Prognostic utility of venous blood gas analyses in cats with cardiogenic pulmonary edema
Cats visit emergency hospitals due to respiratory distress, and the chief cause is cardiogenic pulmonary edema (CPE). Although cats with CPE were frequently encountered in clinics, the prognostic factors were poorly reported.
The objective of this retrospective study was to investigate the association of physical examination and venous blood gas parameters with the survival of cats with CPE in an emergency hospital.
Thirty-six cats with CPE were ultimately included in the present study, and eight of them died within 12 hours after their presentation to the hospital. Statistical analyses of clinical parameters between cats that died within 12 hours and those that survived for 12 hours were conducted using Mann–Whitney U test with Bonferroni correction.
Cats that died within 12 hours had significantly lower rectal temperatures and higher PvCO2 than those that did not die within 12 hours. Moreover, hypotension and vasoconstrictor use were related to death within 12 hours of presentation and higher PvCO2.
These findings indicated the prognostic utility of body temperature and PvCO2, and the association between hypercapnia and the severity of CPE or hypotension. A large number of prospective studies should be performed to validate these results.
Tani, Akiyoshi, Ryohei Suzuki, Satoshi Matsukata, Atsushi Nakamura, and Takaomi Nuruki. 2023. "The Prognostic Utility of Venous Blood Gas Analyses at Presentation in Cats with Cardiogenic Pulmonary Edema," Veterinary Sciences 10, no. 3: 232. https://doi.org/10.3390/vetsci10030232.
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