Early career clinicians euthanize more dogs with nontraumatic hemoabdomen but not gastric dilatation and volvulus than more experienced clinicians.

OBJECTIVE: To determine if clinician experience influenced the euthanasia rate in 2 common surgical emergencies. ANIMALS: 142 dogs with nontraumatic hemoabdomen (NTH) due to suspected ruptured splenic mass and 99 dogs with gastric dilatation-volvulus (GDV) where the owner either elected surgery or euthanasia. PROCEDURES: Medical records were reviewed for dogs that had either NTH or GDV. For each patient, the owner's decision to pursue euthanasia versus surgery was recorded. The primary clinician was categorized as an intern, defined as a clinician with < 12 months experience, or a non-intern, defined as a clinician with more than 12 months experience. The euthanasia rates were compared used a Fisher exact, and the 95% CI was calculated for the risk of euthanasia if the primary clinician was an intern compared with a non-intern. If a difference was identified, subgroups comparing time of day, referral status, age, Hct, total solids, lactate, and heart rate were evaluated using a t test with a Bonferroni correction for the continuous variables and a Fisher exact for categorical variables. RESULTS: For dogs with NTH, the euthanasia rate for cases primarily managed by non-interns (52%) was significantly lower than that of interns (76%; P = .005). The relative risk of euthanasia associated with NTH when the case was treated by an intern was 1.44 with a 95% CI of 1.1229 to 1.8567. For 99 dogs with GDV, the rate of euthanasia was not different between interns and non-interns. CLINICAL RELEVANCE: The euthanasia rate for dogs with NTH may be impacted by the level of experience of the clinician. Support of new clinicians during challenging conversations should be provided.

Proportion and risk factors for death by euthanasia in dogs in the UK.

The loss of a pet can be particularly distressing for owners, whether the method of death is euthanasia or is unassisted. Using primary-care clinical data, this study aimed to report the demographic and clinical factors associated with euthanasia, relative to unassisted death, in dogs. Method of death (euthanasia or unassisted) and clinical cause of death were extracted from a random sample of 29,865 dogs within the VetCompass Programme from a sampling frame of 905,544 dogs under UK veterinary care in 2016. Multivariable logistic regression modelling was used to evaluate associations between risk factors and method of death. Of the confirmed deaths, 26,676 (89.3%) were euthanased and 2,487 (8.3%) died unassisted. After accounting for confounding factors, 6 grouped-level disorders had higher odds in euthanased dogs (than dogs that died unassisted), using neoplasia as the baseline. The disorders with greatest odds included: poor quality of life (OR 16.28), undesirable behaviour (OR 11.36) and spinal cord disorder (OR 6.00). Breed, larger bodyweight and increasing age were additional risk factors for euthanasia. The results highlight that a large majority of owners will face euthanasia decisions and these findings can support veterinarians and owners to better prepare for such an eventuality.

What conditions lead to euthanasia in dogs?

Georgina Mills reports on new research that looks into the risk factors for euthanasing dogs.

Backyard poultry cases in UK small animal practices: Demographics, health conditions and pharmaceutical prescriptions.

BACKGROUND: Backyard poultry ownership is of keen interest in the United Kingdom. However, despite this, little is known about veterinary care engagement and outcomes of visits in this group of species. METHODS: This study described and characterised veterinary practice-visiting backyard poultry, utilising electronic health record data supplied by veterinary practices voluntarily participating in the Small Animal Veterinary Surveillance Network between 1st April 2014 and 31st March 2019. RESULTS: In total, 4424 recorded poultry consultations originating from 197 veterinary practices (352 sites) were summarised. Chicken consultation (n = 3740) peak incidence was in early summer (April-June), relative to all recorded species. More chickens resided in rural (incident rate ratio = 2.5, confidence interval [CI] 2.3-2.6, p <0.001) or less deprived areas. Non-specific clinical signs were commonly recorded (17.6% of chicken consultations, CI 15.9-19.2), as were those indicative of advanced disease. This latter finding was reflected in prescribed management strategies, with euthanasia comprising 29.8% (CI 27.0-32.6) of consultations. Antimicrobials were commonly prescribed (33.0% of consultations, CI 29.8-36.2), 43.8% of which included antimicrobials considered 'highest priority critically important' by the World Health Organisation. CONCLUSION: Our findings indicate a need to tailor antimicrobial prescription guidance to the backyard poultry setting. In addition, late presentation of disease, vague clinical descriptions in clinical narratives and high euthanasia rates show that disease identification, management and knowledge of poultry health and welfare among owners and veterinary surgeons can be improved.

Increasing adoption rates at animal shelters: a two-phase approach to predict length of stay and optimal shelter allocation.

BACKGROUND: Among the 6-8 million animals that enter the rescue shelters every year, nearly 3-4 million (i.e., 50% of the incoming animals) are euthanized, and 10-25% of them are put to death specifically because of shelter overcrowding each year. The overall goal of this study is to increase the adoption rates at animal shelters. This involves predicting the length of stay of each animal at shelters considering key features such as animal type (dog, cat, etc.), age, gender, breed, animal size, and shelter location. RESULTS: Logistic regression, artificial neural network, gradient boosting, and the random forest algorithms were used to develop models to predict the length of stay. The performance of these models was determined using three performance metrics: precision, recall, and F1 score. The results demonstrated that the gradient boosting algorithm performed the best overall, with the highest precision, recall, and F1 score. Upon further observation of the results, it was found that age for dogs (puppy, super senior), multicolor, and large and small size were important predictor variables. CONCLUSION: The findings from this study can be utilized to predict and minimize the animal length of stay in a shelter and euthanization. Future studies involve determining which shelter location will most likely lead to the adoption of that animal. The proposed two-phased tool can be used by rescue shelters to achieve the best compromise solution by making a tradeoff between the adoption speed and relocation cost.

Make Me a Match: Prevalence and Outcomes Associated with Matching Programs in Dog Adoptions.

Animal shelters and rescues are typically judged on their live release rates. The number of companion animals adopted and then returned to the shelter is not as frequently considered. Matching programs are implemented to reduce the chances that a companion animal will be returned after adoption by assuring the best possible "match" between adopter needs, wants, and lifestyles, and the behaviors and needs of the animal. This research is based on data from 370 animal shelters and rescues across the US and assesses the prevalence of and the relationship between different aspects of matching programs and outcomes such as return, live release, and euthanasia rates, and days in the shelter. Several elements of matching programs appear to be associated with positive outcomes: conducting matching conversations before potential adopters see any dogs, showing only dogs that are a good match, and limiting choice to those dogs that are deemed the best fit.

The Number of Dogs Entering Shelters in Five States, and Factors that Affect Their Outcomes: A Study of the Sheltering System.

As there are few requirements for mandatory registration or reporting for humane animal organizations, it is difficult to quantify how many dogs enter such organizations annually, or know their outcomes. Our objectives were to quantify the number of dogs entering animal shelters in five states in 2017, and determine factors that influenced their outcomes. A census was conducted of shelters in five states from each geographical region of the US. Organizations were excluded if they transferred all dog, or were breed-specific, foster-based, or functioned solely as a sanctuary with no options for adoption. Shelter employees were questioned in face-to-face interviews about specific shelter characteristics, the number of dogs that entered their shelter in 2017, and their outcomes. In total 342 of the 471 (73%) shelters in the final sampling frame reported receiving 227,783 dogs in 2017. Of these, 45% were adopted, 18% were transferred other facilities, 19% were reclaimed, and 14% were euthanized. Shelter characteristics influencing dog outcomes included financial source, source of dogs, county population per square mile, and education level of the county.

The Impact of Caring and Killing on Physiological and Psychometric Measures of Stress in Animal Shelter Employees: A Pilot Study.

Animal shelter employees are in a unique position where they care for, and later kill, the same animals. The aim of our exploratory study was to assess whether "caring" and/or "killing" evokes physiological and psychometric indicators of stress in employees. Experiment 1 compared three careers that kill regularly, but involve varying degrees of husbandry (n = 28). Blood pressure (BP), salivary cortisol, heart rate (HR), and heart rate variability (HRV) were collected; data showed higher HR and lower HRV during the process of killing. Psychometric scales showed that burnout and Impact Event Scale-Revised (IES-R) scores were higher in careers with higher contact with animals. Experiment 2 compared three careers that involve husbandry, but varying exposure to killing (n = 41). BP, cortisol awakening response, HR, and HRV were measured as well as Professional Quality of Life Scale, IES-R, and Moral Injury Event Scale were administered. There were no significant differences across careers in any measures. The data suggest that the process of killing may be physiologically stressful to the person, and higher levels of animal contact in a euthanasia context may be associated with burnout and traumatic stress, but that the act of euthanasia is not a unique predictor of overall occupational distress.

Indicators of 'critical' outcomes in 941 horses seen 'out-of-hours' for colic.

BACKGROUND: This study aimed to describe the presentation and outcomes of horses with signs of colic (abdominal pain) seen 'out-of-hours' in equine practice. METHODS: This was a retrospective study of horses seen 'out-of-hours' with colic by two equine veterinary practices between 2011 and 2013. Case outcomes were categorised as 'critical' or 'not critical'. A critical outcome was defined as requiring medical or surgical hospital treatment, or resulting in euthanasia or death. A non-critical outcome was defined as resolving with simple medical treatment. A hierarchical generalised linear model was used to identify 'red flag' parameters (aspects of signalment, history and presenting clinical signs) associated with critical outcomes. RESULTS: Data were retrieved from 941 cases that presented with colic; 23.9 per cent (n=225/941) were critical. Variables significantly associated with the likelihood of a critical outcome in the final multivariable model were increased heart rate (P<0.001), age of the horse (P=0.013) and abnormal mucous membrane colour (P<0.001). Overall 18 per cent (n=168/941) of cases were euthanased. CONCLUSIONS: This study highlights the mortality associated with colic. The 'red flag' parameters identified should be considered an essential component of the primary assessment of horses with colic.

Exploring veterinarians' use of practices aimed at understanding and providing emotional support to clients during companion animal euthanasia in Ontario, Canada.

BACKGROUND: During companion animal euthanasia, support of clients is equally important as the medical care of the companion animal and requires a clear and developed understanding of clients' feelings, needs and expectations. Yet, veterinarians may not be fully exploring such topics. METHODS: A 65-item online questionnaire was developed and distributed to veterinarians (n=368) in Ontario to explore veterinarians' use of practices aimed at understanding and providing support during companion animal euthanasia. Measures included veterinarians' use of previously identified communication and support practices, empathy, years in practice and amount of time scheduled for euthanasia appointments. Data were analysed using descriptive statistics and multivariable regression. RESULTS: Veterinarians reported consistently providing emotional support but inconsistently implementing practices that may assist in enhancing their understanding of clients' expectations, previous or emotional experiences. Veterinarians' empathy scores, years in practice and the amount of time scheduled for euthanasia were positively associated with use of these practices. CONCLUSION: Providing adequate time (ideally >30 min) for euthanasia appointments may assist in efforts to understand clients' experiences, expectations and emotions, and provide support. Combining empathy, hands-on and self-care training in veterinary curriculum may also be valuable in improving the comfort level and skill of veterinarians in providing compassionate care.

Standardization of Data Collection to Document Adverse Events Associated with Euthanasia.

Data collection and research about adverse effects associated with euthanasia are lacking in the veterinary profession. The goal of this article is to review current research about euthanasia and propose concepts to collect and document euthanasia data to support future studies. A better understanding of the side effects witnessed near perimortem should provide benefits to pet owners, veterinarians, and staff, especially if methods are uncovered to minimize or mitigate the adverse events witnessed. Such data can provide valuable insight and guidance in improving the quality of death and furthering education about the dying process.

An Estimate of the Number of Dogs in US Shelters in 2015 and the Factors Affecting Their Fate.

The objective of this study was to estimate the total number of shelters in the United States; estimate the number of dogs entering US shelters annually; determine what happens to the dogs that enter shelters; and identify the characteristics of shelters affecting the outcome of the dogs in their care. An initial list of 10,890 animal shelter and rescue organizations was refined to include 2862 organizations. A telephone survey of each shelter was conducted. A mark-capture method was used to estimate the total number of shelters in the United States. In total, 413 (14%) completed the interview. Authors estimated that there are 7,076 (95% CI 6,399-7,890) dog shelters in the US. In 2015 5,532,904 (95% CI 5,003,528-6,169,579) dogs entered shelters. Of these, 2,628,112 (95% CI 2,376,660-2,930,531) dogs (48%) were adopted; 969,443 (95% CI 876,689-1,080,998) dogs (18%) were returned to their owners; 778,385 (95% 703,911-867,955) dogs (14%) were transferred to other facilities; 776,970 (95% CI 702,631-866,377) dogs (14%) were euthanized; and 6% of the dogs were lost to follow-up. Several characteristics, such as the number of dogs entering the shelter, funding source, region the country and source of dogs, explained dog outcomes.

Socioeconomic, geographic and climatic risk factors for canine parvovirus infection and euthanasia in Australia.

Infection of canids with canine parvovirus (CPV) can result in severe, often fatal disease. This study aimed to examine climatic, socioeconomic and geographic risk factors for CPV infection and CPV-associated euthanasia in Australia. Australian veterinary hospital responses (534; 23.5 %) to a national veterinary survey of CPV case occurrences and euthanasias in 2016 were used. Severe caseloads (>40 cases per annum) were reported by 26 (11 %) hospitals (median 60 cases; IQR 50-110). Case reporting, case numbers, and without-treatment euthanasia were significantly associated with disadvantage across all Socio-Economic Index for Areas quintiles (p < 0.0001) - the greater the disadvantage, the more reports. Strong negative correlations were found between case numbers and the Index of Relative Socioeconomic Disadvantage (rSP = -0.3357, p < 0.0001) and also between euthanasia and the Index of Education and Occupation (rSP = -0.3762, p < 0.0001). Hospitals in more remote areas were also more likely to report cases and to euthanize without treatment (p < 0.0001). Of the climate variables, temperature of the hottest month was most strongly positively correlated with case numbers (rSP = 0.421, p < 0.0001), and lower annual rainfall was associated with more case-reporting hospitals (p < 0.0001). These results confirm that socioeconomic disadvantage is a significant risk-factor for CPV infection and outcome, and high temperature may also contribute to risk.

Release Rates and Complications for Birds of Prey With Antebrachial Fractures at a Veterinary Teaching Hospital.

A retrospective case series that included 253 free-ranging birds of prey admitted to a rehabilitation center was conducted to describe the treatment and outcome of antebrachial fractures. Medical records from birds of prey belonging to 21 species admitted with antebrachial fracture between 1989 and 2015 at the University of California, Davis, were reviewed. Species distribution on admission, treatment, outcome, and complications were described by fracture category and species. Among 134 birds treated after initial triage on the day of admission, 4 bone/ wing categories were identified: 83 birds had an ulnar fracture only; 18 birds had a radial fracture only; 28 birds had a concomitant fracture of the radius and ulna on the same wing; and 5 birds had bilateral antebrachial fractures. Logistic regressions were performed to determine which factors were associated with a positive outcome within each of these 4 categories. Among birds having only an ulnar fracture, those with a closed fracture were significantly more likely to be released than birds with open fractures (P = .03; odds ratio = 5.43, 95% confidence interval: 1.29-28.12). In addition, birds with a fracture of the middle third of the ulna were significantly more likely to be released than birds diagnosed with a single fracture of the proximal third of the ulna (P = .02; odds ratio = 4.54, 95% confidence interval: 1.35-16.64). No significant prognostic factor was detected in other fracture categories.

[Retained placenta in mares - an analysis of 121 cases]. / Nachgeburtsverhaltung bei der Stute ­ eine Auswertung von 121 Fällen.

OBJECTIVE: The aim of this study was to analyze data concerning history, clinical course, and prognosis of retained fetal membranes in mares. MATERIAL UND METHODS: Patient records of 121 hospitalized mares with retained placenta were evaluated. In 82 cases, additional blood examinations were performed and analyzed. RESULTS: There was no significant correlation between age, parity or course of parturition and retained placenta. Eighty-one mares (66.9 %) were presented solely with retained fetal membranes, 40 mares (33.1 %) had additional diseases at presentation, most commonly injuries of the labia, followed by perineal tears and lochiometra. During hospitalization 50 mares (41.3 %) developed one or more diseases, most frequently lochiometra (23 mares, 19 %), laminitis (17 mares, 14 %) and thrombophlebitis (11 mares, 9.1 %). Eight mares (6.6 %) were euthanized due to the course of their diesease. Blood examinations revealed a mean leucocyte concentration of 9.8 ± 3.9 G/l at presentation. Mean concentration of serum ionized calcium amounted to 1.5 ± 0.2 mmol/l. There was no statistically significant influence of blood parameters on clinical course or development of additional diseases. CONCLUSION AND CLINICAL RELEVANCE: Retained placenta is a common disorder in the puerperium of the mare. In the presented study, most cases developed additional diseases and in 10 % of the mares, the clinical course led to euthanasia. No risk factors for the occurrence of retained fetal membranes or its clinical course could be identified.

Should we slaughter horses at abattoirs?

Roly Owers argues that humanely slaughtering horses at abattoirs and entering them into the food chain could help to mitigate one of the key welfare challenges facing UK horses - delayed euthanasia.

Impact of dealing with bereaved clients on the psychological wellbeing of veterinarians.

BACKGROUND: Research has identified that members of the veterinary profession are at high risk of occupational stress, burnout, poor psychological wellbeing and an elevated rate of suicide. Although scholarly interest in veterinarians has increased in recent years, relatively few studies have specifically examined the emotional work in veterinary interactions and what effect dealing with companion animal owners' grief has on the wellbeing of veterinarians. The purpose of this study was to determine if dealing with bereaved clients affected the psychological wellbeing of veterinarians. The concept of compassion fatigue was explored, including whether veterinarians believed that their training had equipped them for communicating with grieving clients. METHODS: Veterinary surgeons registered in South Australia in 2015 were invited to complete an online survey, with 105 participants responding. RESULTS: Many participants, particularly female and younger veterinarians, were experiencing mild to severe psychological distress and nearly half of the sample was experiencing high to very high levels of compassion fatigue. No participants reported seeking psychological or other professional mental health support and the majority had not referred a grieving client to a psychologist or other mental health professional. A significant proportion of veterinarians felt their own mental health was affected by dealing with clients grieving the loss of a companion animal. DISCUSSION: The findings are discussed in terms of increasing the wellbeing of veterinarians through improved curriculum training and workplace health promotion, particularly considering the high suicide rate reported for the profession.

Causes of death and euthanasia in domestic cats in the Santa Catarina plateau (1995-2015) / Causas de morte e eutanásia em felinos domésticos no Planalto de Santa Catarina (1995-2015)

Knowledge about the causes of death in felines constitutes important information to owners, veterinarians, and researchers, aiming at reducing the number of deaths in this species. In order to determine the main causes of death or euthanasia in cats in the Santa Catarina plateau, data from 1995 to 2015 available in necropsy files of the Laboratory of Animal Pathology (LAPA) of the State University of Santa Catarina (UDESC) were collected and evaluated. In that period, 1,728 cats were necropsied, mainly males (46.12%) and adults (50.11%). The mean ages at death for kittens, adults, and elderly were 5.07 months, 3.9 years, and 13.9 years, respectively. Of the 1,728 necropsy reports assessed, the cause of death was identified in 1,184 (68.52%) cases. The main cause of death was associated with infectious diseases (15.8%), with prevalence of feline infectious peritonitis (29.76%), followed by neoplasms (11.98%) with lymphoma (44.93%) and leukemia (16.91%) as the most common, and traumas (11.81%) mainly caused by motor vehicle accidents. These results show the need for owner awareness, as well as establishment of prophylaxis and vaccination programs, aimed at reducing the number of deaths and thus increasing life expectancy in the feline population.(AU)

O conhecimento a respeito da causa mortis em felinos é importante para que se construa um informativo para proprietários, médicos veterinários e pesquisadores, objetivando a redução no número de mortes na espécie. Com o intuito de determinar as principais causas de morte ou eutanásia em felinos domésticos no planalto catarinense foram avaliados os arquivos de registro das necropsias do período de 1995 a 2015 do Laboratório de Patologia Animal da Universidade do Estado de Santa Catarina. No período, foram necropsiados 1.728 felinos, principalmente machos (46,12%), adultos (50,11%). A idade média para filhotes foi de 5,07 meses, enquanto para adultos foi 3,9 anos e para idosos 13,9 anos. Das 1.728 necropsias de felinos, a enfermidade que levou o animal a morte foi determinada em 1.184 (68,52%). As doenças infecciosas foram a principal causa de morte (15,8%), dentre as quais a peritonite infecciosa felina (29,76%) foi a mais frequente; seguida das neoplasias (11,98%), sendo o linfoma (44,93%) e a leucemia (16,91%), as mais comuns; e dos traumatismos (11,81%), principalmente atropelamentos por veículos automotivos. Estes resultados refletem a necessidade da conscientização dos proprietários, bem como da instituição de programas de profilaxia e vacinação, visando a redução de mortes e o aumento na expectativa de vida para a população felina.(AU)