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The area under the curve of L-lactate in neonatal foals from birth to 14 days of age.

Abstract: Prior studies have shown the prognostic utility of measuring L-lactate in critically ill neonatal foals, both as single (at admission) and serial measurements. Greater prognostic sensitivity and specificity may be achieved by use of the area under the L-lactate versus time curve (LACArea ) over the first 24 hours of hospitalization, which captures both severity and duration of hyperlactatemia. Prior to application of this concept in sick equine neonates, a reference interval for LACArea should be determined. Methods: The concentration of lactate [LAC] was measured in blood obtained via direct jugular venipuncture from clinically normal foals on Days 1 (birth-24 h of age), 3, 7, and 14 following birth at 6-hour intervals for each 24-hour period. LACArea was calculated using the trapezoidal method. Differences in LACArea by Day were determined by MANOVA with a priori Bonferroni correction, P ≤ 0.05. Results: LACArea differed by Day (P = 0.001), being largest on Day 1, followed by Day 3. Days 7 and 14 were smallest and not different from each other. Conclusions: LACArea decreases substantially and predictably over the first week of life in normal neonatal foals. Knowing how LACArea normally changes over the first 2 weeks of life will aid in future study of LACArea as it applies to sick neonatal foals, allowing for consideration of maturational changes potentially unrelated to disease.
Publication Date: 2015-11-23 PubMed ID: 26595884DOI: 10.1111/vec.12419Google Scholar: Lookup
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  • Evaluation Study
  • Journal Article

Summary

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This research article focuses on understanding the readings of L-lactate variables in newborn foals from birth to 14 days. It mainly underscores that the area under the L-lactate versus time curve (LACArea) provides better prediction accuracy relating to foal’s health conditions over time.

Methodology

  • The study monitored the L-lactate concentration [LAC] in clinically healthy foals on four key days: Day 1 (birth-24 h of age), Day 3, Day 7, and Day 14 after birth, with readings taken at six-hour intervals over a 24-hour period on each of those days.
  • The area under the L-lactate versus time curve (LACArea) was determined employing the trapezoidal method.
  • Finally, the differences in LACArea based on the day were ascertained using Multivariate analysis of variance (MANOVA) with a Bonferroni correction set a priority, with a significance level at 0.05.

Results

  • The results demonstrated that the LACArea was significantly different according to days (P = 0.001), with the largest values on Day 1 and the following ones on Day 3. Days 7 and 14 had much lower and similar readings between each other.

Conclusions and Applications

  • The study concluded that LACArea considerably and predictably reduces over the first week of a newborn foal’s life.
  • This knowledge on how LACArea shifts across the initial two weeks will assist future research surrounding sick neonatal foals. It offers a benchmark of normal physiological changes that can serve in the interpretation of LACArea readings in sick foals by distinguishing between maturational changes and those likely linked to an illness.

Cite This Article

APA
Sheahan BJ, Wilkins PA, Lascola KM, Martin V, Po E. (2015). The area under the curve of L-lactate in neonatal foals from birth to 14 days of age. J Vet Emerg Crit Care (San Antonio), 26(2), 305-309. https://doi.org/10.1111/vec.12419

Publication

ISSN: 1476-4431
NlmUniqueID: 101152804
Country: United States
Language: English
Volume: 26
Issue: 2
Pages: 305-309

Researcher Affiliations

Sheahan, Breanna J
  • Department of Veterinary Clinical Medicine, University of Illinois College of Veterinary Medicine, 1008 West Hazelwood Drive, Urbana, IL, 61802.
Wilkins, Pamela A
  • Department of Veterinary Clinical Medicine, University of Illinois College of Veterinary Medicine, 1008 West Hazelwood Drive, Urbana, IL, 61802.
Lascola, Kara M
  • Department of Veterinary Clinical Medicine, University of Illinois College of Veterinary Medicine, 1008 West Hazelwood Drive, Urbana, IL, 61802.
Martin, Victoria
  • Department of Veterinary Clinical Medicine, University of Illinois College of Veterinary Medicine, 1008 West Hazelwood Drive, Urbana, IL, 61802.
Po, Eleonora
  • Department of Veterinary Clinical Medicine, University of Illinois College of Veterinary Medicine, 1008 West Hazelwood Drive, Urbana, IL, 61802.

MeSH Terms

  • Animals
  • Animals, Newborn
  • Biomarkers / blood
  • Critical Illness
  • Horses / blood
  • Horses / physiology
  • Hospitalization
  • Lactic Acid / blood
  • Prognosis
  • Reference Values
  • Sensitivity and Specificity

Citations

This article has been cited 2 times.
  1. Dunkel B, Knowles EJ, Chang YM, Menzies-Gow NJ. Correlation between l-lactate and glucose concentrations and body condition score in healthy horses and ponies. J Vet Intern Med 2019 Sep;33(5):2267-2271.
    doi: 10.1111/jvim.15587pubmed: 31390098google scholar: lookup
  2. Wilkins PA, Sheahan BJ, Vander Werf KA, Castagnetti C, Hardy J, Schoster A, Boston RC. Preliminary investigation of the area under the L-lactate concentration-time curve (LACArea) in critically ill equine neonates. J Vet Intern Med 2015 Mar-Apr;29(2):659-62.
    doi: 10.1111/jvim.12559pubmed: 25818220google scholar: lookup