Evidence map›Paper›PMID 38353573›Full record

ArticleJournal of veterinary internal medicine

A retrospective study of hydrocortisone continuous rate infusion compared with administration of dexamethasone boluses in dogs with adrenal crisis.

Lara Brunori, Olivia X Walesby, Daniel H Lewis, Alisdair M Boag

Open access · goldAbstract readMulticenter StudyObservational Study, Veterinary
In one paragraph

Article in Journal of veterinary internal medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.4field-weighted citation impact, top 18% 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

4 citing papers in PubMed, 4 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

4 authors at 2 institutions in 2 countries.

Lara BrunoriEmergency & Critical Care Specialist Service, VetsNow 24/7 Pet Emergency & Specialty Hospital, Glasgow, UK.ORCID https://orcid.org/0000-0003-1448-9110
Olivia X WalesbyThe Royal (Dick) School of Veterinary Studies and the Roslin Institute, Easter Bush Campus, The University of Edinburgh, Midlothian, UK.ORCID https://orcid.org/0000-0002-2419-954X
Daniel H LewisEmergency & Critical Care Specialist Service, VetsNow 24/7 Pet Emergency & Specialty Hospital, Glasgow, UK.
Alisdair M BoagThe Royal (Dick) School of Veterinary Studies and the Roslin Institute, Easter Bush Campus, The University of Edinburgh, Midlothian, UK.ORCID https://orcid.org/0000-0002-3819-1821
Orthopedic Specialty Hospital · USRoslin Institute · GB

Funding

IVC Evidensia
6 · The paper itself

Abstract

backgroundEvidence indicating the optimal treatment protocol for dogs in adrenal crisis is lacking.

objectivesCompare outcomes of dogs presented in adrenal crisis treated with either hydrocortisone (HC) continuous rate infusion (CRI) or intermittent dexamethasone (DEX) administration. ANIMALS: Thirty-nine client-owned dogs.

methodsMulti-institutional retrospective observational study (July 2016-May 2022) including dogs diagnosed with adrenal crisis and with available sequential blood work during hospitalization. Dogs were excluded if already on treatment with exogenous corticosteroids. Outcomes assessed included duration of hospitalization, survival, number of repeat measurements of electrolyte concentrations, and time to normalization of electrolyte and acid-base status.

resultsNo significant difference was found between the groups for hospitalization time (P = .41; HC median [range] 48 h [19-105 h]; DEX 57 h [17-167 h]) nor case fatality rate 2/28 in the DEX group and 0/11 in the HC group (P = 1), nor in number of measurements of electrolyte concentrations (P = .90; HC 4 [2-10]; DEX 4.5 [2-15]). No significant differences were found between the 2 treatment groups in time to normalization of serum Na (P = .30; HC 33 h [7-66 h]; DEX 16 h [1.5-48 h]), K (P = .92; HC 17 h [4-48 h]; DEX 16 h [1.25-60 h]) or Na/K ratio (P = .08; HC 17 h [8-48 h]; DEX 26 h [1.5-60 h]).

conclusionsThis study detected no difference in outcomes for dogs in adrenal crisis treated with either DEX boluses or HC CRIs.

Indexed as

DexamethasoneHydrocortisoneAnimalsDogsElectrolytesRetrospective StudiesDexamethasoneElectrolytesHydrocortisoneacid-baseAddison'selectrolytessteroids

Identifiers

PMID38353573
PMCPMC10937513
OpenAlexW4391822936

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.