Geishauser T, Leslie K, Duffield T, Edge V
Department of Population Medicine, Ontario Veterinary College, University of Guelph, Ontario, Canada.
Am J Vet Res. 1997 Nov;58(11):1216-20.
To evaluate aspartate transaminase (AST) activity and beta-hydroxybutyrate (BHB) concentration in blood obtained during the first or second postpartum (PP) week as tests for prediction of subsequent left displaced abomasum (LDA) diagnosis in dairy cows.
36 cows with LDA tested at a mean 3 PP days, which was 7 to 22 days prior to LDA diagnosis (25, 75% quantiles), and 28 cows with LDA tested at 10 PP days, which was 5 to 18 days prior to LDA diagnosis, were matched to 3 controls per case by herd and calving date. Data were available from a large field study.
Odds ratio, sensitivity, specificity, and likelihood ratio were determined for various AST and BHB cutoff values.
AST, using cutoff values between 100 and 180 U/L, and BHB, using cutoff values between 1,000 and 1,600 mumol/L, were significantly associated with subsequent LDA diagnosis. When cutoff values were increased, odds ratio and likelihood ratio increased; however, sensitivity decreased and specificity increased.
AST activity and BHB concentration in blood obtained during the first or second PP week might be useful as predictors of subsequent LDA diagnosis.
评估产后第一周或第二周采集的血液中天冬氨酸转氨酶(AST)活性和β-羟基丁酸(BHB)浓度,作为预测奶牛随后发生真胃左方变位(LDA)诊断的检测指标。
36头患有LDA的奶牛在产后平均3天进行检测,这是在LDA诊断前7至22天(第25、75百分位数),以及28头患有LDA的奶牛在产后10天进行检测,这是在LDA诊断前5至18天,根据牛群和产犊日期,每例匹配3头对照。数据来自一项大型田间研究。
确定各种AST和BHB临界值的比值比、敏感性、特异性和似然比。
AST使用100至180 U/L之间的临界值,BHB使用1000至1600 μmol/L之间的临界值,与随后的LDA诊断显著相关。当临界值增加时,比值比和似然比增加;然而,敏感性降低,特异性增加。
产后第一周或第二周采集的血液中AST活性和BHB浓度可能有助于预测随后的LDA诊断。