奶牛和小牛的临终决策:对英国农场主和兽医的调查。

IF 1.3 Q2 VETERINARY SCIENCES
Veterinary Record Open Pub Date : 2022-11-25 eCollection Date: 2022-12-01 DOI:10.1002/vro2.51
Joseph M Neary, Cherry Bedford, Robert F Smith
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引用次数: 0

摘要

背景研究目的是了解奶农和兽医在为奶牛做出临终决定时面临的问题:自 2020 年 11 月起,向英国奶农和兽医发放了为期 20 周的在线调查:共有 83 份回复(37 位奶农,46 位兽医)。在幼畜中,无助/自然死亡的风险(2.6% ± 0.3%)几乎是安乐死风险(1.4% ± 0.3%;p = 0.003)的两倍。然而,挤奶牛群的情况恰恰相反:安乐死的风险(2.3% ± 0.3%)高于非辅助/自然死亡的风险(1.6% ± 0.2%;p = 0.05)。安乐术通常由倒下的牲畜收集员(62%)实施,大多数牧场(66%)没有受过安乐术培训的人员。大多数挤奶牛群的死亡原因是 "未知或未记录"(中位数占死亡总数的 15%)。牧场主最常报告的影响他们决定何时对动物实施安乐术的因素是 "治疗无效"(89%)、"兽医建议"(89%)和 "疾病严重程度"(88%)。平均而言,兽医对 60% 的奶牛场客户 "及时实施安乐术以避免不必要的痛苦 "有中等或较高的信心。兽医对各种情况下的安乐术时间的看法不尽相同:调查强调了奶牛场在生命终结决策方面的成功经验和需要改进的地方。以证据为基础的决策支持框架可能有助于临终决策,尤其是复杂疾病的临终决策。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

End-of-life decision-making of dairy cattle and calves: A survey of British farmers and veterinary surgeons.

End-of-life decision-making of dairy cattle and calves: A survey of British farmers and veterinary surgeons.

End-of-life decision-making of dairy cattle and calves: A survey of British farmers and veterinary surgeons.

End-of-life decision-making of dairy cattle and calves: A survey of British farmers and veterinary surgeons.

Background: The study aim was to characterise issues faced by farmers and veterinary surgeons when making end-of-life decisions for dairy cattle.

Methods: Online surveys were distributed to British dairy farmers and veterinary surgeons for 20 weeks from November 2020.

Results: There were 83 responses (37 farmers, 46 veterinary surgeons). Among youngstock, the risk of unassisted/natural death (2.6% ± 0.3%) was almost double the risk of euthanasia (1.4% ± 0.3%; p = 0.003). The opposite, however, was true in the milking herd: the risk of euthanasia (2.3% ± 0.3%) was greater than unassisted/natural death (1.6% ± 0.2%; p = 0.05). A fallen stock collector (62%) typically performed euthanasia and most farms (66%) did not have anyone trained to perform euthanasia. Most deaths within the milking herd were attributed to 'unknown or not recorded' (median 15% of deaths). The factors that farmers most frequently reported as strongly influencing their decision of when to euthanase an animal relative to the onset of disease were 'failure to respond to treatment' (89%), 'veterinary advice' (89%) and 'severity of disease' (88%). On average, veterinarians had moderate or high confidence that 60% of dairy farm clients 'are performing euthanasia in a timely manner so as to prevent unnecessary suffering'. Veterinary surgeons had variable agreement on the time to euthanasia for various conditions.

Conclusions: The survey highlighted end-of life decision-making successes and areas for improvement on dairy farms. An evidence-based, decision-support framework may help end-of-life decision-making, particularly for complex diseases.

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来源期刊
Veterinary Record Open
Veterinary Record Open VETERINARY SCIENCES-
CiteScore
3.00
自引率
0.00%
发文量
25
审稿时长
19 weeks
期刊介绍: Veterinary Record Open is a journal dedicated to publishing specialist veterinary research across a range of topic areas including those of a more niche and specialist nature to that considered in the weekly Vet Record. Research from all disciplines of veterinary interest will be considered. It is an Open Access journal of the British Veterinary Association.
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