ArticleAnimals : an open access journal from MDPI2026
Prognostic Performance of Shock Index, Whole-Blood Lactate Concentration, Rectal-Interdigital Temperature Gradient, and ATT Score in Cats with Trauma-Induced Shock.
Article in Animals : an open access journal from MDPI, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Trauma-induced shock is a frequent and life-threatening complication in feline patients. Early detection of tissue hypoperfusion is fundamental for improving clinical outcomes; however, due to species-specific physiological responses in cats, conventional markers like the shock index often fail to accurately reflect shock severity. This prospective clinical study aimed to evaluate the prognostic value of the shock index for predicting mortality in traumatized cats and to analyze the relationship between clinical outcome and whole-blood lactate concentrations, the rectal-interdigital temperature gradient (RISG), and the Animal Trauma Triage (ATT) score. Fifty cats presenting with acute trauma were evaluated upon admission and at subsequent time points. Clinical shock was strictly defined by the presence of at least three markers of poor perfusion, including altered mentation, abnormal heart rate, poor peripheral pulses, and hypotension. Data were analyzed using receiver operating characteristic (ROC) curves and multivariable logistic regression. The Shock Index did not significantly distinguish survivors from nonsurvivors at any time point and showed no significant prognostic performance in ROC analysis (
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