High rates of morbidity and mortality in dogs with physiologic degloving injuries.

Physiologic degloving injuries require intensive multimodal support; 33% mortality but survivors recover well.

This retrospective study analyzed 18 dogs with physiologic degloving injuries to characterize clinical progression and outcomes. Vehicular trauma (55.6%) and animal attacks (44.4%) were primary causes, with injuries predominantly affecting the thorax (38.9%) and abdomen (33.3%). Concurrent injuries occurred in 83.3% of cases. Common clinicopathologic abnormalities included hypoalbuminemia, hypoproteinemia, and anemia in ≥50% of dogs. Treatment strategies emphasized intensive supportive care including systemic antibiotics, blood product administration, and feeding tube placement. Wound management typically utilized negative pressure therapy or active suction drainage with prolonged open wound care. Multidrug-resistant organisms were identified in 40% of cultures. Overall mortality was 33.3% with median hospitalization of 9 days. Dogs requiring intensive monitoring, early nutritional intervention, and blood products showed variable outcomes, though survivors demonstrated good long-term prognosis. Findings underscore the significant morbidity associated with degloving injuries and the necessity for comprehensive intensive care protocols.

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