An assessment of the utility and repeatability of the renal resistive index in horses.

The aim of this study was to establish the value of the renal resistive index (RI) of intrarenal arteries in healthy warmblood non-racing horses of different ages to assess the influence of physiologic factors and repeatability of measurement. The kidney ultrasonography examination was performed in...

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Main Authors: Natalia Siwinska, Agnieszka Zak, Malwina Slowikowska, Barbara Szczepankiewicz, Artur Niedzwiedz, Urszula Paslawska
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2019-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0226941&type=printable
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author Natalia Siwinska
Agnieszka Zak
Malwina Slowikowska
Barbara Szczepankiewicz
Artur Niedzwiedz
Urszula Paslawska
author_facet Natalia Siwinska
Agnieszka Zak
Malwina Slowikowska
Barbara Szczepankiewicz
Artur Niedzwiedz
Urszula Paslawska
author_sort Natalia Siwinska
collection DOAJ
description The aim of this study was to establish the value of the renal resistive index (RI) of intrarenal arteries in healthy warmblood non-racing horses of different ages to assess the influence of physiologic factors and repeatability of measurement. The kidney ultrasonography examination was performed in three age groups: 15 foals, 15 adults and 15 elderly horses. The procedure was performed in unsedated standing animals. RI values were measured using pulsed-wave Doppler at the medial part of each kidney in the intrarenal arteries. To evaluate repeatability, all measurements were repeated two hours after the first examination. Statistical analysis of the relationship between groups was carried out using Fisher's test. The relationship between the RI value and the physiological parameters was evaluated using linear regression. Repeatability of measurements was determined based on the Bland-Altman plot. The mean RI value in the studied horses was 0.48 ± 0.05 in the left kidney and 0.49 ± 0.05 in the right kidney. There were no statistically significant differences between the RI values in foals and adult horses. The elderly horses had a significantly higher RI value. Pulse pressure was the only physiological parameter affecting the RI value. The repeatability coefficient was 0.089 for the right kidney and 0.09 for the left kidney. The presented result suggest that elderly healthy horses have higher RI values than younger animals, which should be taken into account in clinical practice. The arterial pulse pressure should also be considered when interpreting RI values. The measurements have high repeatability, but in the authors' opinion, this procedure is time consuming and requires experience.
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spelling doaj-art-2df38bfd03f8480bbbd77f32efeb60ab2025-08-20T02:55:13ZengPublic Library of Science (PLoS)PLoS ONE1932-62032019-01-011412e022694110.1371/journal.pone.0226941An assessment of the utility and repeatability of the renal resistive index in horses.Natalia SiwinskaAgnieszka ZakMalwina SlowikowskaBarbara SzczepankiewiczArtur NiedzwiedzUrszula PaslawskaThe aim of this study was to establish the value of the renal resistive index (RI) of intrarenal arteries in healthy warmblood non-racing horses of different ages to assess the influence of physiologic factors and repeatability of measurement. The kidney ultrasonography examination was performed in three age groups: 15 foals, 15 adults and 15 elderly horses. The procedure was performed in unsedated standing animals. RI values were measured using pulsed-wave Doppler at the medial part of each kidney in the intrarenal arteries. To evaluate repeatability, all measurements were repeated two hours after the first examination. Statistical analysis of the relationship between groups was carried out using Fisher's test. The relationship between the RI value and the physiological parameters was evaluated using linear regression. Repeatability of measurements was determined based on the Bland-Altman plot. The mean RI value in the studied horses was 0.48 ± 0.05 in the left kidney and 0.49 ± 0.05 in the right kidney. There were no statistically significant differences between the RI values in foals and adult horses. The elderly horses had a significantly higher RI value. Pulse pressure was the only physiological parameter affecting the RI value. The repeatability coefficient was 0.089 for the right kidney and 0.09 for the left kidney. The presented result suggest that elderly healthy horses have higher RI values than younger animals, which should be taken into account in clinical practice. The arterial pulse pressure should also be considered when interpreting RI values. The measurements have high repeatability, but in the authors' opinion, this procedure is time consuming and requires experience.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0226941&type=printable
spellingShingle Natalia Siwinska
Agnieszka Zak
Malwina Slowikowska
Barbara Szczepankiewicz
Artur Niedzwiedz
Urszula Paslawska
An assessment of the utility and repeatability of the renal resistive index in horses.
PLoS ONE
title An assessment of the utility and repeatability of the renal resistive index in horses.
title_full An assessment of the utility and repeatability of the renal resistive index in horses.
title_fullStr An assessment of the utility and repeatability of the renal resistive index in horses.
title_full_unstemmed An assessment of the utility and repeatability of the renal resistive index in horses.
title_short An assessment of the utility and repeatability of the renal resistive index in horses.
title_sort assessment of the utility and repeatability of the renal resistive index in horses
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0226941&type=printable
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