![]() ![]() Additionally, we hypothesized increased admission lactate, low base excess, low PCV, and low TS would be associated with a worse outcome. We also hypothesized that a higher ATT score would be associated with the need for transfusion and surgical intervention. We hypothesized that a higher ATT score and lower MGCS would be associated with a worse outcome. ![]() The aims of this study were to explore associations between admission parameters, ATT and MGCS score, need for transfusion or surgical interventions, and survival to discharge in a large multicenter international population of feline bite wound patients using the VetCOT database registry. 3 Similarly in this study, increased ATT scores were associated with nonsurvival. 13 A different retrospective study of 43 client owned cats that underwent bite wound trauma found an association between elevated plasma lactate, low ionized calcium, and low venous pH with higher ATT scores. 13 The MGCS was evaluated to be a fair predictor of mortality in cats with the motor subscore being the most predictive component. Of the 6 categories, perfusion, neurologic, and respiratory subcategories were the best predictors. 12 A higher score indicates greater severity of injury.Ī retrospective VetCOT registry study evaluating the ATT and MGCS scores as predictors of mortality in a large number of injured cats showed the ATT score was an excellent predictor of survival. Each category is given a score of 0 to 3 and total score is calculated ranging from 0 to 18. 11 This scoring system has 6 categories: perfusion, cardiac, respiratory, eye/muscle/integument, skeletal, and neurological. The Animal Trauma Triage Score (ATT) is a veterinary illness severity score used to classify degree of trauma. A total score is calculated ranging from 3 to 18 with a lower score indicating greater severity of trauma. 6, 8– 10 Three parts of neurologic function are evaluated and scored from 1 to 6: brain stem reflexes, motor activity, and level of consciousness. ![]() This scale system had shown prognostic ability in veterinary head trauma cases. The Modified Glasgow Coma Scale (MGCS) is a veterinary illness severity score modified from the human Glasgow coma scale. Scoring systems play an important role in the assessment of trauma patients and can be beneficial in triage, tracking patients over time, and in clinical research. 6 Treatment can range from irrigation, bandaging, and empiric antibiotic therapy to surgical debridement and exploratory thoracic or abdominal surgery. 2, 5 These injuries can compromise blood supply, create regions of dead space, and become a source of bacterial infection. Damage to these deeper tissues and body compartments results from contact of the teeth to body surfaces leading to compression, tearing, and shearing injuries. 2 Small external punctures and lacerations may not be indicative of the injuries to the subcutaneous tissues, muscles, and intrathoracic or intrabdominal compartments. On cursory examination, the severity of these wounds can be misleading because the inherent elasticity of the skin provides some resistance to traumatic forces. The severity of injuries resulting from bite wounds can range from minor to life threatening and complex. 4 Bite wounds can result in blunt traumatic injuries, penetrating traumatic injuries, or a combination of both. 1– 3 Motor vehicle accidents have been found to be the most common cause of trauma in cats. Information from small retrospective studies suggest that bite wounds are the second most common cause of trauma in cats accounting for 15% of trauma. Currently there is a paucity of information in the veterinary literature on feline bite wounds and large multicenter studies in this patient population are lacking. ![]()
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