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Author (up) Senior, J.M.; Pinchbeck, G.L.; Allister, R.; Dugdale, A.H.A.; Clark, L.; Clutton, R.E.; Coumbe, K.; Dyson, S.; Clegg, P.D. openurl 
  Title Post anaesthetic colic in horses: a preventable complication? Type Journal Article
  Year 2006 Publication Equine Veterinary Journal Abbreviated Journal Equine Vet J  
  Volume 38 Issue 5 Pages 479-484  
  Keywords Anesthesia/adverse effects/*veterinary; Animals; Case-Control Studies; Colic/chemically induced/epidemiology/prevention & control/*veterinary; Confidence Intervals; Fasting; Fecal Impaction/complications/epidemiology/veterinary; Horse Diseases/chemically induced/*epidemiology/prevention & control; Horses; Logistic Models; Multivariate Analysis; Odds Ratio; Postoperative Complications/chemically induced/epidemiology/prevention & control/*veterinary; Predictive Value of Tests; Prevalence; Prospective Studies; Risk Factors  
  Abstract REASONS FOR PERFORMING STUDY: There is little information on the prevalence of, and risk factors associated with, post anaesthetic colic (PAC) in horses undergoing nonabdominal operations. OBJECTIVES: To undertake the first prospective study of prevalence of PAC and identify risk factors in its development in nonabdominal procedures. METHODS: A multicentre prospective case-control study was conducted, on every horse undergoing anaesthesia for a nonabdominal procedure between April 2004 and June 2005. Colic cases were defined as any horse with recognised signs of abdominal pain within 72 h of general anaesthesia that could not be attributed to any concurrent disease. Five control horses per case were selected randomly from the study population at all hospitals. Multivariable logistic regression analysis was used to examine the relationship between predictor variables and the risk of developing PAC. RESULTS: The estimated mean prevalence of PAC in the study population was 5.2% (95% CI, 2.8, 8.0). However, the prevalence of colic varied between each centre. The most commonly diagnosed cause of colic was impaction. Multivariable analyses showed that the centre involved and the type of surgery performed were associated with an increased risk of PAC. Preoperative food deprivation and the use of opioid drugs were confounding factors. CONCLUSIONS: Prevalence of PAC varied significantly between the 4 hospitals studied; there may be hospital-related covariates that account for this. The type of surgery performed influenced the risk of PAC. POTENTIAL RELEVANCE: Identifying the risk factors for PAC is a prerequisite for its prevention. This study indicates horses at increased risk of PAC that might benefit from a more critical evaluation of post anaesthetic gastrointestinal function and/or the provision of preventative measures. Further investigation is required to explain the variation in prevalence of PAC between centres.  
  Address Institutes of Evolution, Immunology and Infection Research, University of Edinburgh, UK  
  Corporate Author Thesis  
  Publisher Place of Publication Editor  
  Language English Summary Language Original Title  
  Series Editor Series Title Abbreviated Series Title  
  Series Volume Series Issue Edition  
  ISSN 0425-1644 ISBN Medium  
  Area Expedition Conference  
  Notes PMID:16986610 Approved no  
  Call Number Serial 1860  
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