Meeting at which the paper was presented: ECVIM-CA Congress, Maastricht, September 2012.
Arterial Thromboembolism in 250 Cats in General Practice: 2004–2012
Article first published online: 15 NOV 2013
Copyright © 2013 by the American College of Veterinary Internal Medicine
Journal of Veterinary Internal Medicine
Volume 28, Issue 1, pages 102–108, January/February 2014
How to Cite
Borgeat, K., Wright, J., Garrod, O., Payne, J.R. and Fuentes, V.L. (2014), Arterial Thromboembolism in 250 Cats in General Practice: 2004–2012. Journal of Veterinary Internal Medicine, 28: 102–108. doi: 10.1111/jvim.12249
- Issue published online: 15 JAN 2014
- Article first published online: 15 NOV 2013
- Manuscript Accepted: 26 SEP 2013
- Manuscript Revised: 9 AUG 2013
- Manuscript Received: 23 NOV 2012
- Clinical Epidemiology;
Population characteristics and outcome of cats with arterial thromboembolism (ATE) managed in general practice (GP) have been poorly described.
Cats with ATE presenting to GP are usually euthanized at presentation, but survival times >1 year are possible.
Cats with ATE managed by 3 GP clinics in the United Kingdom.
Records of cases presenting to GP over a 98-month period (2004–2012) were reviewed. Cats with an antemortem diagnosis of limb ATE were included. Outcome information was obtained.
Over 98 months, 250 cats were identified with ATE. Prevalence was approximately 0.3%. At presentation, 153 cats (61.2%) were euthanized, with 68/97 (70.1%) of the remaining cats (27.2% of the total population) surviving >24 hours after presentation. Of these, 30/68 (44.1%) survived for at least 7 days. Hypothermia (HR, 1.44; 95% CI, 1.002–2.07; P = .049) and management by Clinic 2 (HR, 5.53; 95% CI, 1.23–24.8; P = .026) were independent predictors of 24-hour euthanasia or death. For cats surviving >24 hours, hypothermia (HR, 2.25; 95% CI, 1.12–4.48; P = .021) and failure to receive aspirin, clopidogrel, or both (HR, 8.26; 95% CI, 1.39–50; P = .001) were independent predictors of euthanasia or death within 7 days. For cats that survived ≥7 days, median survival time was 94 (95% CI, 42–164) days, with 6 cats alive 1 year after presentation.
Although 153/250 cats were euthanized at presentation, 6 cats survived >12 months. No factors were identified that predicted euthanasia on presentation.