Predicting the risk of retained fetal membranes and metritis in dairy cows according to prepartum hemogram and immune and metabolic status.

Uterine diseases affect a significant proportion of dairy cows, causing significant economic losses. Immune and metabolic statuses are associated with the risk of retained fetal membranes (RFM) and metritis. The hypothesis of this study was that it is possible to use such responses to predict the risk of RFM and metritis. Data from cows (Jersey = 143, Holstein = 116) previously used in four experiments were used. Cow factors [parity, BCS change from -28 to 0 d relative to calving, calf sex, calving problems (twins, stillbirth, dystocia)] were evaluated for their association with the risk of RFM and metritis. Blood samples collected in the last week of gestation were used to measure polymorphonuclear leukocyte phagocytosis, oxidative burst, and expression of CD18 and CD62L, total blood count, haptoglobin optical density, and concentrations of glucose, non-esterified fatty acids, and β-hydroxybutyrate. Cows were treated with egg ovalbumin at -21, -7, and 7 d relative to calving and blood samples were used to determine the anti-ovalbumin IgG optical density. Univariable analyses were carried out to identify variables associated with the risk of RFM and metritis. The significant (P ≤  0.15) variables were included in multivariable models from which variables with P >  0.15 were removed in a backward stepwise fashion. Risk of RFM was reduced in the absence of calving problems [adjusted odds ratio (AOR) 95 % confidence interval (CI) = 0.13 (0.02, 0.86)], when intensity of phagocytosis [AOR (95 % CI) = 0.50 (0.25, 1.04)] and expression of CD62L [AOR (95 % CI) = 0.71 (0.46, 1.09)] by polymorphonuclear leukocyte were greater, and when prepartum non-esterified fatty acid concentration was lower [AOR (95 % CI) = 8.71 (0.49, 153.84)]. Calf sex [AOR (95 % CI) = 0.35 (0.10, 1.25)], calving problem [AOR (95 % CI) = 0.14 (0.02, 1.08)], PMNL phagocytosis intensity [AOR (95 % CI) = 0.72 (0.47, 1.11)], polymorphonuclear leukocyte intensity of expression CD18 [AOR (95 % CI) = 0.78 (0.60, 1.00)] and CD62L [AOR (95 % CI) = 0.77 (0.60, 0.98)], and haptoglobin optical density [AOR (95 % CI) = 1.16 (0.97, 1.39)] were associated with metritis. Indexes generated from the estimates of the multivariable analyses to predict the risk of RFM [area under the curve = 0.77 (95 % CI = 0.70 to 0.84)] and metritis [area under the curve = 0.76 (95 % CI = 0.70, 0.81)] demonstrated that polymorphonuclear leukocyte function, non-esterified fatty acid concentration, and haptoglobin optical density prepartum may be used as predictors of uterine diseases.