Small Animal Internal Medicine Research Intern The Ohio State University College of Veterinary Medicine Dublin, OH, United States
Abstract:
Background: Caregiver burden has been documented in management of chronic diseases in companion animals, but its impact on feline chronic kidney disease (CKD) has not been evaluated. Hypothesis/
Objectives: To investigate caregiver burden in feline CKD using the abbreviated Zarit Burden Interview (ZBI) adapted and validated for use in pets. Animals: Survey completed by caregivers of CKD cats IRIS stages 1-4 (n=180).
Methods: Descriptive survey study. Caregivers managing a CKD cat or having previous recent experience were recruited through social media to anonymously participate in an online Qualtrics survey. The abbreviated ZBI was incorporated into the survey to validate assessment of caregiver burden. A ZBI score of 18 or higher represents significant burden.
Results: 46% of caregivers reported a ZBI score of 18 or higher, representing significant caregiver burden. ZBI was significantly higher in IRIS Stages 3&4 (median 18, range 3.00-46.00) versus IRIS Stages 1&2 (median 14, range 2-42)(P = 0.01). ZBI was significantly higher in caregivers who rarely or never shared care burden (median 19, range 3-46) versus those who regularly shared (median 14, range 2-38) (P = 0.01). Those who spent 30 minutes or longer (median 19, range 4-46) had significantly higher ZBI versus those who spent less than 30 minutes (median 11.5, range 2-42) to care for their CKD cat (P = < 0.0001). ZBI significantly increased when 4 or more medications were given versus 3 or fewer (P = < 0.0001). Conclusions and Clinical Importance: Significant caregiver burden exists in feline CKD.
