Admission clinicopathological data, length of stay, cost and mortality in an equine NICU

Saulez, M.N., Gummow, B., Slovis, N.M., Byars, T.D., Frazer, M., MacGillivray, K., and Bain, F.T. (2007) Admission clinicopathological data, length of stay, cost and mortality in an equine NICU. Journal of the South African Veterinary Association, 78 (3). pp. 153-157.

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Abstract

Veterinary internists need to prognosticate patients quickly and accurately in a neonatal intensive care unit (NICU). This may depend on laboratory data collected on admission, the cost of hospitalisation, length of stay (LOS) and mortality rate experienced in the NICU. Therefore, we conducted a retrospective study of 62 equine neonates admitted to a NICU of a private equine referral hospital to determine the prognostic value of venous clinicopathological data collected on admission before therapy, the cost of hospitalisation, LOS and mortality rate. The WBC count, total C02 (TC02) and alkaline phosphatase (ALP) were significantly higher (F :;; 0.05) and anion gap lower in survivors compared with nonsurvivors. A logistic regression model that included WBC count, hematocrit, albumin/globulin ratio, ALP, TC02, potassium, sodium and lactate, was able to correctly predict mortality in 84 % of cases. Only anion gap proved to be all independent predictor of neonatal mortality in this study, In the study population, the overall mortality rate was 34 % with greatest mortality rates reported in the first 48 hours and again on day 6 of hospitalisation. Amongst the various clinical diagnoses, mortality was highest in foals after forced extraction during correction of dystocia. Median cost per day was higher for nonsurvivors while total cost was higher in survivors.

Item ID: 9003
Item Type: Article (Refereed Research - C1)
Keywords: clinicopathology; critical care; equine; financial expense; intensive care unit; neonate; survival
ISSN: 0038-2809
Date Deposited: 19 Mar 2010 05:05
FoR Codes: 07 AGRICULTURAL AND VETERINARY SCIENCES > 0707 Veterinary Sciences > 070706 Veterinary Medicine @ 30%
07 AGRICULTURAL AND VETERINARY SCIENCES > 0707 Veterinary Sciences > 070704 Veterinary Epidemiology @ 70%
SEO Codes: 97 EXPANDING KNOWLEDGE > 970107 Expanding Knowledge in the Agricultural and Veterinary Sciences @ 100%
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