Scott F Roberts1, Lillian R Aronson, Dorothy C Brown.
Abstract
OBJECTIVE: To identify preoperative risk factors associated with mortality before discharge in cats having a single or multiple ureterotomy procedures to treat a ureteral obstruction. STUDY
DESIGN: Case series. ANIMALS: Cats (n=47).
METHODS: Data were obtained from the medical records (2002-2009) of cats that had undergone ureterolithotomy procedures. Multiple preoperative factors were evaluated for association of survival to discharge. RESULT: Survival to discharge after ureterolithotomy was 79% (37/47). Over 79% of cats were azotemic before surgery and 94% had chronic kidney disease changes at the time of ultrasonographic diagnosis. Six cats required an additional surgical procedure because of complications with ureterolithotomy. Overall prevalence of postoperative uroabdomen was 6% (3/47). On multivariate analysis, there were no preoperative variables significantly associated with survival to discharge.
CONCLUSIONS: Ureterolithotomy in cats was associated with a 21% mortality rate before hospital discharge. No preoperative variables associated with mortality were identified; therefore, further studies are needed to identify more discriminating preoperative characteristics for mortality after ureterolithotomy in this population of cats. © Copyright 2011 by The American College of Veterinary Surgeons.
OBJECTIVE: To identify preoperative risk factors associated with mortality before discharge in cats having a single or multiple ureterotomy procedures to treat a ureteral obstruction. STUDY
DESIGN: Case series. ANIMALS: Cats (n=47).
METHODS: Data were obtained from the medical records (2002-2009) of cats that had undergone ureterolithotomy procedures. Multiple preoperative factors were evaluated for association of survival to discharge. RESULT: Survival to discharge after ureterolithotomy was 79% (37/47). Over 79% of cats were azotemic before surgery and 94% had chronic kidney disease changes at the time of ultrasonographic diagnosis. Six cats required an additional surgical procedure because of complications with ureterolithotomy. Overall prevalence of postoperative uroabdomen was 6% (3/47). On multivariate analysis, there were no preoperative variables significantly associated with survival to discharge.
CONCLUSIONS: Ureterolithotomy in cats was associated with a 21% mortality rate before hospital discharge. No preoperative variables associated with mortality were identified; therefore, further studies are needed to identify more discriminating preoperative characteristics for mortality after ureterolithotomy in this population of cats. © Copyright 2011 by The American College of Veterinary Surgeons.
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Mesh：
Year: 2011
PMID： 21545462 DOI： 10.1111/j.1532-950X.2011.00836.x
Source DB: PubMed Journal: Vet Surg ISSN： 0161-3499 Impact factor: 1.495