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Characteristics, complications and survival in cats treated with subcutaneous ureteral bypass systems in the United Kingdom

Kulendra, N J; Borgeat, K; Syme, H; Dirrig, H; Halfacree, Z

Authors

N J Kulendra

K Borgeat

H Syme

H Dirrig

Z Halfacree



Abstract

To report the complications and factors affecting outcome for cats following placement of a subcutaneous ureteral bypass (SUB™). In this retrospective study, complications, the presence of a urinary tract infection and survival time were recorded following subctutaneous ureteral bypass placement. Factors affecting survival time were assessed using a Kaplan Meier curve and log rank test. Ninety-five cats had 130 subcutaneous ureteral bypasses placed. Ten cats did not survive to discharge. Forty cats died or were euthanised after discharge (42%); the median survival time of these cats was 530 days (range 7 to 1915). Minor complications occurred in 18 cats (19%) and major complications occurred in 46 cats (48%), the majority of which were after hospital discharge. Twenty-seven cats were diagnosed with a urinary tract infection (UTI) post-operatively. A significant association between long-term survival and creatinine at presentation was identified. The median survival time for cats presenting with creatinine concentration ≥440 μmol/L (International Renal Interest Society stage acute kidney injury (AKI) 4 and 5) was 530 days (95% CI 273-787 days), compared to a median survival time of 949 days (95% CI 655-1243 days; Log Rank P=0.024) for those cats presenting with creatinine

Citation

Kulendra, N. J., Borgeat, K., Syme, H., Dirrig, H., & Halfacree, Z. (2020). Characteristics, complications and survival in cats treated with subcutaneous ureteral bypass systems in the United Kingdom. Journal of Small Animal Practice, https://doi.org/10.1111/jsap.13226

Journal Article Type Article
Acceptance Date Aug 4, 2020
Publication Date Sep 14, 2020
Deposit Date Oct 1, 2020
Publicly Available Date Mar 29, 2024
Journal The Journal of small animal practice
Print ISSN 0022-4510
Publisher Wiley
Peer Reviewed Peer Reviewed
DOI https://doi.org/10.1111/jsap.13226
Public URL https://rvc-repository.worktribe.com/output/1375754

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