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利用动物、环境和管理风险因素建立韩牛犊严重新生儿腹泻预测模型并进行外部验证

Development and External Validation of a Predictive Model of Severe Neonatal Calf Diarrhea in Hanwoo Calves Using Animal, Environmental, and Management Risk Factors.

作者信息

Kim Youngjun, Lim Young-Hwan, Jung Youngwoo, Ku Ji-Yeong, Yu DoHyeon, Park Jinho

机构信息

Department of Veterinary Internal Medicine, College of Veterinary Medicine, Jeonbuk National University, Iksan, Republic of Korea.

Hanwoo (Korean Indigenous Cattle) Genetic Improvement Center, Nonghyup Agribusiness Group Inc., Seosan, Republic of Korea.

出版信息

J Vet Intern Med. 2025 Sep-Oct;39(5):e70238. doi: 10.1111/jvim.70238.

Abstract

BACKGROUND

Neonatal calf diarrhea accounts for most pre-weaned calf losses in Hanwoo cattle. A novel predictive model of severe neonatal calf diarrhea will help veterinarians and farmers prevent disease in calves.

HYPOTHESIS/OBJECTIVES: Development and external validation of a simple predictive model for severe neonatal calf diarrhea in Hanwoo cattle.

ANIMALS

Hanwoo calves were used to develop the model (n = 3179) and for its external validation (n = 1383).

METHODS

Retrospective, observational study. The predictive model was developed using logistic regression analysis with data from Hanwoo calves from 2019 to 2022. The model was externally validated using data from Hanwoo calves in 2018 and 2023.

RESULTS

After univariable and multivariable logistic analyses, the month of birth, rainy weather, duration of pregnancy, dam parity, retained fetal membranes, prevalence of neonatal calf diarrhea, induction of parturition, bedding type, and management of failure transfer of passive immunity were selected as predictors, with a sensitivity of 74.1% (95% confidence interval [CI]: 68.9%-78.7%) and specificity of 72.2% (95% CI: 70.6%-73.8%; area under the curve [AUC]: 0.79, 95% CI: 0.766-0.814). In external validation, the accuracy was 83.3% (95% CI: 81.2%-85.2%). Sensitivity and specificity were 60% (95% CI: 50.0%-69.3%) and 85% (95% CI: 82.9%-86.9%), respectively.

CONCLUSIONS AND CLINICAL IMPORTANCE

We have identified predictors for severe neonatal calf diarrhea in Hanwoo calves and have developed a simple, easily calculated scoring prediction model based on these predictors.

摘要

背景

新生韩牛犊腹泻是断奶前犊牛死亡的主要原因。一种新型的严重新生韩牛犊腹泻预测模型将有助于兽医和养殖户预防犊牛疾病。

假设/目标:开发并外部验证一个用于预测严重新生韩牛犊腹泻的简单模型。

动物

使用韩牛犊来开发模型(n = 3179)并进行外部验证(n = 1383)。

方法

回顾性观察研究。使用2019年至2022年韩牛犊的数据,通过逻辑回归分析开发预测模型。使用2018年和2023年韩牛犊的数据对该模型进行外部验证。

结果

经过单变量和多变量逻辑分析后,选择出生月份、降雨天气、妊娠期时长、母牛胎次、胎膜残留、新生犊牛腹泻患病率、引产、垫料类型以及被动免疫失败转移的管理作为预测因子,其敏感性为74.1%(95%置信区间[CI]:68.9% - 78.7%),特异性为72.2%(95% CI:70.6% - 73.8%;曲线下面积[AUC]:0.79,95% CI:0.766 - 0.814)。在外部验证中,准确率为83.3%(95% CI:81.2% - 85.2%)。敏感性和特异性分别为60%(95% CI:50.0% - 69.3%)和85%(95% CI:82.9% - 86.9%)。

结论及临床意义

我们已确定了严重新生韩牛犊腹泻的预测因子,并基于这些预测因子开发了一个简单、易于计算的评分预测模型。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/62c6/12445427/2443b028790f/JVIM-39-e70238-g001.jpg

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