https://scholars.lib.ntu.edu.tw/handle/123456789/614713
標題: | Validation of exercise testing and laryngeal auscultation for grading brachycephalic obstructive airway syndrome in pugs, French bulldogs, and English bulldogs by using whole-body barometric plethysmography | 作者: | Riggs, Julia NAI-CHIEH LIU Sutton, Dawn R. Sargan, David Ladlow, Jane F. |
公開日期: | 2019 | 出版社: | Blackwell Publishing Inc. | 卷: | 48 | 期: | 4 | 起(迄)頁: | 488-496 | 來源出版物: | Veterinary Surgery | 摘要: | Objective: To determine whether the sensitivity of clinical examination for assessing upper airway disease severity in 3 breeds of brachycephalic dogs can be improved by incorporating an exercise test (ET) or by auscultation of a laryngeal stridor to predict laryngeal collapse. Study design: Prospective clinical study. Animals: Client-owned brachycephalic dogs (n = 44 ET; n = 57 laryngeal stridor assessment). Methods: In the first part of the study, clinical examinations were performed at rest and after 5-minute walk and 3-minute trot tests, and a grade reflective of brachycephalic obstructive airway syndrome (BOAS) severity was assigned. Whole-body barometric plethysmography was used as a comparative, objective measure of disease severity. In the second part of the study, the degree of laryngeal collapse present in dogs undergoing BOAS surgery was compared to pre-exercise and postexercise laryngeal stridor detected during functional testing. Results: The sensitivity of clinical examination for BOAS diagnosis was 56.7% pre-ET, 70% after a 5-minute walk test, and 93.3% after a 3-minute trot test. The sensitivity of laryngeal stridor as a predictor of laryngeal collapse was improved after exercise (70%) compared with before exercise (60%). Specificity of laryngeal stridor for laryngeal collapse was 100% (pre-exercise and postexercise). Conclusion: The sensitivity of clinical examination for BOAS diagnosis was improved by inclusion of an ET, particularly the 3-minute trot test. Audible laryngeal stridor was highly specific but only moderately sensitive for laryngeal collapse. Clinical significance: Inclusion of a 3-minute trot test and careful auscultation for laryngeal stridor are recommended during BOAS assessment of brachycephalic dogs. © 2019 The American College of Veterinary Surgeons |
URI: | https://scholars.lib.ntu.edu.tw/handle/123456789/614713 https://www.scopus.com/inward/record.uri?eid=2-s2.0-85060328162&doi=10.1111%2fvsu.13159&partnerID=40&md5=50213f6835bba05ba5686375cd616648 |
ISSN: | 01613499 | 其他識別: | VESUD | DOI: | 10.1111/vsu.13159 | SDG/關鍵字: | airway obstruction; animal; animal experiment; auscultation; body plethysmography; craniofacial synostosis; dog; dog disease; exercise test; female; larynx; male; pathology; prospective study; reproducibility; veterinary medicine |
顯示於: | 臨床動物醫學研究所 |
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