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Serial plasma glucose changes in dogs suffering from severe dog bite wounds

Author
Organization
Abstract
The objective of this study was to describe the changes in plasma glucose concentration in 20 severely injured dogs suffering from dog bite wounds over a period of 72 hours from the initiation of trauma. Historical, signalment, clinical and haematological factors were investigated for their possible effect on plasma glucose concentration. Haematology was repeated every 24 hours and plasma glucose concentrations were measured at 8-hourly intervals post-trauma. On admission, 1 dog was hypoglycaemic, 8 were normoglycaemic and 11 were hyperglycaemic. No dogs showed hypoglycaemia at any other stage during the study period. The median blood glucose concentrations at each of the 10 collection points, excluding the 56-hour and 64-hour collection points, were in the hyperglycaemic range (5.8-6.2 mmol/l). Puppies and thin dogs had significantly higher median plasma glucose concentrations than adult and fat dogs respectively (P < 0.05 for both). Fifteen dogs survived the 72-hour study period. Overall 13 dogs (81.3 70) made a full recovery after treatment. Three of 4 dogs that presented in a collapsed state died, whereas all dogs admitted as merely depressed or alert survived (P = 0.004). The high incidence of hyperglycaemia can possibly be explained by the 'diabetes of injury" phenomenon. However, hyperglycaemia in this group of dogs was marginal and potential benefits of insulin therapy are unlikely to outweigh the risk of adverse effects such as hypoglycaemia.
Keywords
dog bite wounds, glucose, SIRS, trauma, CRITICALLY-ILL PATIENTS, CANINE BABESIOSIS, CATS, HYPOGLYCEMIA, HYPERGLYCEMIA, SEPSIS, TRAUMA, INSULIN, ASSOCIATION, METABOLISM

Citation

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MLA
Schoeman, JP et al. “Serial Plasma Glucose Changes in Dogs Suffering from Severe Dog Bite Wounds.” JOURNAL OF THE SOUTH AFRICAN VETERINARY ASSOCIATION-TYDSKRIF VAN DIE SUID-AFRIKAANSE VETERINERE VERENIGING 82.1 (2011): 41–46. Print.
APA
Schoeman, J., Kitshoff, A., du Plessis, C., & Thompson, P. (2011). Serial plasma glucose changes in dogs suffering from severe dog bite wounds. JOURNAL OF THE SOUTH AFRICAN VETERINARY ASSOCIATION-TYDSKRIF VAN DIE SUID-AFRIKAANSE VETERINERE VERENIGING, 82(1), 41–46.
Chicago author-date
Schoeman, JP, Adriaan Kitshoff, CJ du Plessis, and PN Thompson. 2011. “Serial Plasma Glucose Changes in Dogs Suffering from Severe Dog Bite Wounds.” Journal of the South African Veterinary Association-tydskrif Van Die Suid-afrikaanse Veterinere Vereniging 82 (1): 41–46.
Chicago author-date (all authors)
Schoeman, JP, Adriaan Kitshoff, CJ du Plessis, and PN Thompson. 2011. “Serial Plasma Glucose Changes in Dogs Suffering from Severe Dog Bite Wounds.” Journal of the South African Veterinary Association-tydskrif Van Die Suid-afrikaanse Veterinere Vereniging 82 (1): 41–46.
Vancouver
1.
Schoeman J, Kitshoff A, du Plessis C, Thompson P. Serial plasma glucose changes in dogs suffering from severe dog bite wounds. JOURNAL OF THE SOUTH AFRICAN VETERINARY ASSOCIATION-TYDSKRIF VAN DIE SUID-AFRIKAANSE VETERINERE VERENIGING. 2011;82(1):41–6.
IEEE
[1]
J. Schoeman, A. Kitshoff, C. du Plessis, and P. Thompson, “Serial plasma glucose changes in dogs suffering from severe dog bite wounds,” JOURNAL OF THE SOUTH AFRICAN VETERINARY ASSOCIATION-TYDSKRIF VAN DIE SUID-AFRIKAANSE VETERINERE VERENIGING, vol. 82, no. 1, pp. 41–46, 2011.
@article{7280768,
  abstract     = {The objective of this study was to describe the changes in plasma glucose concentration in 20 severely injured dogs suffering from dog bite wounds over a period of 72 hours from the initiation of trauma. Historical, signalment, clinical and haematological factors were investigated for their possible effect on plasma glucose concentration. Haematology was repeated every 24 hours and plasma glucose concentrations were measured at 8-hourly intervals post-trauma. On admission, 1 dog was hypoglycaemic, 8 were normoglycaemic and 11 were hyperglycaemic. No dogs showed hypoglycaemia at any other stage during the study period. The median blood glucose concentrations at each of the 10 collection points, excluding the 56-hour and 64-hour collection points, were in the hyperglycaemic range (5.8-6.2 mmol/l). Puppies and thin dogs had significantly higher median plasma glucose concentrations than adult and fat dogs respectively (P < 0.05 for both). Fifteen dogs survived the 72-hour study period. Overall 13 dogs (81.3 70) made a full recovery after treatment. Three of 4 dogs that presented in a collapsed state died, whereas all dogs admitted as merely depressed or alert survived (P = 0.004). The high incidence of hyperglycaemia can possibly be explained by the 'diabetes of injury" phenomenon. However, hyperglycaemia in this group of dogs was marginal and potential benefits of insulin therapy are unlikely to outweigh the risk of adverse effects such as hypoglycaemia.},
  author       = {Schoeman, JP and Kitshoff, Adriaan and du Plessis, CJ and Thompson, PN},
  issn         = {0038-2809},
  journal      = {JOURNAL OF THE SOUTH AFRICAN VETERINARY ASSOCIATION-TYDSKRIF VAN DIE SUID-AFRIKAANSE VETERINERE VERENIGING},
  keywords     = {dog bite wounds,glucose,SIRS,trauma,CRITICALLY-ILL PATIENTS,CANINE BABESIOSIS,CATS,HYPOGLYCEMIA,HYPERGLYCEMIA,SEPSIS,TRAUMA,INSULIN,ASSOCIATION,METABOLISM},
  language     = {eng},
  number       = {1},
  pages        = {41--46},
  title        = {Serial plasma glucose changes in dogs suffering from severe dog bite wounds},
  volume       = {82},
  year         = {2011},
}

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