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多中心研究与围产期住院山羊非存活相关的因素。

Multicenter study of factors associated with nonsurvival in hospitalized periparturient goats.

机构信息

Department of Large Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, Florida, USA.

Department of Clinical Studies - New Bolton Center, School of Veterinary Medicine, University of Pennsylvania, Kennett Square, Pennsylvania, USA.

出版信息

J Vet Intern Med. 2024 Nov-Dec;38(6):3398-3406. doi: 10.1111/jvim.17234. Epub 2024 Oct 30.

Abstract

BACKGROUND

Periparturient reproductive complications appear to be common in hospitalized goats. More information is needed about periparturient reproductive complications and survival in goats with these conditions.

OBJECTIVE

Identify exposure factors associated with nonsurvival in periparturient does hospitalized ≤1 day or ≥2 days.

ANIMALS

A total of 198 periparturient does presented to 9 university veterinary hospitals from October 2021 to June 2022.

METHODS

Multicenter, matched case-control study. Conditional logistic regression was used to identify exposure factors associated with nonsurvival in periparturient does hospitalized ≤1 day or ≥2 days.

RESULTS

Overall doe survival was 79% (156/198). Survival in the 1st day of hospitalization was 71% (52/73) and survival in does hospitalized ≥2 days was 83% (104/125). Among goats hospitalized ≤1 day, labor duration before admission (odds ratio [OR] = 4.8; P = .04), uterine tears (OR = 48.2; P < .001), and vaginal/perineal trauma diagnosed during hospitalization (OR = 6.2; P = .03) were associated with nonsurvival. Among goats hospitalized ≥2 days, factors associated with nonsurvival included labor duration before admission (OR = 6.2; P = .004), pregnancy toxemia (OR = 6.07; P = .04), and Cesarean section (OR = 11.35; P = .02).

CONCLUSIONS AND CLINICAL IMPORTANCE

Longer labor duration before admission is an important predictor of nonsurvival in hospitalized does. Clients should be educated that early detection and veterinary care are critical for improving outcome in periparturient does.

摘要

背景

围产期生殖并发症似乎在住院山羊中很常见。需要更多关于围产期生殖并发症以及患有这些疾病的山羊的生存情况的信息。

目的

确定与住院围产期母羊 ≤1 天或 ≥2 天内非存活相关的暴露因素。

动物

2021 年 10 月至 2022 年 6 月,共有 198 只围产期母羊被送往 9 所大学兽医医院。

方法

多中心、匹配病例对照研究。使用条件逻辑回归来确定与住院围产期母羊 ≤1 天或 ≥2 天内非存活相关的暴露因素。

结果

母羊总存活率为 79%(156/198)。住院第 1 天的存活率为 71%(52/73),住院 ≥2 天的母羊存活率为 83%(104/125)。在住院 ≤1 天的母羊中,入院前分娩持续时间(比值比[OR] = 4.8;P =.04)、子宫撕裂(OR = 48.2;P <.001)和住院期间诊断的阴道/会阴创伤(OR = 6.2;P =.03)与非存活相关。在住院 ≥2 天的母羊中,与非存活相关的因素包括入院前分娩持续时间(OR = 6.2;P =.004)、妊娠毒血症(OR = 6.07;P =.04)和剖腹产(OR = 11.35;P =.02)。

结论和临床意义

入院前分娩时间延长是住院母羊非存活的重要预测指标。应告知客户,早期发现和兽医护理对改善围产期母羊的预后至关重要。

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