Factors affecting outcomes of bovine cesarean sections, with a focus on maternal survival to 14 d after surgery.

IF 0.9 4区 农林科学 Q3 VETERINARY SCIENCES
Sotirios Karvountzis
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引用次数: 0

Abstract

Objective: The objective was to determine associations between various factors before, during, and following cesarean sections in cattle done in the United Kingdom from November 2013 to October 2015.

Animals and procedure: This was a non-randomized, observational study that collected > 300 variables related to the surgery and possible relationships with the outcomes, with a focus on postoperative dam survival. More than 4600 cases were collected by ~400 veterinarians in 51 clinics, members of the XLVets UK group. Information was collected via 3 questionnaires: the 1st shortly after surgery, the 2nd during a 14-day follow-up, and the 3rd during a 12-month check (done 18 mo postoperatively).

Results and conclusion: Ultimately, 2900 cases were analyzed with a multilevel fixed-effects logistic regression, with veterinarians nested within practices as random effects used to estimate associations between explanatory variables and outcome. The hypothesis that the incidence of dam death by 14 d postoperatively is not significantly different between dairy versus beef cattle was rejected. Strong predictors that improved dam survival 14 d postoperatively were shorter duration of surgery (from skin incision to calf removal), paravertebral anesthesia, exteriorizing the uterus for hysterotomy, a beef dam, the dam standing during surgery, and oversewing (double layer) the uterine incision. In contrast, strong predictors that deteriorated dam survival were a worsening uterine index score, a higher score of veterinarian dissatisfaction with the surgery, a higher lactation number, and twin pregnancy. Several variables did not significantly affect dam survival, including antisepsis type or protocol, suture material or pattern used for closure of any incision, type of antibiotic used or where applied, use of a protective drape, rinsing or cleansing the uterine incision, removing abdominal blood clots, calf sex, or cause of dystocia.

影响牛剖宫产结局的因素,重点是手术后14天的产妇存活率。
目的:目的是确定2013年11月至2015年10月在英国进行的牛剖宫产手术之前,期间和之后的各种因素之间的关系。动物和手术:这是一项非随机的观察性研究,收集了与手术相关的bb300个变量以及可能与结果的关系,重点是术后大坝生存。英国XLVets组织成员、51家诊所的约400名兽医收集了4600多例病例。通过3份问卷收集信息:第一份在手术后不久,第二份在14天的随访中,第三份在12个月的检查中(术后18个月)。结果和结论:最终,使用多层固定效应逻辑回归分析了2900例病例,兽医嵌套在实践中作为随机效应,用于估计解释变量与结果之间的关联。奶牛术后14 d死亡率与肉牛无显著差异的假设被否定。较短的手术时间(从皮肤切口到小牛切除)、椎旁麻醉、子宫外切术、牛肉坝、手术中站立的坝和子宫切口缝合(双层)是提高术后14 d子宫存活率的重要预测因素。相比之下,子宫指数评分的恶化、兽医对手术的不满意评分的提高、哺乳次数的增加和双胎妊娠是导致母鼠生存恶化的重要预测因素。有几个变量对胎儿存活没有显著影响,包括消毒类型或方案、缝合材料或缝合方式、使用的抗生素类型或使用的位置、使用保护性纱布、冲洗或清洁子宫切口、清除腹部血块、小牛性别或难产原因。
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来源期刊
CiteScore
1.20
自引率
10.00%
发文量
177
审稿时长
12-24 weeks
期刊介绍: The Canadian Veterinary Journal (CVJ) provides a forum for the discussion of all matters relevant to the veterinary profession. The mission of the Journal is to educate by informing readers of progress in clinical veterinary medicine, clinical veterinary research, and related fields of endeavor. The key objective of The CVJ is to promote the art and science of veterinary medicine and the betterment of animal health. A report suggesting that animals have been unnecessarily subjected to adverse, stressful, or harsh conditions or treatments will not be processed for publication. Experimental studies using animals will only be considered for publication if the studies have been approved by an institutional animal care committee, or equivalent, and the guidelines of the Canadian Council on Animal Care, or equivalent, have been followed by the author(s).
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