Pain scoring systems in hospitalized horses with ocular disease
Abstract Background Pain recognition in hospitalized horses is challenging, and the utility of pain scoring systems in horses with ocular disease has not been well‐described. Hypothesis/Objectives Evaluate the horse grimace scale (HGS) and behavior pain score (BPS) in hospitalized horses with ocular...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2024-01-01
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| Series: | Journal of Veterinary Internal Medicine |
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| Online Access: | https://doi.org/10.1111/jvim.16933 |
| _version_ | 1797349500500574208 |
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| author | Dayna Jodzio Sally DeNotta Caryn Plummer Chris Sanchez |
| author_facet | Dayna Jodzio Sally DeNotta Caryn Plummer Chris Sanchez |
| author_sort | Dayna Jodzio |
| collection | DOAJ |
| description | Abstract Background Pain recognition in hospitalized horses is challenging, and the utility of pain scoring systems in horses with ocular disease has not been well‐described. Hypothesis/Objectives Evaluate the horse grimace scale (HGS) and behavior pain score (BPS) in hospitalized horses with ocular disease. We hypothesized that HGS and BPS would be associated with different clinical progressions. Animals Privately owned horses hospitalized for ocular disease between September 2018 and September 2020. Methods Retrospective observational study. The HGS and BPS were recorded daily throughout hospitalization. Clinical progressions were categorized as: (a) discharge from hospital after medical treatment, (b) ophthalmic surgery (eg, keratectomy, conjunctival flap, amniotic membrane transplantation, corneal transplant), or (c) enucleation. Temporal trends in HGS and BPS were assessed using linear regression. Correlations among slope, intercept, and progression were determined using the Kruskal‐Wallis test. Results Of 65 horses that met inclusion criteria, 29 (45%) were discharged after exclusively medical management, 28 (43%) underwent ophthalmic surgery, and 8 (12%) underwent enucleation. Two horses (3%) had 2 ophthalmic surgeries performed. The BPS scores at admission were higher in horses that were managed medically than in those that underwent enucleation (P = .01). Horses requiring enucleation had higher increases in HGS (P = .02) and BPS (P = .01) during hospitalization than horses that were medically managed and a higher increase in BPS (P = .04) than horses that required ophthalmic surgery. Conclusions and Clinical Importance Pain scoring may represent a useful tool for monitoring progression and response to treatment in hospitalized horses with ocular disease. |
| first_indexed | 2024-03-08T12:31:14Z |
| format | Article |
| id | doaj.art-64fd24b67b0f47b9ba4f918067fa07ff |
| institution | Directory Open Access Journal |
| issn | 0891-6640 1939-1676 |
| language | English |
| last_indexed | 2024-03-08T12:31:14Z |
| publishDate | 2024-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Veterinary Internal Medicine |
| spelling | doaj.art-64fd24b67b0f47b9ba4f918067fa07ff2024-01-22T02:05:50ZengWileyJournal of Veterinary Internal Medicine0891-66401939-16762024-01-0138138839710.1111/jvim.16933Pain scoring systems in hospitalized horses with ocular diseaseDayna Jodzio0Sally DeNotta1Caryn Plummer2Chris Sanchez3Department of Large Animal Clinical Sciences University of Florida College of Veterinary Medicine Gainesville Florida USADepartment of Large Animal Clinical Sciences University of Florida College of Veterinary Medicine Gainesville Florida USADepartment of Large Animal Clinical Sciences University of Florida College of Veterinary Medicine Gainesville Florida USADepartment of Large Animal Clinical Sciences University of Florida College of Veterinary Medicine Gainesville Florida USAAbstract Background Pain recognition in hospitalized horses is challenging, and the utility of pain scoring systems in horses with ocular disease has not been well‐described. Hypothesis/Objectives Evaluate the horse grimace scale (HGS) and behavior pain score (BPS) in hospitalized horses with ocular disease. We hypothesized that HGS and BPS would be associated with different clinical progressions. Animals Privately owned horses hospitalized for ocular disease between September 2018 and September 2020. Methods Retrospective observational study. The HGS and BPS were recorded daily throughout hospitalization. Clinical progressions were categorized as: (a) discharge from hospital after medical treatment, (b) ophthalmic surgery (eg, keratectomy, conjunctival flap, amniotic membrane transplantation, corneal transplant), or (c) enucleation. Temporal trends in HGS and BPS were assessed using linear regression. Correlations among slope, intercept, and progression were determined using the Kruskal‐Wallis test. Results Of 65 horses that met inclusion criteria, 29 (45%) were discharged after exclusively medical management, 28 (43%) underwent ophthalmic surgery, and 8 (12%) underwent enucleation. Two horses (3%) had 2 ophthalmic surgeries performed. The BPS scores at admission were higher in horses that were managed medically than in those that underwent enucleation (P = .01). Horses requiring enucleation had higher increases in HGS (P = .02) and BPS (P = .01) during hospitalization than horses that were medically managed and a higher increase in BPS (P = .04) than horses that required ophthalmic surgery. Conclusions and Clinical Importance Pain scoring may represent a useful tool for monitoring progression and response to treatment in hospitalized horses with ocular disease.https://doi.org/10.1111/jvim.16933horseophthalmicpain |
| spellingShingle | Dayna Jodzio Sally DeNotta Caryn Plummer Chris Sanchez Pain scoring systems in hospitalized horses with ocular disease Journal of Veterinary Internal Medicine horse ophthalmic pain |
| title | Pain scoring systems in hospitalized horses with ocular disease |
| title_full | Pain scoring systems in hospitalized horses with ocular disease |
| title_fullStr | Pain scoring systems in hospitalized horses with ocular disease |
| title_full_unstemmed | Pain scoring systems in hospitalized horses with ocular disease |
| title_short | Pain scoring systems in hospitalized horses with ocular disease |
| title_sort | pain scoring systems in hospitalized horses with ocular disease |
| topic | horse ophthalmic pain |
| url | https://doi.org/10.1111/jvim.16933 |
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