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. 2021 Mar 25;11:6828. doi: 10.1038/s41598-021-86235-w

Table 2.

Proportional fatality and relative risk for death overall (including euthanasia, unknown method and unassisted) in dogs recorded with specific clinical signs of heat-related illness cases presenting to primary-care veterinary practices in the UK between 2016 and 2018.

Presenting clinical sign Clinical sign recorded Clinical sign not recorded Relative Risk 95% CI* p-value
n Deaths % Fatality Rate n Deaths % Fatality Rate
Unresponsive 51 43 84.31 742 47 6.33 13.31 9.85 to 17.98 < 0.001
Coma 15 14 93.33 778 76 9.77 9.55 7.42 to 12.30 < 0.001
Stupor 24 17 70.83 769 73 9.49 7.46 5.33 to 10.45 < 0.001
Multiple seizures 12 8 66.67 781 82 10.5 6.35 4.05 to 9.95 < 0.001
Gastrointestinal haemorrhage 27 14 51.85 766 76 9.92 5.22 3.43 to 7.97 < 0.001
Petechiae/purpura 18 8 44.44 775 82 10.58 4.2 2.41 to 7.32 < 0.001
Ataxia 14 5 35.71 779 85 10.91 3.27 1.58 to 6.80 0.002
Respiratory (excessive panting/dyspnoea) 545 66 12.11 248 24 9.68 1.25 0.80 to 1.95 0.321
Single seizure 30 4 13.33 763 86 11.27 1.18 0.47 to 3.01 0.724
Hypersalivation 33 4 12.12 760 86 11.32 1.07 0.42 to 2.74 0.886
Diarrhoea 76 9 11.84 717 81 11.30 1.05 0.55 to 2.00 0.887
Vomiting 193 22 11.40 600 68 11.33 1.01 0.64 to 1.58 0.980
Collapse-intermittent 250 27 10.80 543 63 11.60 0.93 0.61 to 1.42 0.741
Lethargy 379 21 5.54 414 69 16.67 0.33 0.21 to 0.53  < 0.001

Relative risk describes the risk ratio of death in heat-related illness cases recorded with this clinical sign compared to cases without this clinical sign. *CI confidence interval, n = 793.