Retrospective study of prognostic factors' association with short term survival in horses with septic tenosynovitis and bursitis: 66 cases (2006-2010)
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Nyström, Alexandra1, Forfatter
Tnibar, Aziz1, Vejleder
Lindegaard, Casper1, Vejleder
1Det Biovidenskabelige Fakultet, København, Danmark, diskurs:18              
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 Abstract: Synovial infections in horses are a severe problem. As the duration of infection and inflammation becomes chronic, permanent damage to the synovial structure can develop and it may be career ending or life threatening for the horse. Because of the severity of this problem, it is desirable to find possible prognostic factors that are associated with the outcome. There are previous studies of this subject done, but some of these are in disagreement and there is a need for more knowledge. This report is a retrospective study reviewing the medical records of horses referred to the Large Animal Teaching Hospital, University of Copenhagen between 2006-2010 with an infected or contaminated tendon sheath or bursa. It includes a descriptive study of these horses? clinical presentation, diagnostic investigation and treatment. Furthermore, it includes a statistical analysis performed with logistic regression where possible prognostic factors association with outcome is investigated. Outcome is in this study defined as survival or non-survival at discharge from the hospital. Because of the low number of cases that were not caused by trauma and the high success rate for all bursae and extensor tendon sheaths an association with the outcome could not be estimated for the route of infection, the size of the bursa and if the affected tendon sheath is a sheath to a flexor or extensor tendon. Neither could an association with the outcome be estimated for bacterial culture because of the low number of cultures that was not sterile. No significant association with outcome was found for the horses age, the initial lameness, the initial synovial fluid WBC count and the time from contamination to the first treatment. The synovial fluid total protein was in this study significantly associated with outcome where an increased total protein resulted in a lower probability of survival, suggesting this factor to have a prognostic value. There is a need for more research with a larger number of horses to find additional prognostic factors andthe possible association between them.
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 Type: Speciale
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Sprog: English - eng
 Datoer: 2011
 Sider: 42 pages
 Publiceringsinfo: København, Danmark : Institut for Produktionsdyr og Heste
 Indholdsfortegnelse: -
 Note: Veterinary Medicine, Veterinærmedicin
 Type: Speciale
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