Evidence map›Paper›PMID 40349143›Full record

ArticleVeterinary surgery : VS2025

Prognostic factors for short-term survival of cats that experienced postattenuation neurologic signs after surgical attenuation of single congenital portosystemic shunts.

Ignacio Otero Balda, Laura E Selmic, Polina Stamenova, Matthew Simpson, Victoria J Lipscomb, Anne Kummeling, Nausikaa Devriendt, Hilde de Rooster, Katarzyna M Grzywa, Michael S Tivers and 7 more

Abstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Veterinary surgery : VS, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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

17 authors.

Ignacio Otero BaldaDepartment of Small Animal Surgery, Small Animal Clinical Studies Section, School of Veterinary Medicine, College of Health and Agricultural Sciences, University College Dublin, Dublin, Ireland.ORCID https://orcid.org/0000-0003-3091-1393
Laura E SelmicDepartment of Veterinary Clinical Sciences, The Ohio State University, Columbus, Ohio, USA.ORCID https://orcid.org/0000-0001-6695-6273
Polina StamenovaDepartment of Clinical Science and Services, Royal Veterinary College, Hatfield, UK.
Matthew SimpsonDepartment of Clinical Science and Services, Royal Veterinary College, Hatfield, UK.ORCID https://orcid.org/0000-0002-4153-6915
Victoria J LipscombDepartment of Clinical Science and Services, Royal Veterinary College, Hatfield, UK.ORCID https://orcid.org/0000-0001-8427-5885
Anne KummelingDepartment of Clinical Sciences, Faculty of Veterinary Medicine, Utrecht University, Utrecht, The Netherlands.
Nausikaa DevriendtSmall Animal Department, Faculty of Veterinary Medicine, Ghent University, Merelbeke, Belgium.ORCID https://orcid.org/0000-0002-5070-8176
Hilde de RoosterSmall Animal Department, Faculty of Veterinary Medicine, Ghent University, Merelbeke, Belgium.ORCID https://orcid.org/0000-0001-8087-256X
Katarzyna M GrzywaParagon Veterinary Referrals, Paragon Business Village, Wakefield, UK.
Michael S TiversParagon Veterinary Referrals, Paragon Business Village, Wakefield, UK.ORCID https://orcid.org/0000-0001-7047-9334
Guillaume ChanoitLangford Vets, Bristol, UK.ORCID https://orcid.org/0000-0002-7414-6403
Adrien MaggiarCentre Hospitalier Vétérinaire Atlantia, Nantes, France.ORCID https://orcid.org/0000-0002-2565-3038
Jean-Philippe BilletCentre Hospitalier Vétérinaire Atlantia, Nantes, France.
Román Soto MuñozSurgery Department, Veterinary Specialists Ireland, County Meath, Ireland.
Alberto OramasDepartment of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, Florida, USA.
Ameet SinghDepartment of Clinical Studies, Ontario Veterinary College, University of Guelph, Guelph, Ontario, Canada.ORCID https://orcid.org/0000-0002-8095-9339
Ronan A MullinsDepartment of Small Animal Surgery, Small Animal Clinical Studies Section, School of Veterinary Medicine, College of Health and Agricultural Sciences, University College Dublin, Dublin, Ireland.ORCID https://orcid.org/0000-0003-1159-2382

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo report 30-day survival of cats that experienced postattenuation neurologic signs (PANS) after surgical attenuation of a single congenital portosystemic shunt (cPSS), and to investigate prognostic factors for short-term survival. STUDY

designMulti-institutional retrospective study. SAMPLE POPULATION: A total of 59 cats with cPSS that experienced PANS.

methodsThe medical records of 10 institutions were retrospectively reviewed to identify cats that underwent cPSS attenuation from January 1, 2010 through June 30, 2023 and developed PANS within 7 days postoperatively. Exclusion criteria were cats with arteriovenous malformation and cats lost-to-follow-up prior to 30 days. Logistic regression identified factors associated with 30-day survival. Odds Ratios (OR) and 95% CIs were calculated.

resultsA total of 46 (78.0%) PANS-affected cats survived to 30 days. A total of 13 (50.0%) of 26 cats that experienced postattenuation seizures (PAS) survived to 30 days, with most non-surviving cats experiencing generalized PAS. Cats that experienced PAS (p < .01, OR: 0.015, 95% CI: <0.001-0.281) and treatment of PANS with propofol (p < .01, OR: 0.112, 95% CI: 0.022-0.569) were associated with decreased odds of 30-day survival.

conclusionMost cats that experienced PANS survived to 30 days; however, short-term survival rate was worse for cats that experienced PAS. CLINICAL SIGNIFICANCE: The prognosis for cats that experience PANS is generally good but experiencing PAS and requiring treatment with propofol are negative prognostic factors.

Indexed as

Cat DiseasesPortal SystemPostoperative ComplicationsSeizuresAnimalsCatsCongenital Portosystemic ShuntFemaleMalePrognosisRetrospective Studies

Identifiers

PMID40349143
PMCPMC12282038

What OpenQuestion holds

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LicenceCC BY
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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.