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DOI: 10.1055/s-0044-1788889
Survival Rate of High-Rise Syndrome Cases Using Animal Trauma Triage Score in Cats

Abstract
Objective To assess the data of high-rise syndrome (HRS) cases and determine the relationship between Animal Trauma Triage Score (ATTS), height, injury profile, and survival rate of patients.
Study Design Retrospective study evaluating cats with HRS within a 4-year period.
Results A logistic regression analysis which included height, ground type, and ATTS variables was performed to predict survival rate of patients. Only ATTS was significant among these variables (p < 0.001) and each point increase in ATTS increased the nonsurvival by 0.46 times (95% confidence interval [CI]: 0.347–0.624). The receiver operating curve indicates that ATTS is good at predicting mortality (area under the curve: 0.857; 95% CI: 0.788–0.926; p < 0.001).
Conclusion The height of the fall, injury type, or ground type do not seem to be accurate in estimating the survival rate in HRS patients. Established scoring systems such as ATTS should be used to determine survival rates in future HRS studies.
Authors' Contribution
Conception of study: K.S.İ., T.Ö., A.Ö., C.Y., H.Ö.N., K.S. Study design: K.S.İ., T.Ö., A.Ö., C.Y., H.Ö.N., K.S. Acquisition of data: K.S.İ., T.Ö., B.D.Ö.E., M.G., E.B.K. Data analysis and interpretation: K.S.İ.
Publication History
Received: 21 November 2023
Accepted: 17 July 2024
Article published online:
01 August 2024
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References
- 1 Robinson G. High rise trauma syndrome in cats. Feline Pract 1976; 6: 40-43
- 2 Whitney WO, Mehlhaff CJ. High-rise syndrome in cats. J Am Vet Med Assoc 1987; 191 (11) 1399-1403
- 3 Flagstad A, Arnbjerg J, Jensen S. Feline high-rise syndrome in the greater metropolitan area of Copenhagen. A four-year retrospective study. Eur J Companion Anim Pract 1998; 9: 165-171
- 4 Papazoglou L, Galatos A, Patsikas M. et al. High-rise syndrome in cats: 207 cases (1988–1998). Aust Vet Pract 2001; 31: 98-102
- 5 Dupre G, Allenou A, Bouvy B. High-rise syndrome: retrospective study on 413 cats. In: Proceedings of the 4th Annual Conference of the European College of Veterinary Surgery;. Constance, Germany. 1995: 294
- 6 Zaghloul A, Samy A. High rise syndrome: a correlation between height and affections in 45 cats from urban areas. Alex J Vet Sci 2018; 59: 43-48
- 7 Vnuk D, Pirkić B, Maticić D. et al. Feline high-rise syndrome: 119 cases (1998-2001). J Feline Med Surg 2004; 6 (05) 305-312
- 8 Girol-Piner AM, Moreno-Torres M, Herrería-Bustillo VJ. Prospective evaluation of the Animal Trauma Triage Score and Modified Glasgow Coma Scale in 25 cats with high-rise syndrome. J Feline Med Surg 2022; 24 (06) e13-e18
- 9 Rockar RA, Drobatz KS, Shofer FS. Development of a scoring system for the veterinary trauma patient. J Vet Emerg Crit Care (San Antonio) 1994; 4: 77-83
- 10 Merbl Y, Milgram J, Moed Y. et al. Epidemiological, clinical and hematological findings in feline high rise syndrome in Israel: a retrospective case-controlled study of 107 cats. Isr J Vet Med 2013; 68: 28-37
- 11 Lefman S, Prittie JE. High-rise syndrome in cats and dogs. J Vet Emerg Crit Care (San Antonio) 2022; 32 (05) 571-581
- 12 Wu X, Pei B, Pei Y. et al. How do cats resist landing injury: insights into the multi-level buffering mechanism. J Bionics Eng 2020; 17: 600-610
- 13 Millard RP, Weng H-Y. Proportion of and risk factors for open fractures of the appendicular skeleton in dogs and cats. J Am Vet Med Assoc 2014; 245 (06) 663-668
- 14 Adams C, Streeter EM, King R, Rozanski E. Cause and clinical characteristics of rib fractures in cats: 33 cases (2000-2009). J Vet Emerg Crit Care (San Antonio) 2010; 20 (04) 436-440
- 15 Fitzgerald WR, Cave NJ, Yozova ID. Clinical parameters at time of admission as prognostic indicators in cats presented for trauma to an emergency centre in New Zealand: a retrospective analysis. J Feline Med Surg 2022; 24 (12) 1294-1300
- 16 Wu X, Pei B, Pei Y. et al. Contributions of limb joints to energy absorption during landing in cats. Appl Bionics Biomech 2019; 2019: 3815612
- 17 Studnička F, Šlégr J, Štegner D. Free fall of a cat—freshman physics exercise. Eur J Phys 2016; 37: 1-7