{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T17:32:53Z","timestamp":1774978373850,"version":"3.50.1"},"reference-count":27,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2016,10,13]],"date-time":"2016-10-13T00:00:00Z","timestamp":1476316800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["beva.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Equine Veterinary Journal"],"published-print":{"date-parts":[[2017,7]]},"abstract":"<jats:title>Summary<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Reasons for performing study<\/jats:title>\n                    <jats:p>Relaparotomy may be required to investigate and manage complications that occur following surgical management of colic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To report factors associated with survival following relaparotomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study design<\/jats:title>\n                    <jats:p>Retrospective cohort study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Records of horses that had undergone exploratory laparotomy for treatment of colic over a 10\u2010year period (2002\u20132012) and had undergone relaparotomy &lt;8 weeks following the initial surgery were reviewed. Descriptive data were generated and association with survival time was modelled using Cox proportional hazards models.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Relaparotomy was performed in 96 horses at &lt;8 weeks following initial surgery at a median of 4 days. This represented 6.3% of horses that underwent laparotomy during the study period (n = 1531). Relaparotomy was most frequently undertaken based on signs of persistent post\u2010operative colic (76%; n = 73). Short\u2010term survival for horses undergoing relaparotomy due to persistent colic was 53%, incisional dehiscence 50%, post\u2010operative reflux 37%, haemoperitoneum 17% and septic peritonitis 0%. Median survival was 6 days for all horses undergoing relaparotomy and 778 days for those that recovered following anaesthesia. Nonsurvival was associated with increased packed cell volume at 24 h following initial laparotomy (hazard ratio [\n                      <jats:styled-content style=\"fixed-case\">HR<\/jats:styled-content>\n                      ] 1.06, 95% confidence interval [\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      ] 1.04\u20131.10, P = 0.009), peritonitis as a reason for undertaking relaparotomy (\n                      <jats:styled-content style=\"fixed-case\">HR<\/jats:styled-content>\n                      4.41, 95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      1.43\u201313.6, P = 0.01) and adhesions found at relaparotomy (\n                      <jats:styled-content style=\"fixed-case\">HR<\/jats:styled-content>\n                      1.77, 95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      1.03\u20133.04, P = 0.04). Increased likelihood of survival was associated with colic signs being the reason for performing relaparotomy (\n                      <jats:styled-content style=\"fixed-case\">HR<\/jats:styled-content>\n                      0.48, 95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      0.26\u20130.88, P = 0.02) and small intestinal distension found at relaparotomy (\n                      <jats:styled-content style=\"fixed-case\">HR<\/jats:styled-content>\n                      0.53, 95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      0.29\u20130.96, P = 0.04).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This study has provided information about survival rates and risk factors for survival in horses undergoing relaparotomy that can assist clinicians and owners when determining whether to perform relaparotomy and in predicting the likely surgical outcome.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/evj.12635","type":"journal-article","created":{"date-parts":[[2016,8,27]],"date-time":"2016-08-27T10:36:55Z","timestamp":1472294215000},"page":"448-453","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Factors associated with survival of horses following relaparotomy"],"prefix":"10.1111","volume":"49","author":[{"given":"J. A.","family":"Findley","sequence":"first","affiliation":[{"name":"School of Veterinary Science\/Institute of Infection and Global Health and School of Veterinary Sciences University of Liverpool Neston UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Salem","sequence":"additional","affiliation":[{"name":"Department of Surgery Faculty of Veterinary Medicine Zagazig University Zagazig Eygpt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R.","family":"Burgess","sequence":"additional","affiliation":[{"name":"School of Veterinary Science\/Institute of Infection and Global Health and School of Veterinary Sciences University of Liverpool Neston UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D. C.","family":"Archer","sequence":"additional","affiliation":[{"name":"School of Veterinary Science\/Institute of Infection and Global Health and School of Veterinary Sciences University of Liverpool Neston UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,10,13]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.2746\/0425164054529454"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-950X.2014.12139.x"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-950X.1990.tb01118.x"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.2746\/042516402776117845"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tvjl.2007.02.016"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.2746\/042516402776117791"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.2460\/javma.246.5.540"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-950X.1989.tb01100.x"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-950X.2014.12281.x"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.2746\/0425164054529481"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1080\/01621459.1958.10501452"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1214\/ss\/1038425655"},{"key":"e_1_2_11_14_1","unstructured":"Therneau T.(2015)A Package for Survival Analysis in S version 2.38.http:\/\/CRAN.R-project.org\/package=survival."},{"key":"e_1_2_11_15_1","unstructured":"R Core Team(2014)R: A language and environment for statistical computing.R Foundation for Statistical Computing Vienna Austria.http:\/\/www.R-project.org\/."},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1939-1676.2009.0311.x"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.2746\/042516402776117700"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.4517"},{"key":"e_1_2_11_19_1","first-page":"98","article-title":"Acute abdomen: peritonitis","volume":"26","author":"Skipworth R.J.E.","year":"2007","journal-title":"Emerg. 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