, Prince Edward Island.

MeSH Terms

  • Animals
  • Canada
  • Colic / veterinary
  • Horse Diseases
  • Horses
  • Referral and Consultation
  • Retrospective Studies

References

This article includes 27 references
  1. Tinker MK, White NA, Lessard P. Prospective study of equine colic incidence and mortality. Equine Vet J 1997;29:448–453.
    pubmed: 9413717
  2. Magdesian KG, Smith BP. Alterations in alimentary and hepatic function. In: Smith BP, editor. Large Animal Internal Medicine. 5th ed. St. Louis, Missouri: Mosby; 2015. pp. 88–106.
  3. van der Linden MA, Laffont CM, Sloet van Oldruitenborgh-Oosterbaan MM. Prognosis in equine medical and surgical colic. J Vet Intern Med 2003;17:343–348.
    pubmed: 12774977
  4. Sutton GA, Ertzman-Ginsburg R, Steinman A, Milgram J. Initial investigation of mortality rates and prognostic indicators in horses with colic in Israel: A retrospective study. Equine Vet J 2009;41:482–486.
    pubmed: 19642409
  5. Lindegaard C, Ekstrøm CT, Wulf SB, Vendelbo JMB, Andersen PH. Nephrosplenic entrapment of the large colon in 142 horses (2000–2009): Analysis of factors associated with decision of treatment and short-term survival. Equine Vet J Suppl 2011;39:63–68.
    pubmed: 21790756
  6. Dunkel B, Buonpane A, Chang Y. Differences in gastrointestinal lesions in different horse types. Vet Rec 2017;181:291.
    pubmed: 28780530
  7. Mair TS, Smith LJ. Survival and complication rates in 300 horses undergoing surgical treatment of colic. Part 1: Short-term survival following a single laparotomy. Equine Vet J 2005;37:296–302.
    pubmed: 16028616
  8. Pascoe PJ, McDonell WN, Trim CM, Van Gorder J. Mortality rates and associated factors in equine colic operations — a retrospective study of 341 operations. Can Vet J 1983;24:76–85.
    pmc: PMC1790318pubmed: 17422234
  9. Mezerova J, Zert Z, Kabes R, Ottova L. Analysis of clinical and perioperative findings in 576 horses subjected to surgical treatment of colic. Veterinární Medicína 2008;53:29–42.
  10. Abutarbush SM, Carmalt JL, Shoemaker RW. Causes of gastrointestinal colic in horses in western canada: 604 cases (1992 to 2002). Can Vet J 2005;46:800–805.
    pmc: PMC1187790pubmed: 16231649
  11. Christophersen MT, Dupont N, Berg-Sørensen KS, Konnerup C, Pihl TH, Andersen PH. Short-term survival and mortality rates in a retrospective study of colic in 1588 Danish horses. Acta Vet Scand 2014;56:20.
    pmc: PMC3998380pubmed: 24712831
  12. Reeves MJ, Gay JM, Hilbert BJ, Morris RS. Association of age, sex and breed factors in acute equine colic: A retrospective study of 320 cases admitted to a veterinary teaching hospital in the USA. Prev Vet Med 1989;7:149–160.
  13. Kilcoyne I, Dechant JE, Spier SJ, Spriet M, Nieto JE. Clinical findings and management of 153 horses with large colon sand accumulations. Vet Surg 2017;46:860–867.
    pubmed: 28626911
  14. Proudman CJ, Dugdale AHA, Senior JM. Pre-operative and anaesthesia-related risk factors for mortality in equine colic cases. Vet J 2006;171:89–97.
    pubmed: 16427585
  15. Hackett ES, Embertson RM, Hopper SA, Woodie JB, Ruggles AJ. Duration of disease influences survival to discharge of thoroughbred mares with surgically treated large colon volvulus. Equine Vet J 2015;47:650–654.
    pubmed: 25257041
  16. Proudman CJ, Edwards GB, Barnes J, French NR. Factors affecting long-term survival of horses recovering from surgery of the small intestine. Equine Vet J 2005;37:360–365.
    pubmed: 16028629
  17. Gazzerro DM, Southwood LL, Lindborg S. Short-term complications after colic surgery in geriatric versus mature non-geriatric horses. Vet Surg 2015;44:256–264.
    pubmed: 25289944
  18. Silva AG, Furr MO. Diagnoses, clinical pathology findings, and treatment outcome of geriatric horses: 345 cases (2006–2010). J Am Vet Med Assoc 2013;243:1762–1768.
    pubmed: 24299549
  19. Phillips TJ, Walmsley JP. Retrospective analysis of the results of 151 exploratory laparotomies in horses with gastrointestinal disease. Equine Vet J 1993;25:427–431.
    pubmed: 8223375
  20. Immonen IAM, Karikoski N, Mykkänen A, Niemelä T, Junnila J, Tulamo R. Long-term follow-up on recovery, return to use and sporting activity: A retrospective study of 236 operated colic horses in Finland (2006–2012). Acta Vet Scand 2017;59:5.
    pmc: PMC5216577pubmed: 28057022
  21. Ducharme NG, Hackett RP, Ducharme GR, Long S. Surgical treatment of colic results in 181 horses. Vet Surg 1983;12:206–209.
  22. Mair TS, Smith LJ. Survival and complication rates in 300 horses undergoing surgical treatment of colic. part 2: Short-term complications. Equine Vet J 2005;37:303–309.
    pubmed: 16028617
  23. Morton AJ, Blikslager AT. Surgical and postoperative factors influencing short-term survival of horses following small intestinal resection: 92 cases (1994–2001). Equine Vet J 2002;34:450–454.
    pubmed: 12358046
  24. Parry BW, Anderson GA, Gay CC. Prognosis in equine colic: A comparative study of variables used to assess individual cases. Equine Vet J 1983;15:211–215.
    pubmed: 6884310
  25. Lawless SP, Werner LA, Baker WT, Hunt RJ, Cohen ND. Duodenojejunal mesenteric rents: Survival and complications after surgical correction in 38 broodmares (2006–2014). Vet Surg 2017;46:367–375.
    pubmed: 28145577
  26. Reeves MJ, Salman MD, Smith G. Risk factors for equine acute abdominal disease (colic): Results from a multi-center case-control study. Prev Vet Med 1996;26:285–301.
  27. Proudman CJ. A two year, prospective survey of equine colic in general practice. Equine Vet J 1992;24:90–93.
    pubmed: 1582399