{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T21:33:44Z","timestamp":1778708024135,"version":"3.51.4"},"reference-count":38,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,5,6]],"date-time":"2024-05-06T00:00:00Z","timestamp":1714953600000},"content-version":"vor","delay-in-days":5,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100008788","name":"College of Veterinary Medicine, Ohio State University","doi-asserted-by":"publisher","award":["2021\u201008"],"award-info":[{"award-number":["2021\u201008"]}],"id":[{"id":"10.13039\/100008788","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Vet Emergen Crit Care"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To evaluate the respiratory rate\u2013oxygenation index (ROX), modified ROX index (ROX\u2010HR), and the ratio of pulse oximetry saturation (Sp<jats:sc>o<\/jats:sc><jats:sub>2<\/jats:sub>) to Fi<jats:sc>o<\/jats:sc><jats:sub>2<\/jats:sub> (SF) to determine if these indices over time are predictive of outcome in dogs treated with high\u2010flow nasal cannula oxygen therapy (HFNC).<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Retrospective study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Two university teaching hospitals.<\/jats:p><\/jats:sec><jats:sec><jats:title>Animals<\/jats:title><jats:p>Eighty\u2010one client\u2010owned dogs treated with HFNC for hypoxemic respiratory failure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Interventions<\/jats:title><jats:p>None.<\/jats:p><\/jats:sec><jats:sec><jats:title>Measurements and Main Results<\/jats:title><jats:p>The ROX was defined as the SF divided by the respiratory rate (RR), and the ROX\u2010HR was defined as the ROX divided by the heart rate multiplied by 100. The overall success rate of HFNC was 44% (<jats:italic>n<\/jats:italic>\u00a0=\u00a036\/81). Dogs weaned from HFNC had a significantly higher ROX (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.0001) at 1\u20133, 5\u201310, 12, and 15\u00a0hours than dogs that failed HFNC. Both the ROX and SF showed excellent discriminatory power in predicting HFNC failure at 6\u00a0hours, with an area under receiver operating curve of 0.85 (95% confidence interval: 0.72\u20130.99; <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.002) and 0.86 (95% confidence interval: 0.73\u20130.99; <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001), respectively. The optimal cutoff values for predicting HFNC failure at 6\u00a0hours were a ROX \u22643.68 (sensitivity 72%, specificity 92%) and an SF \u2264143 (sensitivity 79%, specificity 93%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>These results suggest that similar to people, the ROX and SF are useful predictors of HFNC failure. These indices are easy to measure at the bedside and may have clinical use. Future prospective studies are warranted to confirm the findings and to optimize cutoff values in a larger population of dogs undergoing HFNC.<\/jats:p><\/jats:sec>","DOI":"10.1111\/vec.13373","type":"journal-article","created":{"date-parts":[[2024,5,6]],"date-time":"2024-05-06T12:28:00Z","timestamp":1714998480000},"page":"252-261","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Retrospective evaluation of the respiratory rate\u2013oxygenation index to predict the outcome of high\u2010flow nasal cannula oxygen therapy in dogs (2018\u20132021): 81 cases"],"prefix":"10.1111","volume":"34","author":[{"given":"Logan","family":"Eicher","sequence":"first","affiliation":[{"name":"Department of Veterinary Clinical Sciences The Ohio State University  Columbus Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3752-0627","authenticated-orcid":false,"given":"Anda A.","family":"Young","sequence":"additional","affiliation":[{"name":"Department of Veterinary Clinical Sciences The Ohio State University  Columbus Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leanna","family":"Hoover","sequence":"additional","affiliation":[{"name":"Department of Veterinary Clinical Sciences The Ohio State University  Columbus Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4279-1966","authenticated-orcid":false,"given":"Kendon W.","family":"Kuo","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences Auburn University  Auburn Alabama USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3150-591X","authenticated-orcid":false,"given":"Jiwoong","family":"Her","sequence":"additional","affiliation":[{"name":"Department of Veterinary Clinical Sciences The Ohio State University  Columbus Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,5,6]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrc.2016.05.022"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.201803\u20100589OC"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1056\/nejmoa1503326"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/vec.12970"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cvsm.2022.01.006"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13054\u2010018\u20101990\u20104"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/vec.12495"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/jsap.13058"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tcam.2021.100596"},{"issue":"4","key":"e_1_2_9_11_1","first-page":"241","article-title":"Conventional versus high\u2010flow oxygen therapy in dogs with lower airway injury","volume":"85","author":"Ramesh M","year":"2021","journal-title":"Can J Vet Res"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.4187\/respcare.08631"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2021.20714"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjresp\u20102020\u2010000650"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/ppul.23981"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00134\u2010020\u201006228\u20107"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40560\u2010020\u201000458\u2010z"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13049\u2010021\u201000876\u20104"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrc.2021.08.012"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/vec.12817"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.2460\/ajvr.78.5.624"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1038\/jp.2017.24"},{"issue":"1","key":"e_1_2_9_23_1","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1111\/j.2517-6161.1995.tb02031.x","article-title":"Controlling the false discovery rate: a practical and powerful approach to multiple testing","volume":"57","author":"Benjamini Y","year":"1995","journal-title":"J R Stat Soc Ser B"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12931\u2010022\u201001951\u20109"},{"issue":"1","key":"e_1_2_9_25_1","doi-asserted-by":"crossref","first-page":"5","DOI":"10.4103\/lungindia.lungindia_122_21","article-title":"Predictive factors for high\u2010flow nasal cannula failure in acute hypoxemic respiratory failure in an intensive care unit","volume":"39","author":"Lun CT","year":"2022","journal-title":"Lung India"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.2165\/00003088\u2010199121010\u201000002"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12890\u2010020\u201001354\u2010w"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.3390\/biomedicines9081036"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvc.2010.04.001"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.tcam.2017.06.002"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1111\/jsap.12079"},{"key":"e_1_2_9_32_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1748\u20105827.2010.00954.x"},{"key":"e_1_2_9_33_1","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000001359"},{"key":"e_1_2_9_34_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00134\u2010006\u20100324\u20101"},{"key":"e_1_2_9_35_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00134\u2010012\u20102475\u20106"},{"key":"e_1_2_9_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrc.2017.06.010"},{"key":"e_1_2_9_37_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eclinm.2020.100570"},{"key":"e_1_2_9_38_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13054\u2010017\u20101760\u20108"},{"key":"e_1_2_9_39_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13613\u2010021\u201000949\u20108"}],"container-title":["Journal of Veterinary Emergency and Critical Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/vec.13373","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,6,14]],"date-time":"2024-06-14T07:10:16Z","timestamp":1718349016000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/vec.13373"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5]]},"references-count":38,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2024,5]]}},"alternative-id":["10.1111\/vec.13373"],"URL":"https:\/\/doi.org\/10.1111\/vec.13373","archive":["Portico"],"relation":{},"ISSN":["1479-3261","1476-4431"],"issn-type":[{"value":"1479-3261","type":"print"},{"value":"1476-4431","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,5]]},"assertion":[{"value":"2022-04-30","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-12-19","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-05-06","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}