Occurrence and clinical management of urethral obstruction in male cats under primary veterinary care in the United Kingdom in 2016.
FLUTD
antibiotics
blocked
feline lower urinary tract disease
primary care
recurrence
urinary blockage
Journal
Journal of veterinary internal medicine
ISSN: 1939-1676
Titre abrégé: J Vet Intern Med
Pays: United States
ID NLM: 8708660
Informations de publication
Date de publication:
Mar 2022
Mar 2022
Historique:
revised:
09
12
2021
received:
03
05
2021
accepted:
03
02
2022
pubmed:
25
2
2022
medline:
1
4
2022
entrez:
24
2
2022
Statut:
ppublish
Résumé
Urethral obstruction (UO) has a negative effect on welfare of cats. This study aimed to determine incidence, case management, and outcomes of UO in cats in primary-care practice in the United Kingdom. All male cats under veterinary care within the VetCompass database in 2016. A retrospective cohort study was performed. The electronic records of all male cats with a clinical note during the study period were searched for UO cases and were manually reviewed for inclusion. Additional demographic and clinical information were extracted on cases. From the study cohort of 237 825 male cats, there were 1293 incident cases. The estimated UO incidence risk during 2016 was 0.54 (95% CI: 0.51-0.57). Demographic and clinical data were available for 1108 cases. Antibiotics were administered to 641/1108 (57.9%) cases. Overall repeat catheterization rate was 253/854 (29.6%). Repeat catheterization at 48 hours was less frequent in patients with indwelling catheters (10.1%) vs those that had a catheter placed and then immediately removed (14.8%; P = .04). Death during a UO episode was 329/1108 (29.6%), and 285/329 (88.0%) deaths involved euthanasia. Antibiotics were commonly prescribed in cats for treatment of UO despite minimal evidence in the clinical records of bacterial cystitis. Repeat catheterization was common and case fatality rate during a UO episode was high. Repeat catheterization within 48 hours of elective removal of a urethral catheter was less common in cats that had previously had indwelling catheters. The majority of cats requiring repeat catheterization survived until the end of the study.
Sections du résumé
BACKGROUND
BACKGROUND
Urethral obstruction (UO) has a negative effect on welfare of cats.
OBJECTIVES
OBJECTIVE
This study aimed to determine incidence, case management, and outcomes of UO in cats in primary-care practice in the United Kingdom.
ANIMALS
METHODS
All male cats under veterinary care within the VetCompass database in 2016.
METHODS
METHODS
A retrospective cohort study was performed. The electronic records of all male cats with a clinical note during the study period were searched for UO cases and were manually reviewed for inclusion. Additional demographic and clinical information were extracted on cases.
RESULTS
RESULTS
From the study cohort of 237 825 male cats, there were 1293 incident cases. The estimated UO incidence risk during 2016 was 0.54 (95% CI: 0.51-0.57). Demographic and clinical data were available for 1108 cases. Antibiotics were administered to 641/1108 (57.9%) cases. Overall repeat catheterization rate was 253/854 (29.6%). Repeat catheterization at 48 hours was less frequent in patients with indwelling catheters (10.1%) vs those that had a catheter placed and then immediately removed (14.8%; P = .04). Death during a UO episode was 329/1108 (29.6%), and 285/329 (88.0%) deaths involved euthanasia.
CONCLUSIONS AND CLINICAL IMPORTANCE
CONCLUSIONS
Antibiotics were commonly prescribed in cats for treatment of UO despite minimal evidence in the clinical records of bacterial cystitis. Repeat catheterization was common and case fatality rate during a UO episode was high. Repeat catheterization within 48 hours of elective removal of a urethral catheter was less common in cats that had previously had indwelling catheters. The majority of cats requiring repeat catheterization survived until the end of the study.
Identifiants
pubmed: 35199370
doi: 10.1111/jvim.16389
pmc: PMC8965234
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
599-608Informations de copyright
© 2022 The Authors. Journal of Veterinary Internal Medicine published by Wiley Periodicals LLC on behalf of American College of Veterinary Internal Medicine.
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