对急性胰腺炎的狗 (504只狗) 的预后评分系统的多机构回顾性分析
Harry Cridge1, Daniela Cabrera1, Timothy Bolton2
1Department of Small Animal Clinical Sciences, College of Veterinary Medicine, Michigan State University, East Lansing, Michigan, USA.
Journal of veterinary internal medicine
|May 6, 2025
概括
狗急性胰腺炎 (AP) 的预后评分方案与结果的一致性很低. 果和MCAI得分最好预测APP的狗的长时间住院,但建议对个体预测保持谨慎.
科学领域:
- 兽医医学 兽医医学 兽医医学
- 狗的健康 狗的健康
- 关键的护理关键的护理
背景情况:
- 狗的急性胰腺炎 (AP) 呈现变化,使预后复杂化.
- 准确的预后对于有效管理犬类AP至关重要.
研究的目的:
- 为了比较5个评分方案的预测准确性,对AP的狗死亡和长时间住院 (≥5天) 的预测准确性.
- 评估每个评分方案与这些结果的一致性.
主要方法:
- 对504只被诊断患有AP的客户拥有的狗进行了回顾性研究.
- 数据包括信号,病史,体检,诊断,住院时间和生存率.
- 为每只狗计算了五种预后方案 (OS,CSI,APPLE,CAPS,MCAI).
主要成果:
- 总体而言,评分方案与结果的一致性很低.
- 果和MCAI分数显示了幸存者和非幸存者之间的显著差异.
- 果显示了与住院时间的最高一致性 (0.632),其次是MCAI (0.576).
结论:
- 果和MCAI在狗AP中提供了最好的住院时间的人口级预测歧视.
- 由于病例死亡率较低,基于评分方案的个人预测应谨慎解释.
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