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Thoracic dog bite wounds in dogs: A retrospective study of 123 cases (2003-2016).
- Source :
-
Veterinary surgery : VS [Vet Surg] 2020 May; Vol. 49 (4), pp. 694-703. Date of Electronic Publication: 2020 Feb 20. - Publication Year :
- 2020
-
Abstract
- Objective: To report the clinical, radiographic, and surgical findings and determine prognostic factors for outcome in dogs with thoracic dog bite wounds.<br />Study Design: Retrospective study.<br />Animals: Client-owned dogs (n = 123).<br />Methods: Medical records of dogs with thoracic dog bite wounds between October 2003 to July 2016 were reviewed for presenting findings, management, and outcomes. Standard wound management included debridement and sterile probing, extending the level of exploration to the depth of the wound. Univariable and multivariable binary logistic regression were used to assess risk factors for exploratory thoracotomy, lung lobectomy, and mortality.<br />Results: Twenty-five dogs underwent exploratory thoracotomy, including lung lobectomy in 12 of these dogs. Presence of pneumothorax (odds ratio [OR] 25.4, confidence interval (CI) 5.2-123.2, Pā<ā.001), pseudo-flail chest (OR 15.8, CI 3.2-77.3, P = .001), or rib fracture (OR 11.2, CI 2.5-51.2, P = .002) was associated with increased odds of undergoing exploratory thoracotomy. Presence of pleural effusion (OR 12.1, CI 1.2-120.2, P = .033) and obtaining a positive bacterial culture (OR 23.4, CI 1.6-337.9, P = .021) were associated with increased odds of mortality. The level of wound management correlated with the length of hospitalization (Spearman rank order correlation = 0.52, Pā<ā.001) but was not associated with mortality.<br />Conclusion: Dogs that sustained pseudo-flail chest, rib fracture, or pneumothorax were more likely to undergo exploratory thoracotomy. Nonsurvival was more likely in dogs with pleural effusion or positive bacterial culture.<br />Clinical Significance: Presence of pseudo-flail, rib fracture, or pneumothorax should raise suspicion of intrathoracic injury. Strong consideration should be given to radiography, surgical exploration, and debridement of all thoracic dog bite wounds.<br /> (© 2020 The American College of Veterinary Surgeons.)
- Subjects :
- Animals
Bites and Stings diagnosis
Bites and Stings etiology
Bites and Stings mortality
Dogs surgery
Female
Male
Prognosis
Radiography veterinary
Retrospective Studies
Thoracic Injuries diagnosis
Thoracic Injuries etiology
Thoracic Injuries mortality
Thoracic Surgical Procedures statistics & numerical data
Thoracic Surgical Procedures veterinary
Thoracotomy statistics & numerical data
Bites and Stings veterinary
Dogs injuries
Lung surgery
Thoracic Injuries veterinary
Thoracotomy veterinary
Subjects
Details
- Language :
- English
- ISSN :
- 1532-950X
- Volume :
- 49
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Veterinary surgery : VS
- Publication Type :
- Academic Journal
- Accession number :
- 32077513
- Full Text :
- https://doi.org/10.1111/vsu.13402