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Trauma-Associated Pulmonary Laceration in Dogs—A Cross Sectional Study of 364 Dogs

In this study, we describe the computed tomography (CT) features of pulmonary laceration in a study population, which included 364 client-owned dogs that underwent CT examination for thoracic trauma, and compared the characteristics and outcomes of dogs with and without CT evidence of pulmonary lace...

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Autores principales: Bertolini, Giovanna, Briola, Chiara, Angeloni, Luca, Costa, Arianna, Rocchi, Paola, Caldin, Marco
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7356257/
https://www.ncbi.nlm.nih.gov/pubmed/32290621
http://dx.doi.org/10.3390/vetsci7020041
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author Bertolini, Giovanna
Briola, Chiara
Angeloni, Luca
Costa, Arianna
Rocchi, Paola
Caldin, Marco
author_facet Bertolini, Giovanna
Briola, Chiara
Angeloni, Luca
Costa, Arianna
Rocchi, Paola
Caldin, Marco
author_sort Bertolini, Giovanna
collection PubMed
description In this study, we describe the computed tomography (CT) features of pulmonary laceration in a study population, which included 364 client-owned dogs that underwent CT examination for thoracic trauma, and compared the characteristics and outcomes of dogs with and without CT evidence of pulmonary laceration. Lung laceration occurred in 46/364 dogs with thoracic trauma (prevalence 12.6%). Dogs with lung laceration were significantly younger than dogs in the control group (median 42 months (interquartile range (IQR) 52.3) and 62 months (IQR 86.1), respectively; p = 0.02). Dogs with lung laceration were significantly heavier than dogs without laceration (median 20.8 kg (IQR 23.3) and median 8.7 kg (IQR 12.4 kg), respectively p < 0.0001). When comparing groups of dogs with thoracic trauma with and without lung laceration, the frequency of high-energy motor vehicle accident trauma was more elevated in dogs with lung laceration than in the control group. No significant differences were observed between groups regarding tge frequency and length of hospitalization and 30-day mortality. Similar to the human classification scheme, four CT patterns are described in dogs in this study: Type 1, large pulmonary laceration located deeply in the pulmonary parenchyma or around an interlobar fissure; Type 2, laceration occurring in the paraspinal lung parenchyma, not associated with vertebral fracture; Type 3, subpleural lung laceration intimately associated with an adjacent rib or vertebral fracture; Type 4, subpleural lesions not associated with rib fractures. Complications were seen in 2/46 dogs and included lung abscess and collapse.
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spelling pubmed-73562572020-07-31 Trauma-Associated Pulmonary Laceration in Dogs—A Cross Sectional Study of 364 Dogs Bertolini, Giovanna Briola, Chiara Angeloni, Luca Costa, Arianna Rocchi, Paola Caldin, Marco Vet Sci Article In this study, we describe the computed tomography (CT) features of pulmonary laceration in a study population, which included 364 client-owned dogs that underwent CT examination for thoracic trauma, and compared the characteristics and outcomes of dogs with and without CT evidence of pulmonary laceration. Lung laceration occurred in 46/364 dogs with thoracic trauma (prevalence 12.6%). Dogs with lung laceration were significantly younger than dogs in the control group (median 42 months (interquartile range (IQR) 52.3) and 62 months (IQR 86.1), respectively; p = 0.02). Dogs with lung laceration were significantly heavier than dogs without laceration (median 20.8 kg (IQR 23.3) and median 8.7 kg (IQR 12.4 kg), respectively p < 0.0001). When comparing groups of dogs with thoracic trauma with and without lung laceration, the frequency of high-energy motor vehicle accident trauma was more elevated in dogs with lung laceration than in the control group. No significant differences were observed between groups regarding tge frequency and length of hospitalization and 30-day mortality. Similar to the human classification scheme, four CT patterns are described in dogs in this study: Type 1, large pulmonary laceration located deeply in the pulmonary parenchyma or around an interlobar fissure; Type 2, laceration occurring in the paraspinal lung parenchyma, not associated with vertebral fracture; Type 3, subpleural lung laceration intimately associated with an adjacent rib or vertebral fracture; Type 4, subpleural lesions not associated with rib fractures. Complications were seen in 2/46 dogs and included lung abscess and collapse. MDPI 2020-04-12 /pmc/articles/PMC7356257/ /pubmed/32290621 http://dx.doi.org/10.3390/vetsci7020041 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Bertolini, Giovanna
Briola, Chiara
Angeloni, Luca
Costa, Arianna
Rocchi, Paola
Caldin, Marco
Trauma-Associated Pulmonary Laceration in Dogs—A Cross Sectional Study of 364 Dogs
title Trauma-Associated Pulmonary Laceration in Dogs—A Cross Sectional Study of 364 Dogs
title_full Trauma-Associated Pulmonary Laceration in Dogs—A Cross Sectional Study of 364 Dogs
title_fullStr Trauma-Associated Pulmonary Laceration in Dogs—A Cross Sectional Study of 364 Dogs
title_full_unstemmed Trauma-Associated Pulmonary Laceration in Dogs—A Cross Sectional Study of 364 Dogs
title_short Trauma-Associated Pulmonary Laceration in Dogs—A Cross Sectional Study of 364 Dogs
title_sort trauma-associated pulmonary laceration in dogs—a cross sectional study of 364 dogs
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7356257/
https://www.ncbi.nlm.nih.gov/pubmed/32290621
http://dx.doi.org/10.3390/vetsci7020041
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