Factor analysis of the interrelationships between clinical variables in horses with colic.

A prospective survey of horses with colic referred to the Large Animal Hospital at the Royal Veterinary and Agricultural University of Copenhagen, Denmark, was undertaken between August 1994 and December 1997. The interrelationships between 17 clinical variables were analysed using factor analysis. Factor analysis uncovers the structure of the variability in data and therefore detects multicollinearity. A total of 528 horses were admitted in the study period. Of these, 16 were excluded from the analysis as a result of miscellaneous conditions. Only 205 horses had observations for all 17 variables. Because no major change occurred in the main diagnostic categories, this population was considered as a representative subset. Factor analysis confirmed the clinical impression of correlation between variables, but the multicollinearity turned out not to be strong. Four factors were extracted, and these accounted for 51% of the total variance. The retained factors were interpreted by integrating previously reported clinical research. The first factor, which was interpreted as endotoxaemia, had high loadings on capillary refill time, mucous-membrane colour, degree of pain, heart rate, packed-cell volume and abdominal sounds. In the second factor, cecal decompression, admission month and gastric reflux had the predominant influence, and this factor was explained as cecal tympany. The third factor was simply interpreted as age because it had high loadings on gender, age and temperature. In the fourth factor, the interpretation was not straightforward, although breed had the greatest influence in the formation of this factor. Subsequently, the extracted factors were used in a logistic-regression analysis to determine their association with outcome (survival/death). The two factors interpreted as endotoxaemia and age were related to the outcome.

Prognostic indicators in a Danish hospital-based population of colic horses.

A prospective survey of 528 colic horses, referred to the Large Animal Hospital at the Royal Veterinary and Agricultural University of Copenhagen, Denmark, during the period August 1994 to December 1998, was undertaken to develop a predictive model for application in the clinical assessment of prognosis. In the multivariate logistic regression analysis, 357 colic cases were used in the elaboration of a simple clinical-practical model consisting of degree of pain, packed cell volume, capillary refill time and rectal temperature. The relationship between rectal temperature and outcome (survival/death) has been regarded as linear. It has also been reported to be nonsignificant. The present study suggests a strong U-shaped relation, which is easily transformed into a linear association and readily interpretable in the clinical situation if treated as a deviation from 38 degrees C. Several other clinical and laboratory variables were strongly related to outcome in the bivariate analysis. The changes in sensitivity and specificity of the multivariate model, when applied as a prognostic test, were presented with changing cut-off values. The cut-off value is the level, of predicted probability of death, at which the clinical decision to treat or subject to euthanasia is taken. The predictive performance of the model was further illustrated using a mortality of 19%. The optimal accurate classification for both survival and death was 87%, which was attained when a cut-off value of 86% was selected. To minimise the number of horses unnecessarily subjected to euthanasia, the cut-off value was increased. However, this simultaneously increased the number of misclassified survivors, i.e. the number of horses that would die despite treatment. Outcome was especially poorly predicted in 4 horses, as was indicated by extreme deviance residuals. In 2 of these horses the large residuals were attributable to sudden and severe changes in the course of disease. All 4 horses had changes in variable values towards abnormality prior to death. Repeated measurements are therefore suggested in order to increase the test performance in general. The prerequisites of clinical application of prognostic models are critically discussed. The main findings of the present study indicate that degree of pain, packed cell volume, capillary refill time and temperature deviation from 38 degrees C, used in a logistic regression model, offer a strong model for clinical assessment of prognosis.

Behavioural, endocrine and cardiac responses in young calves undergoing dehorning without and with use of sedation and analgesia.

Behaviour, plasma cortisol and heart rate were measured in 4-6-week-old calves during and after dehorning with and without the use of sedation and analgesia. Six groups of eight Friesian male and female calves were studied; four groups were dehorned using an electrical cauterizing dehorner, heated to approximately 600 degrees C. In group 1, a cornual nerve block was performed and the animals were sham-dehorned using a cold dehorner. Group 2 was treated similarly but dehorned with the heated dehorner. Group 3 received a mixture of xylazine and butorphanol intramuscularly, and were hot dehorned 20 min after the injection. Group 4 received the same sedatives-analgesics as group 3, and after 5 min also had a cornual nerve block, followed by hot dehorning 15 min later. Group 5 was hot dehorned without any form of sedation or analgesia. A sixth group of calves without any treatment or handling was used as controls for the behavioural observations. Head and leg movements during dehorning were significantly reduced when the cornual nerve was blocked. During the 4 h after dehorning, the behaviour of calves having a cornual block continued to differ from those in group 5. The cornual block prevented short-term increases in plasma cortisol concentrations and the long-term increases in heart rate seen in group 5. It was concluded that routine field use of local analgesia using a cornual nerve block improved the welfare of young calves subjected to dehorning with a hot iron.

The significance of routine radiographic findings with respect to subsequent racing performance and longevity in standardbred trotters.

A retrospective cohort study was made of the racing performance of trotters which had been subjected routinely to radiography before they started training and racing. Sixty-one per cent (148) of the 243 horses, foaled in 3 consecutive years, had one or more abnormal findings categorised into 5 relevant groups based on radiography, of which osteochondrosis (OCD) was the most specific diagnosis. Parameters used to reflect racing performance were: proportion of horses starting in races, number of starts per year, earnings per year, earnings per start and racing longevity. No significant association between the presence or type of radiological abnormalities and the subsequent performance and longevity could be found. Horses with multiple lesions, however, had a tendency to lower earnings and poorer survival than horses with single lesions.

Studies on in vivo endotoxin plasma disappearance times in cattle.

Endotoxin plasma disappearance (EPDT) times were determined by a modified Limulus amoebocyte lysate (LAL) assay technique after the intravenous administration of 25 micrograms E. coli 055:B5 endotoxin per kg b.w. to 22 Jersey cows. Clinically healthy cows (n = 6) cleared endotoxin from the plasma within 30 min. Cows pretreated with flunixin meglumine (n = 6) had 2-3 times longer plasma disappearance times, while cows pretreated with phenylbutazone (n = 6) had plasma disappearance times which were 6-12 times longer than the healthy control group. A fourth group comprised clinical cases of spontaneously developed hepatic lipidosis (n = 4). None of these cows were able to clear the injected endotoxin dose and one died before the end of the experiment. The acute phase response, described by leukocyte and thrombocyte counts and plasma glucose and zinc concentrations, was not statistically different between the four groups.

Endotoxin and arachidonic acid metabolites in portal, hepatic and arterial blood of cattle with acute ruminal acidosis.

Ruminal acidosis was induced experimentally with 70 g barley/kg body weight in 2 rumen fistulated cows with chronic indwelling catheters in the portal vein, in a hepatic vein and the carotid artery. The cows were followed for 24 and 20h after the overfeeding and evaluated clinically and by clinical chemistry. The 2 cows exerted different responses to the treatment. Both cows showed signs of severe ruminal acidosis. Both cows had endotoxin in portal and hepatic vein blood, but only 1 of the cows convincingly developed a systemic endotoxaemia. A pre-hepatic release of the stable prostacyclin and thromboxane metabolites, 6-ketoprostaglandin F1 alpha and thromboxane B2 was demonstrated in this cow. The results of the present study show that endotoxin and arachidonic acid metabolites of pre-hepatic origin may be factors involved in the pathogenesis of ruminal acidosis, and that investigation of the factors affecting translocation of ruminal endotoxin and subsequent clearing in the liver, will be of importance.

[Nephrolithiasis as a cause of colic in horses. Case report]. / Nephrolithiasis als Kolikursache beim Pferd. Fallbericht.

The results of clinical, ultrasonic, post mortem examinations and concrement analysis of a case with nephrolithiasis in a horse are described. Problems of diagnosis, etiology and occurrence of nephroliths in the horse are discussed.

Pathophysiology of experimental bovine endotoxicosis: endotoxin induced synthesis of prostaglandins and thromboxane and the modulatory effect of some non-steroidal anti-inflammatory drugs.

Endotoxin-induced synthesis of thromboxane A2 (TXA2), prostacyclin (PGI2) and prostaglandin E2 (PGE2) was studied in 3 cows after intravenous E. coli endotoxin (055:B5-0.025 mg/kg b.w.) administration. Blood sampling and monitoring of clinical signs were performed from 2 h prior to until 6 h after endotoxin challenge. Blood samples were analyzed for stable hydrolysis products of TXA2 (TXB2), PGI2 (6-keto PGF) and PGE2 (bicyclic PGE2), biochemical and haematological parameters. In a similar experimental design the efficacy of the non-steroidal anti-inflammatory drugs (NSAID) flunixin meglumine (FM) and phenylbutazone (PB) in suppressing eicosanoid synthesis and clinical signs in response to endotoxin challenge was investigated. Two groups of cows, each comprising 2 animals, were treated with FM and PB prior to endotoxin challenge. It was observed that plasma concentrations of TXB2, 6-keto PGF and bicyclic PGE2 increased rapidly after endotoxin challenge. Concentrations were significantly elevated for hours and were correlated to the severity of clinical signs of endotoxicosis. Pretreatment with NSAID suppressed mediator production and alleviated clinical signs. The experiments suggest a certain pathophysiological role of TXA2, PGI2 and PGE2 for the early systemic ill-effects of bovine endotoxicosis.

Epidemiology of teat lesions in a dairy herd. I: Description of the incidence, location and clinical appearance.

Teat lesions in dairy cows occur with a higher frequency than previously reported. The lesions are often small and superficial. Most lesions involve the teat ends and more are observed in the left hind teat than in any of the other teats. Cows with injured teats usually exhibit nervous reactions indicating a painful condition.

Left displacement of the abomasum: relationship to age and medical history.

The present study shows that 5 years is the numerically most frequently observed age at onset of left displacement of the abomasum (LDA) in dairy cows, and that the risk of LDA actually increases with age (Fig. 1 and 2). A high prevalence (70-75%) of other or concurrent disorders among LDA cows is observed (Tables I and II). The apparent excess risk among LDA cows of getting other diseases throughout their lives, including retained placenta (RP), disappeared when adjustments were made for age (Tables III and IV) and it is concluded that LDA cows have a higher incidence of other disorders mainly because they tend to be older cows. A negative influence of RP and LDA on reproductive performance was finally observed (Table V).

Milk production and left displaced abomasum: cause and effect relationships.

In a Danish dairy herd affected with a number of cases of left displaced abomasum the milk production during the lactation periods of affected cows was retrospectively compared to that in two groups of non-affected cows. Group A contained all cows calving at the same time as the cases, and group B had one cow for each of the cases of similar age and with similar preceding production level. The average 305-days milk production was 610 kg lower among the cases than among cows in group B, as a best estimate of the amount of milk lost for each case of left displaced abomasum. The difference between mean production in groups B and A was 183 kg, indicating a higher than average production potential among cases, since matching on preceding production level had been carried out between the cases and the cows in group B, but not in group A. It may therefore be concluded that high yielding cows are at excess risk of left displaced abomasum, which in turn leads to a considerable loss of milk among affected cows.

Feed composition and left abomasal displacement in dairy cattle. A case-control study.

The present case-control study elucidates the significance of the crude fiber content in the ration for the development of left abomasal displacement. On the basis of approximate relative risk estimations a crude fiber content in the complete ration higher than 16 to 17% is recommended for the prevention of abomasal displacement.

Colic in the horse. A clinical and clinical chemical study of 42 cases.

42 horses were examined. The physical signs with relation to circulatory insufficiency and the abdominal disease were registered following a two-phased examination procedure. Great prognostic value was found in the degree of circulatory insufficiency judged by pulse rate and character, filling of the jugular vein, skin temperature, colour of mucous membranes, capillary refill time, sweating, depression, skin turgor and degree of enophthalmus. In making a causal diagnosis the abdomen was examined for shape, tenderness, peristaltic sounds, gastric dilation by siphoning, abnormal rectal findings and macroscopic changes in peritoneal fluid. Greatest diagnostic difficulties were encountered in cases of intestinal atonia, acute enteritis and torsion of the colon. In selected (severe) cases laboratory tests were obtained. Blood samples were examined for packed cell volume, hemoglobin, red and white blood cell counts, differential white blood cell count, blood gases and acid-base status, lactate, serum total protein and albumin, plasma sodium, potassium, chloride, calcium, magnesium, inorganic phosphorus, glucose, creatinine, BUN, total bilirubin, ASAT, CK, BASP and GGT. Peritoneal fluid was examined for red blood and white cell counts, total protein, specific gravity, pH and lactate, and enzymes as in blood. Laboratory results generally confirmed the clinical signs of shock, and packed cell volume and blood lactate were regarded to be of greatest prognostic interest. Although the performed laboratory information, macroscopic evaluation was thought to reveal sufficient information in most cases. It was concluded that supervening shock is of decisive importance in severe forms of colic, and that a careful and repeated evaluation of the circulatory insufficiency often provides one with a tentative prognosis although the final diagnosis is not obtained. In spite of therapy fatal outcome was found in all seriously shocked horses.