Risk factors affecting all-cause mortality in cats hospitalized by a referral soft tissue service

• Published in: Journal of feline medicine and surgery Vol. 26; no. 11; p. 1098612X241288175
• Main Authors: Baker, Michaela M, Schmiedt, Chad W, Lewis, Meghan, Wallace, Mandy L, Sutherland, Brian, Grimes, Janet A
• Format: Journal Article
• Language: English
• Published: London, England SAGE Publications 01.11.2024
• Subjects: Animals; body condition; castration; Cat Diseases - mortality; Cats; Female; Georgia; heart diseases; Hospital Mortality; Hospitalization - statistics & numerical data; hospitals; Hospitals, Animal; kidney diseases; Male; medicine; mixed infection; mortality; regression analysis; Retrospective Studies; risk; Risk Factors; tissues; Georgia; emergent surgery; risk factors; All-cause mortality; ASA status; surgery
• ISSN: 1098-612X; 1532-2750; 1532-2750
• DOI: 10.1177/1098612X241288175

Objectives The objective of this study was to describe the all-cause mortality rate in cats hospitalized by the soft tissue surgery service of an academic referral hospital over a 5-year period and to identify specific risk factors for mortality. The hypotheses were that the all-cause mortality rate during hospitalization would be low, and cats undergoing emergency surgery and those with an American Society of Anesthesiologists (ASA) status of 3 or more would be at increased risk for mortality. Methods The case log of cats hospitalized by the soft tissue surgery service at the University of Georgia was searched retrospectively to identify all cats hospitalized in the years 2015–2020. Data collected about each cat included age, sex and neuter status, weight, body condition score (1–9), pre-existing heart disease, chronic kidney disease, concurrent infection or cancer, emergency status, time of surgery (daytime vs after hours, which was defined as after 4 pm), if the surgery was performed on a weekday or weekend, and general type of surgery. Univariable logistic regressions were implemented to test and estimate odds ratios for the effects of risk factors on in-hospital mortality. A multivariable logistic regression was developed that initially included all risk factors with P <0.05 on univariable analysis. Log-likelihood ratio test P values and profile-likelihood confidence intervals were reported. Results The all-cause mortality rate was 6.1%. Analysis was limited because of low mortality, but multivariable analysis identified increasing ASA status and emergency surgery as significant risk factors for increased mortality while hospitalized. Conclusions and relevance The findings of this study confirmed that increasing ASA status and emergency procedures are significant risk factors for mortality in cats. Clinicians should be aware of these risk factors and consider how to best monitor and manage these feline patients.