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HORSE TIMES is a complimentary quarterly English-language magazine established in Egypt in 1997. It is the only English language publication in the Middle East dedicated to improving access .. read more..

Horse Times Magazine :: Spring Issue # 53

PUBLISHED SPRING 2017, ISSUE 53 FEATURES:

20TH ANNIVERSARY
HRH PRINCESS HAYA BINT AL HUSSEIN

20TH ANNIVERSARY
RIDERS’ PROFILES

20TH ANNIVERSARY
BLUE BLOOD ADDICTED TO HORSES

20TH ANNIVERSARY
BEHIND THE SCENES

20TH ANNIVERSARY
CELEBRITIES WITH PASSION FOR HORSES

20TH ANNIVERSAR..

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Horse Times Weekly Headlines :: Issue # 28

• LGCT CANNES CSI5*: A SPECTACULAR WIN FOR LORENZO DE LUCA

• ATHINA ONASSIS HORSE SHOW CSI5* CHRISTIAN AHLMANN WINS THE LONGINES GP

• WARD AND ROTCHILD RECLAIM VICTORY IN SAPPHIRE GRAND PRIX DEVON CSI4*

• LGCT GRAND PRIX CANNES: MOYA WINS AND SMOLDERS HITS RANKING LEAD

• FEI NATIONS CUP..

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ALLTECH FEI WORLD EQUESTRIAN GAMES
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>> NEONATAL ENCEPHALOPATHY SURVIVAL
Date: Sunday, April 10, 2016
Horse Times Egypt: Equestrian Magazine :News :NEONATAL ENCEPHALOPATHY SURVIVAL

Equine Veterinary Journal Early View March 2016

 

Heather Ferguson

 

Factors associated with outcome in 94 hospitalised foals diagnosed with neonatal encephalopathy

 

Lyle-Dugas J., Giguère S., Mallicote M.F., Mackay R.J. and Sanchex L.C.

 

This retrospective cross-sectional study aimed to determine the factors involved in outcome of foals hospitalised for neonatal encephalopathy (aka neonatal maladjustment syndrome and dummy foals). The clinical records of 94 foals (less than 14 days old at admission) were included in the study. Clinical information was subjected to statistical analysis, including signalment, vital signs at admission, clinical signs throughout hospitalisation including signs of neurological dysfunction, laboratory variables and the duration of clinical events. The diagnosis of neonatal encephalopathy was made on a clinical basis.

 

Of the 94 foals, 75 (79.8%) survived to discharge from the hospital. The most commonly recorded clinical signs were abnormal udder seeking, abnormal suckling, inability to stand, abnormal gastrointestinal motility, abnormal consciousness and seizures. In 14 foals, neonatal encephalopathy was the sole diagnosis. In the others, concurrent conditions reported were sepsis, pneumonia, prematurity/dysmaturity, patent urachus, limb deformity, colic and uroperitoneum.

 

Of the 19 non-survivors, 4 died and 15 were euthanased. Post-mortem reports were available for 17 of which 11 had severe pneumonia, disseminated sepsis or sepsis-related complications. Microscopic examinations of brain sections were available in 11 cases and 10 showed neuronal necrosis or degeneration consistent with ischaemia. Factors which were significantly associated with non-survival in the multivariable logistic regression model were high total calcium concentration, low alkaline phosphatase activity, an increased number of co-morbidities, recumbency and the requirement for vasopressor therapy. Non-survivors were more likely to have received treatment with vasopressors, or received mechanical ventilation or respiratory stimulants than survivors. A wide range of medical treatments were used by different clinicians and no other therapeutic intervention was significantly associated with non-survival supporting the clinical impression that the quality of nursing care is most crucial to survival.

 

 

Bottom line:

 

The prognosis for foals with neonatal encephalopathy in this study was good. No single therapy was shown to improve survival. High calcium and low alkaline phosphatase concentrations were found in nonsurvivors. Recumbency, multiple co-morbidities and use of vasopressors to treat hypotension are significantly associated with non-survival.

 

 

--Ends--

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