title: Perioperative risk factors for mortality and length of hospitalization in mares with dystocia undergoing general anesthesia: a retrospective study.
abstract: This study investigated associations between perioperative factors and probability of death and length of hospitalization of mares with dystocia that survived following general anesthesia. Demographics and perioperative characteristics from 65 mares were reviewed retrospectively and used in a risk factor analysis. Mortality rate was 21.5% during the first 24 h post-anesthesia. The mean ± standard deviation number of days of hospitalization of surviving mares was 6.3 ± 5.4 d. Several factors were found in the univariable analysis to be significantly associated (P < 0.1) with increased probability of perianesthetic death, including: low preoperative total protein, high temperature and severe dehydration on presentation, prolonged dystocia, intraoperative hypotension, and drugs used during recovery. Type of delivery and day of the week the surgery was performed were significantly associated with length of hospitalization in the multivariable mixed effects model. The study identified some risk factors that may allow clinicians to better estimate the probability of mortality and morbidity in these mares.
authors.affiliation: Department of Clinical Studies, Ontario Veterinary College, University of Guelph, Guelph, Ontario, Canada. eva.riojagarcia@up.ac.za
authors.forename: Eva
authors.initials: E
authors.lastname: Rioja
authors.forename: Natalia
authors.initials: N
authors.lastname: Cernicchiaro
authors.forename: Maria Carolina
authors.initials: MC
authors.lastname: Costa
authors.forename: Alexander
authors.initials: A
authors.lastname: Valverde
mesh_terms: D000768:Anesthesia, General / Q000401:mortality / Q000662:veterinary*; D000818:Animals; D004420:Dystocia / Q000401:mortality / Q000601:surgery / Q000662:veterinary*; D005260:Female; D006734:Horse Diseases / Q000401:mortality* / Q000601:surgery; D006736:Horses; D006762:Hospitals, Animal / Q000706:statistics & numerical data*; D007902:Length of Stay; D007744:Obstetric Labor Complications / Q000401:mortality / Q000662:veterinary; D019990:Perioperative Care / Q000662:veterinary; D059035:Perioperative Period / Q000662:veterinary; D011183:Postoperative Complications / Q000401:mortality / Q000662:veterinary; D011247:Pregnancy; D011256:Pregnancy Outcome / Q000662:veterinary*; D012189:Retrospective Studies; D012307:Risk Factors; D016019:Survival Analysis; D013997:Time Factors