PDF(Pubmed)
Abstract：
UNASSIGNED: Motor vehicular trauma, bite wounds, high-rise syndrome, and trauma of unknown origin are common reasons cats present to the emergency service. In small animals, thoracic injuries are often associated with trauma. The objective of this retrospective study was to evaluate limits of agreement (LOA) between thoracic point-of-care ultrasound (thoracic POCUS) and thoracic radiography (TXR), and to correlate thoracic POCUS findings to animal trauma triage (ATT) scores and subscores in a population of cats suffering from recent trauma.
UNASSIGNED: Cats that had thoracic POCUS and TXR performed within 24 h of admission for suspected/witnessed trauma were retrospectively included. Thoracic POCUS and TXR findings were assessed as \"positive\" or \"negative\" based on the presence or absence of injuries. Cats positive on thoracic POCUS and TXR were assigned 1 to 5 tentative diagnoses: pulmonary contusions/hemorrhage, pneumothorax, pleural effusion, pericardial effusion, and diaphragmatic hernia. When available ATT scores were calculated. To express LOA between the two imaging modalities a kappa coefficient and 95% CI were calculated. Interpretation of kappa was based on Cohen values.
UNASSIGNED: One hundred and eleven cats were included. 83/111 (74.4%) cats were assessed as positive based on thoracic POCUS and/or TXR. Pulmonary contusion was the most frequent diagnosis. The LOA between thoracic POCUS and TXR were moderate for all combined injuries, moderate for pulmonary contusions/hemorrhage, pneumothorax, diaphragmatic hernia, and fair for pleural effusion. Cats with positive thoracic POCUS had significantly higher median ATT scores and respiratory subscores compared to negative thoracic POCUS cats.
UNASSIGNED: The frequency of detecting intrathoracic lesions in cats was similar between thoracic POCUS and TXR with fair to moderate LOA, suggesting thoracic POCUS is useful in cats suffering from trauma. Thoracic POCUS may be more beneficial in cats with higher ATT scores, particularly the respiratory score.
UNASSIGNED: Cats that had thoracic POCUS and TXR performed within 24 h of admission for suspected/witnessed trauma were retrospectively included. Thoracic POCUS and TXR findings were assessed as \"positive\" or \"negative\" based on the presence or absence of injuries. Cats positive on thoracic POCUS and TXR were assigned 1 to 5 tentative diagnoses: pulmonary contusions/hemorrhage, pneumothorax, pleural effusion, pericardial effusion, and diaphragmatic hernia. When available ATT scores were calculated. To express LOA between the two imaging modalities a kappa coefficient and 95% CI were calculated. Interpretation of kappa was based on Cohen values.
UNASSIGNED: One hundred and eleven cats were included. 83/111 (74.4%) cats were assessed as positive based on thoracic POCUS and/or TXR. Pulmonary contusion was the most frequent diagnosis. The LOA between thoracic POCUS and TXR were moderate for all combined injuries, moderate for pulmonary contusions/hemorrhage, pneumothorax, diaphragmatic hernia, and fair for pleural effusion. Cats with positive thoracic POCUS had significantly higher median ATT scores and respiratory subscores compared to negative thoracic POCUS cats.
UNASSIGNED: The frequency of detecting intrathoracic lesions in cats was similar between thoracic POCUS and TXR with fair to moderate LOA, suggesting thoracic POCUS is useful in cats suffering from trauma. Thoracic POCUS may be more beneficial in cats with higher ATT scores, particularly the respiratory score.
摘要：
■机动车外伤，咬伤,高层综合征,和来历不明的创伤是猫出现在紧急服务机构的常见原因。在小动物身上,胸部损伤通常与外伤有关。这项回顾性研究的目的是评估胸部护理点超声（胸部POCUS）和胸部X线摄影（TXR）之间的一致性（LOA）。并将胸部POCUS的发现与最近遭受创伤的猫的动物创伤分类（ATT）评分和子评分相关联。
■回顾性纳入因疑似/目击创伤入院24小时内进行胸部POCUS和TXR的猫。根据有无损伤，胸部POCUS和TXR检查结果被评估为“阳性”或“阴性”。胸部POCUS和TXR阳性的猫被分为1至5例初步诊断：肺挫伤/出血，气胸,胸腔积液,心包积液,和膈疝.当可用时,计算ATT分数。为了表达两种成像模式之间的LOA，计算了κ系数和95％CI。对kappa的解释是基于科恩的价值观。
■包括111只猫。83/111(74.4%)只猫基于胸部POCUS和/或TXR被评估为阳性。肺挫伤是最常见的诊断。所有合并损伤的胸部POCUS和TXR之间的LOA均中等，中度肺挫伤/出血，气胸,膈疝,也适合胸腔积液.与阴性的胸部POCUS猫相比，胸部POCUS阳性的猫的中位ATT评分和呼吸子评分明显更高。
■在胸部POCUS和TXR之间，猫的胸腔内病变的检测频率相似，具有中等至中等的LOA，表明胸部POCUS对患有创伤的猫有用。在ATT评分较高的猫中，胸部POCUS可能更有益，尤其是呼吸评分。
■回顾性纳入因疑似/目击创伤入院24小时内进行胸部POCUS和TXR的猫。根据有无损伤，胸部POCUS和TXR检查结果被评估为“阳性”或“阴性”。胸部POCUS和TXR阳性的猫被分为1至5例初步诊断：肺挫伤/出血，气胸,胸腔积液,心包积液,和膈疝.当可用时,计算ATT分数。为了表达两种成像模式之间的LOA，计算了κ系数和95％CI。对kappa的解释是基于科恩的价值观。
■包括111只猫。83/111(74.4%)只猫基于胸部POCUS和/或TXR被评估为阳性。肺挫伤是最常见的诊断。所有合并损伤的胸部POCUS和TXR之间的LOA均中等，中度肺挫伤/出血，气胸,膈疝,也适合胸腔积液.与阴性的胸部POCUS猫相比，胸部POCUS阳性的猫的中位ATT评分和呼吸子评分明显更高。
■在胸部POCUS和TXR之间，猫的胸腔内病变的检测频率相似，具有中等至中等的LOA，表明胸部POCUS对患有创伤的猫有用。在ATT评分较高的猫中，胸部POCUS可能更有益，尤其是呼吸评分。
