Association between hyperglycemia and survival in 228 horses with acute gastrointestinal disease.
BACKGROUND
Glucose homeostasis is dysregulated in critically ill humans resulting in hyperglycemia and decreased survival. Hyperglycemia is common in horses presenting with abdominal crisis, and this might be associated with a worse prognosis for survival.


OBJECTIVE
To determine if hyperglycemia in horses with acute abdominal disease is associated with increased odds of failure to survive to hospital discharge.


METHODS
Two hundred and twenty-eight adult horses with acute gastrointestinal disease.


METHODS
Observational retrospective study. Records of horses > 1 year of age presenting for treatment of colic over a 3-year period were reviewed. Data collected included age, duration of colic, glucose, heart rate, PCV, total protein, anion gap, cost of hospitalization, breed, sex, pain at admission, diagnosis, whether surgery was performed, and life status at hospital discharge. Potential risk factors for nonsurvival were screened by univariable logistic regression and the best-fitting univariable model was used as the basis for multivariable regression modeling.


RESULTS
Mean blood glucose was 155 mg/dL (8.5 mM) with 45% of the population above the reference range; 16.7% (38 of 228) of horses had severe hyperglycemia (>195 mg/dL; 10.7 mM). Factors associated with increased odds of failure to survive included glucose, severity of pain at admission, heart rate, PCV, anion gap, and diagnosis. The best-fitting multivariable model included glucose and diagnosis, with age included as a confounding variable. The model correctly classified outcome for 92.5% of horses.


CONCLUSIONS
This study has confirmed prior reports that hyperglycemia is common in horses with colic and is associated with a worse prognosis for survival to hospital discharge.
Department of Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins, CO 80523, USA. dhassel@colostate.edu
D M
DM
Hassel
A E
AE
Hill
R A
RA
Rorabeck
D000818:Animals; D005260:Female; D005767:Gastrointestinal Diseases / Q000097:blood / Q000401:mortality / Q000662:veterinary*; D006734:Horse Diseases / Q000097:blood* / Q000401:mortality; D006736:Horses; D006943:Hyperglycemia / Q000097:blood / Q000662:veterinary*; D008297:Male; D012189:Retrospective Studies