Evidence map›Paper›PMID 31334254›Full record

ArticleFrontiers in veterinary science2019

Pharmaceutical Prescription in Canine Acute Diarrhoea: A Longitudinal Electronic Health Record Analysis of First Opinion Veterinary Practices.

David A Singleton, P J M Noble, Fernando Sánchez-Vizcaíno, Susan Dawson, Gina L Pinchbeck, Nicola J Williams, Alan D Radford, Philip H Jones

Open access · goldAbstract read
In one paragraph

Article in Frontiers in veterinary science, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 1 synthesis or guideline pooled it, 68 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

David A SingletonEpidemiology and Population Health, Institute of Infection and Global Health, University of Liverpool, Neston, United Kingdom.
P J M NobleInstitute of Veterinary Science, University of Liverpool, Neston, United Kingdom.
Fernando Sánchez-VizcaínoBristol Veterinary School, University of Bristol, Bristol, United Kingdom.
Susan DawsonInstitute of Veterinary Science, University of Liverpool, Neston, United Kingdom.
Gina L PinchbeckEpidemiology and Population Health, Institute of Infection and Global Health, University of Liverpool, Neston, United Kingdom.
Nicola J WilliamsEpidemiology and Population Health, Institute of Infection and Global Health, University of Liverpool, Neston, United Kingdom.
Alan D RadfordEpidemiology and Population Health, Institute of Infection and Global Health, University of Liverpool, Neston, United Kingdom.
Philip H JonesEpidemiology and Population Health, Institute of Infection and Global Health, University of Liverpool, Neston, United Kingdom.
University of Liverpool · GBUniversity of Bristol · GB

Funding

Biotechnology and Biological Sciences Research Council BB/N019547/1
6 · The paper itself

Abstract

Canine acute diarrhoea is frequently observed in first opinion practice, though little is known about commonly used diagnostic or therapeutic management plans, including use of antimicrobials. This retrospective observational study utilised electronic health records augmented with practitioner-completed questionnaires from 3,189 cases (3,159 dogs) collected from 179 volunteer veterinary practices between April 2014 and January 2017. We used multivariable analysis to explore factors potentially associated with pharmaceutical agent prescription, and resolution of clinical signs by 10 days post-initial presentation. Use of bacteriological and/or parasitological diagnostic tests were uncommon (3.2% of cases, 95% confidence interval, CI, 2.4-4.0), though systemic antimicrobials were the most commonly prescribed pharmaceutical agents (49.7% of cases, 95% CI 46.1-53.2). Such prescription was associated with haemorrhagic diarrhoea (odds ratio, OR, 4.1; 95% CI 3.4-5.0), body temperature in excess of 39.0°C, or moderate/severe cases (OR 1.3, 95% CI 1.1-1.7). Gastrointestinal agents (e.g., antacids) were prescribed to 37.7% of cases (95% CI 35.4-39.9), and were most frequently prescribed to vomiting dogs regardless of presence (OR 46.4, 95% CI 19.4-110.8) or absence of blood (OR 17.1, 95% CI 13.4-21.9). Endoparasiticides/endectocides were prescribed to 7.8% of cases (95% CI 6.8-9.0), such prescription being less frequent for moderate/severe cases (OR 0.5, 95% CI 0.4-0.7), though more frequent when weight loss was recorded (OR 3.4, 95% CI 1.3-9.0). Gastrointestinal nutraceuticals (e.g., probiotics) were dispensed to 60.8% of cases (95% CI 57.1-64.6), these cases less frequently presenting with moderate/severe clinical signs (OR 0.6, 95% CI 0.5-0.8). Nearly a quarter of cases were judged lost to follow-up (

Indexed as

acute canine diarrhoeaantimicrobial resistancecompanion animalelectronic health recordhaemorrhagic diarrhoeahealth informaticspharmacosurveillance

Identifiers

PMID31334254
PMCPMC6615257
OpenAlexW2953495646

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.