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Inal et al: Survival Rate of High-Rise Syndrome Cases Using Animal Trauma Triage Score in Cats
Veterinary and Comparative Orthopedics and Traumatology 1, 2025

🔍 Key Findings

Sample: 373 cats with high-rise syndrome (HRS) from 2017–2020.
ATTS was the only significant predictor of survival (p < 0.001); each point increase decreased survival odds (OR = 0.46).
AUC for ATTS ROC curve: 0.857 (95% CI: 0.788–0.926).
Floor height, lesion type, and ground surface were not significantly associated with survival.
Odds of injury were 7.98× higher when landing on hard vs. soft surface (p < 0.001).
16.96× increased injury risk from the fourth vs. third floor (p = 0.008).
Cats with ATTS ≥7 had 62% mortality; median ATTS increased with floor height (r = 0.244, p < 0.001).
Thoracic and vertebral trauma were most common causes of death.
Only 32% of cats had the “classic” HRS triad (pneumothorax, epistaxis, hard palate fracture).

Survival Rate of High-Rise Syndrome Cases Using Animal Trauma Triage Score in Cats
Survival Rate of High-Rise Syndrome Cases Using Animal Trauma Triage Score in Cats
Survival Rate of High-Rise Syndrome Cases Using Animal Trauma Triage Score in Cats
Survival Rate of High-Rise Syndrome Cases Using Animal Trauma Triage Score in Cats
Survival Rate of High-Rise Syndrome Cases Using Animal Trauma Triage Score in Cats
Survival Rate of High-Rise Syndrome Cases Using Animal Trauma Triage Score in Cats
Survival Rate of High-Rise Syndrome Cases Using Animal Trauma Triage Score in Cats
Survival Rate of High-Rise Syndrome Cases Using Animal Trauma Triage Score in Cats
Survival Rate of High-Rise Syndrome Cases Using Animal Trauma Triage Score in Cats
Survival Rate of High-Rise Syndrome Cases Using Animal Trauma Triage Score in Cats
Survival Rate of High-Rise Syndrome Cases Using Animal Trauma Triage Score in Cats
Survival Rate of High-Rise Syndrome Cases Using Animal Trauma Triage Score in Cats

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← Articles

Inal et al: Survival Rate of High-Rise Syndrome Cases Using Animal Trauma Triage Score in Cats
Veterinary and Comparative Orthopedics and Traumatology 1, 2025

🔍 Key Findings

Sample: 373 cats with high-rise syndrome (HRS) from 2017–2020.
ATTS was the only significant predictor of survival (p < 0.001); each point increase decreased survival odds (OR = 0.46).
AUC for ATTS ROC curve: 0.857 (95% CI: 0.788–0.926).
Floor height, lesion type, and ground surface were not significantly associated with survival.
Odds of injury were 7.98× higher when landing on hard vs. soft surface (p < 0.001).
16.96× increased injury risk from the fourth vs. third floor (p = 0.008).
Cats with ATTS ≥7 had 62% mortality; median ATTS increased with floor height (r = 0.244, p < 0.001).
Thoracic and vertebral trauma were most common causes of death.
Only 32% of cats had the “classic” HRS triad (pneumothorax, epistaxis, hard palate fracture).

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Multiple Choice Questions on this study

In İnal 2025 et al., on feline high-rise trauma, what percentage of cats lacked the classic triad of HRS signs (epistaxis, pneumothorax, hard palate fracture)?

A. 12%
B. 28%
C. 44%
D. 68%
E. 79%

Answer: 68%

Explanation: 68.1% of cats lacked the classic triad of pneumothorax, epistaxis, and hard palate fracture
In İnal 2025 et al., on feline high-rise trauma, what was the survival rate across all included cats?

A. 88.3%
B. 91.5%
C. 94.9%
D. 97.1%
E. 100%

Answer: 94.9%

Explanation: 354 out of 373 cats survived, giving a 94.9% survival rate
In İnal 2025 et al., on feline high-rise trauma, what was the area under the ROC curve (AUC) for ATTS in predicting mortality?

A. 0.62
B. 0.74
C. 0.81
D. 0.86
E. 0.91

Answer: 0.86

Explanation: The AUC was 0.857, indicating good predictive performance for ATTS
In İnal 2025 et al., on feline high-rise trauma, which surface type was associated with significantly higher odds of injury?

A. Soft surface
B. Tile surface
C. Grass
D. Concrete
E. Carpet

Answer: Concrete

Explanation: Cats falling on hard (concrete) surfaces had 7.98× greater odds of injury than those landing on soft surfaces
In İnal 2025 et al., on feline high-rise trauma, which factor was most predictive of nonsurvival?

A. Height of fall
B. Type of injuries
C. Ground surface
D. Animal Trauma Triage Score (ATTS)
E. Body weight

Answer: Animal Trauma Triage Score (ATTS)

Explanation: ATTS was the only variable significantly associated with survival; each 1-point increase increased nonsurvival odds by 0.46×

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