这项研究的目的是前瞻性评估动物创伤分类评分(ATTS)和改良的格拉斯哥昏迷量表(MGCS)在患有高层综合征的猫中的预后效用。
ATTS和MGCS是在抵达时从25只因高层综合症而出现的客户拥有的猫获得的。住院期间随访病例和几个变量,包括结果,被记录下来。
这群患有高起综合征的猫的死亡率为16%。单因素统计分析显示乳酸(P=0.022),肌酐(P=0.01),在非存活者中,体重(P=0.036)和ATTS(P=0.02)较高,MGCS(P=0.011)较低.多变量统计分析显示,ATTS是与死亡率显著相关的唯一因素(比值比2.41,95%置信区间[CI]1.02-5.71;P=0.046)。受试者工作特征曲线显示ATTS是死亡率的良好预测因子(曲线下面积0.917,95%CI0.8-1.0;P=0.009)。6.0的ATTS截断值对于非存活具有75%的灵敏度和90%的特异性,10的截断值对于非存活具有25%的灵敏度和100%的特异性。
ATTS可预测患有高层综合征的猫的严重程度和结果,并有助于促进主人和兽医的决策。
The purpose of this study was to prospectively evaluate the prognostic utility of the Animal Trauma Triage Score (ATTS) and Modified Glasgow Coma Scale (
MGCS) in cats with high-rise syndrome.
ATTS and
MGCS were obtained upon arrival from 25 client-owned cats presented for high-rise syndrome. Cases were followed during hospitalisation and several variables, including outcome, were recorded.
The mortality rate in this cohort of cats with high-rise syndrome was 16%. Univariate statistical analysis showed that lactate (P = 0.022), creatinine (P = 0.01), body weight (P = 0.036) and ATTS (P = 0.02) were higher and
MGCS (P = 0.011) lower among non-survivors. Multivariable statistical analysis showed that ATTS was the only factor significantly associated with mortality (odds ratio 2.41, 95% confidence interval [CI] 1.02-5.71; P = 0.046). A receiver operating characteristics curve showed that ATTS was an excellent predictor of mortality (area under the curve 0.917, 95% CI 0.8-1.0; P = 0.009). An ATTS cut-off of 6.0 had a 75% sensitivity and 90% specificity for non-survival and a cut-off of 10 had a 25% sensitivity and 100% specificity for non-survival.
ATTS is predictive of severity and outcome in cats with high-rise syndrome and can help facilitate decision-making by owners and veterinarians.