Thurmond M C, Branscum A J, Johnson W O, Bedrick E J, Hanson T E
Department of Medicine and Epidemiology, School of Veterinary Medicine, University of California, Davis, CA 95616, USA.
Prev Vet Med. 2005 May 10;68(2-4):223-39. doi: 10.1016/j.prevetmed.2005.01.008.
Although abortion contributes substantially to poor reproductive health of dairy herds, little is known about the predictability of abortion based on age, previous abortion or gravidity (number of previous pregnancies). A poor understanding of effects of maternal factors on abortion risk exists, in part, because of methodological difficulties related to non-independence of multiple pregnancies of the same cow in analysis of fetal survival data. We prospectively examined sequential pregnancies to investigate relationships between fetal survival and putative dam risk factors for 2991 abortions from 24,706 pregnancies of 13,145 cows in nine California dairy herds. Relative risks and predicted probabilities of abortion (PPA) were estimated using a previously described hierarchical Bayesian logistic-survival model generalized to incorporate longitudinal data of multiple pregnancies from a single cow. The PPA increased with increasing dam age at conception, with increasing number of previous abortions, and if the previous pregnancy was aborted >60 days in gestation. The PPA decreased with increasing gravidity and with increasing number of days open. For cows that aborted, the median time to fetal death decreased slightly as gravidity increased. The study considers several methodological issues faced in epidemiologic investigations of fetal health, including multi-modal hazard functions, extensive censoring and non-independence of multiple pregnancies. The model improves our ability to predict bovine abortion and to characterize fetal survival, which have important applications to herd health management.
尽管流产对奶牛群不良生殖健康有很大影响,但基于年龄、既往流产史或妊娠次数(既往怀孕次数)对流产可预测性的了解却很少。对母体因素对流产风险影响的认识不足,部分原因是在分析胎儿存活数据时,同一头牛多次怀孕存在非独立性,这带来了方法学上的困难。我们前瞻性地研究了连续妊娠,以调查加利福尼亚州九个奶牛场13145头奶牛的24706次妊娠中2991次流产的胎儿存活与假定的母体危险因素之间的关系。使用先前描述的分层贝叶斯逻辑生存模型估计流产的相对风险和预测概率(PPA),该模型进行了推广,以纳入来自同一头牛多次妊娠的纵向数据。PPA随着受孕时母体年龄的增加、既往流产次数的增加以及如果既往妊娠在妊娠>60天时流产而增加。PPA随着妊娠次数的增加和空怀天数的增加而降低。对于流产的奶牛,随着妊娠次数增加,胎儿死亡的中位时间略有缩短。该研究考虑了胎儿健康流行病学调查中面临的几个方法学问题,包括多模态风险函数、广泛的删失和多次妊娠的非独立性。该模型提高了我们预测牛流产和描述胎儿存活情况的能力,这对牛群健康管理具有重要应用价值。