Cited by 43Microbial infections and disease researchAnimal health and immunologyAnimal Disease Management and Epidemiology

Validation of a Clinical Scoring System for Bovine Respiratory Disease Complex Diagnosis in Preweaned Dairy Calves Using a Bayesian Framework

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Buczinski, S., Fecteau, G., Dubuc, J., Francoz, D.·2018·Preventive Veterinary Medicine

Abstract

Bovine respiratory disease complex is a major cause of illness in dairy calves. The diagnosis of active infection of the lower respiratory tract is challenging on daily basis in the absence of accurate clinical signs. Clinical scoring systems such as the Californian scoring system, are appealing but were developed without considering the imperfection of reference standard tests used for case definition. This study used a Bayesian latent class model to update Californian prediction rules. The results of clinical examination and ultrasound findings of 608 preweaned dairy calves were used. A model accounting for imperfect accuracy of thoracic ultrasound examination was used to obtain updated weights for the clinical signs included in the Californian scoring system. There were 20 points (95% Bayesian credible intervals: 11-29) for abnormal breathing pattern, 16 points (95% BCI: 4-29) for ear drop/head tilt, 16 points (95% BCI: 9-25) for cough, 10 points (95% BCI: 3-18) for the presence of nasal discharge, 7 points (95% BCI: -1 to 8) for rectal temperature ≥39.2 °C, and -1 points (95% BCI: -9 to 8) for the presence of ocular discharge. The optimal cut-offs were determined using the misclassification cost-term term (MCT) approach with different possible scenarios of expected prevalence and different plausible ratio of false negative costs/false positive costs. The predicted probabilities of active infection of the lower respiratory tract were also obtained using posterior densities of the main logistic regression model. Depending on the context, cut-off varying from 9 to 16 can minimized the MCT. The optimal cut-off decreased when expected prevalence of disease and false negative/false positive ratio increased.

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Crossref · 10.1016/j.prevetmed.2018.05.004

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  • In severe cases, BRD leads to strenuous, accelerated, open-mouthed breathing.

    “In severe cases, the disease leads to strenuous, accelerated, open-mouthed breathing [24,52,53,54].”

    From Strategies for Bovine Respiratory Disease (BRD) Diagnosis and Prognosis: A Comprehensive Overview (2024) · cites this paper as [24]

    The Introduction lists tachypnea (rapid breathing) and dyspnea (difficult breathing) among the clinical signs of BRD and says their intensity can vary. The paper does not specify open-mouthed breathing or link that particular sign to severe cases. (LLM, conf=0.86)

    Experimental — accuracy not yet measured
  • Various methodologies developed to evaluate multiple clinical indicators still require expert interpretation and often fail to detect all cases of BRD.

    “While various methodologies have been developed to evaluate multiple clinical indicators, they still require expert interpretation and often fail to detect all cases of BRD [20,22,23,24,25].”

    From Strategies for Bovine Respiratory Disease (BRD) Diagnosis and Prognosis: A Comprehensive Overview (2024) · cites this paper as [24]

    The Introduction describes scoring systems that combine several clinical signs, and the Discussion reports sensitivities below 100%, meaning some BRD cases are missed. But the Discussion describes the scoring rule as simple and usable by farmers and their workers, rather than requiring expert interpretation. (LLM, conf=0.85)

    Experimental — accuracy not yet measured
  • The Wisconsin Scoring System and California Scoring System stand out, with the latter including a specialized chart for post-weaning calves and an adapted version.

    “Notably, the Wisconsin Scoring System and the California Scoring System stand out, with the latter including a specialized chart for post-weaning calves and an adapted version [22,23,24,25].”

    From Strategies for Bovine Respiratory Disease (BRD) Diagnosis and Prognosis: A Comprehensive Overview (2024) · cites this paper as [24]

    The Introduction and Materials and methods (page unavailable) discuss both the Wisconsin and Californian scoring systems, and the Introduction says this study updates the Californian prediction rules. The cited paper concerns preweaned calves; our copy does not describe a specialized Californian chart for post-weaning calves. (LLM, conf=0.87)

    Experimental — accuracy not yet measured
  • The Wisconsin Scoring System was designed more for treatment guidance rather than as a definitive tool for BRD detection, exhibiting moderate accuracy with 60-80% specificity and sensitivity.

    “Despite its widespread use, the Wisconsin Scoring System was designed more for treatment guidance rather than as a definitive tool for BRD detection, exhibiting moderate accuracy with 60–80% specificity and sensitivity [22,24,25].”

    From Strategies for Bovine Respiratory Disease (BRD) Diagnosis and Prognosis: A Comprehensive Overview (2024) · cites this paper as [24]

    The Introduction (page not provided) reports Wisconsin-score sensitivity of 62.4% and specificity of 74.1% for detecting active BRD, supporting the claimed moderate accuracy. The passages do not say the Wisconsin Scoring System was designed primarily to guide treatment rather than detect BRD. (LLM, conf=0.86)

    Experimental — accuracy not yet measured
  • Other manifestations of BRD are coughing, along with nasal and ocular discharges.

    “Other manifestations of BRD are coughing, along with nasal and ocular discharges [24,52,53,54].”

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Authors
Buczinski, S., Fecteau, G., Dubuc, J., & Francoz, D.
Affiliations
Université de Montréal (CA)
Corresponding author
Buczinski, S.
Venue
Preventive Veterinary Medicine
Publisher
Elsevier BV
Published
2018-08
Volume
156
Pages
102-112
ISSN
0167-5877 (ISSN-L)
OpenAlex
W2801176393
Cited by
43
References
41
Citations by year
2026: 3 · 2025: 8 · 2024: 8 · 2023: 5 · 2022: 8 · 2021: 5 · 2020: 3 · 2019: 1 · 2018: 1 · 2012: 1
FWCI
2.02
Type
journal article
Language
en
Open access
Locations
  • Preventive Veterinary Medicine (publishedVersion)
  • Europe PMC (PubMed Central) (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • Université de Montréal
  • Fondation du Centre Hospitalier Universitaire Vétérinaire of the Université de Montréal
Topics
  • Life Sciences › Immunology and Microbiology › Microbiology › Microbial infections and disease research
  • Health Sciences › Veterinary › Small Animals › Animal health and immunology
  • Life Sciences › Agricultural and Biological Sciences › Agronomy and Crop Science › Animal Disease Management and Epidemiology
Keywords
bovine respiratory disease, preweaned dairy calves, clinical scoring systems, Bayesian latent class model, imperfect reference standard, thoracic ultrasound, lower respiratory tract infection, clinical signs, misclassification cost, prevalence
MeSH terms
Animals, Animals, Newborn, Bayes Theorem, Cattle, Ultrasonography, Prevalence, Logistic Models, Bovine Respiratory Disease Complex

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