Herd characteristics
The study was conducted on three commercial pig producing farms and one research farm in Lower Saxony and North Rhine Westphalia from May to October 2020. The sow herds belong to three genetic lines (BundesHybridZuchtProgramm, Topigs, Danish Genetics) frequently used in Germany. In all herds, sows were inseminated with semen from Pietrain boars. In each herd, litters from three consecutive batches were included in the study. The study comprised a total of 529 piglets out of 99 litters (Table 1), ten piglets were excluded from further analysis due to missing data.
Table 1
Number of sows and according piglets included in the study.
Herd | Sows (n) | Piglets (n) |
1 | 22 | 124 |
2 | 31 | 147 |
3 | 22 | 111 |
4 | 24 | 147 |
- Sow management
Approximately one week before the expected farrowing date the sows were moved to conventional farrowing pens equipped with a crate, fully slatted floors and a heated creep area. Herd 1 also used four pens for free farrowing equipped with a partly slatted concrete floor. Farrowing supervision took place during the normal working hours and farrowing induction was not routinely used in any herd. All farms used nurse sows and additional feeders for suckling piglets to ensure adequate milk and feed intake. All sow herds were vaccinated quarterly against porcine reproductive and respiratory syndrome virus, Erysipelothrix rhusiopathiae and parvovirus.
- Piglet management
Litters were included 12 to 24 hours after birth (day 1) before cross fostering and before litter equalization was done. Tail docking and teeth grinding were performed on day 2. On day 3 all piglets were treated with an iron preparation and male piglets were surgically castrated according to the German Animal Protection Act (16).
Data collection
For individual identification, all piglets were marked with numbered ear tags on day 1.
- Clinical variables evaluated at day 1
Body weight (BW) at birth was the inclusion criterion and piglets with a body weight ≤ 1.0 kg (low weight group, LW) were compared to piglets with a body weight > 1.0 kg (normal weight group, NW)). While all piglets from a selected litter weighing ≤ 1.0 kg were included in the LW, the number of piglets included in the NW was restricted to two piglets per litter. In total the LW comprises 328 piglets and the NW 191 piglets. For further analysis the study and control group were subdivided based on whether they were dead or alive at day 5 (low weight group alive (LWA) and low weight group dead (LWD), normal weight group alive (NWA) and normal weight group dead (NWD)).
The data recorded on day 1 also comprised the sex, the rectal temperature and the crown-rump length (CRL), defined as the length from the occiput to the base of the tail. The vitality was assessed based on a score from 0 to 3 (Table 2). A score of 0 was given if the piglets showed no signs of reduced vitality. A score of 1 was given for piglets showing one sign of moderately reduced vitality, score 2 was recorded when a piglet showed two signs of moderately reduced vitality and score 3 when one or more signs of severely reduced vitality were diagnosed. Piglets with a score of 3 were categorized as non-viable and were killed immediately by the farmer by blunt force trauma and subsequent bleeding or by the investigator by intravenous injection of a lethal dose of Pentobarbital (Release® 500 mg/ml WDT, dosage: 450 mg/5 kg BW).
The piglets were also scored for IUGR based on the scheme evaluated by (17, 18). A score of 1 (mild IUGR) was given if the piglet showed at least one sign of IUGR and a score of 2 (severe IUGR) when more than one sign was proven (Table 2).
Table 2
Clinical variables evaluated in piglets at day 1.
Clinical variable | Measuring unit |
Gender | Female/Male |
Body weight (BW) | Kilogram (kg) |
Crown-rump length (CRL) | Meter (m) |
Rectal temperature (RT) | Centigrade (°C) |
Vitality score (VS) | Vitality Criteria | Unaffected | Moderate | Severe | Colour of the skin | Pink | Pale | Cyanotic | Movement | Stable | Unstable | Unable to stand | Abdominal palpation | Well filled | Moderately filled | Empty | Overall vitality score | VS 0 | VS 1 | VS 2 | VS 3 | No signs of reduced vitality | 1 sign of moderately reduced vitality | > 1 sign of moderately reduced vitality | ≥ 1 sign of severely reduced vitality | |
Intrauterine-growth retardation (IUGR) score | Score 0 (no IUGR),1 (mild IUGR), 2 (severe IUGR) based on the criteria - dolphin like head (yes/no) - bulging eyes (yes/no) - wrinkles around nose and eyes (yes/no) |
- Blood measurements evaluated at day 1
Blood (0.5 mL) was collected from all piglets on day 1 by punctuation of the V. cava cranialis with a 23 G needle and a 1 mL syringe and used for analysis of laboratory measurements to compare these with the survivability of neonatal piglets (Table 3). A part of the blood was immediately analysed on-farm using three different hand-held devices. With the Accutrend® Plus by Roche glucose and lactate concentrations were measured in whole blood as previously described (19, 20). Both devices were checked before each batch with control solutions provided by the manufacturer (Accutrend® Control G2; BM-Control G2). The range for glucose concentrations measurable with this device ranges from 20 to 600 mg/dl. Values below this range were classified as 19 mg/dl. Lactate concentration was measured from 0.8 to 22 mmol/L; higher values were classified as 23 mmol/L. The Hemocue Hb 201 Analyzer was used to measure haemoglobin concentration (21). The measuring scale runs from zero to 15.9 mmol/L.
To assess the amount of colostrum the piglets have ingested, the immunocrit was measured, as previously described (22). This method is a cost efficient and easy way to determine the IgG-content in serum samples.
Table 3
Blood measurements evaluated in piglets at day 1.
Blood measurement | Measuring unit |
Glucose | mg/dL |
Lactate | mmol/L |
Haemoglobin | mmol/L |
Immunocrit | dimensionless |
- Post-mortem examination
All piglets included in the study that died or had to be killed until day 5 were weighed and collected for a standardized post-mortem examination (Table 4). Reasons for killing were a vitality of score 3 (Table 2), anomalies or lacerations. The cause of death was recorded (crushing, starvation, infection, anomalies, other) as well as whether the piglet had been killed or died spontaneously. The diagnosis “crushing” was assigned when the piglet had broken bones or when typical internal or external lesions or bleedings were detected. “Starvation” was diagnosed when the piglet was emaciated, and ribs or other prominent bones were easily visible. The diagnosis “infection” included all piglets showing signs of enteritis, pneumonia or arthritis. Under “anomaly” splay legs, blind anus and other congenital malformations incompatible with survival have been summarized. The diagnosis “other” was used when the cause of death could not be ascertained.
Table 4
Post-mortem parameters evaluated in piglets that died or have been killed during the study period.
Variables | Outcome |
Death date | Study day |
Death | - Spontaneous - Killed |
Cause of death / reason for killing | - Crushing - Starvation - Weak/ non-viable - Infection - Laceration/Anomaly - Other |
Stomach milk content | Yes/No |
Body weight at killing / when found dead | Kilogram |
Table 5
Mortality by vitality score (VS) and intrauterine growth retardation (IUGR) in LW and NW groups evaluated at birth in under or normal weighted new-born piglets dying or surviving until day 5 of age.
category | LW | NW |
n | % | n | % |
vitality score (VS) |
0 | 146 | 16.4 | 180 | 7.9 |
1 | 127 | 46.5 | 9 | 33.3 |
2 | 29 | 93.1 | 0 | 0 |
3 | 26 | 100 | 0 | 0 |
intrauterine growth retardation (IUGR) |
0 | 124 | 22.6 | 187 | 4.8 |
1 | 133 | 36.8 | 3 | 33.3 |
2 | 71 | 83.1 | 1 | 100 |
Table 6
Logistic regression model for clinical variables related to the death of new-born piglets dying until day 5 of age. ref: reference category, OR: Odds Ratio Estimate, CI: confidence limits. p: level attained for Wald`s test
Risk categories | alive | dead | univariable model | multivariable model | |
n | % | n | % | OR | 95%-CI | p | OR | 95%-CI | pa | |
low | up | low | up | |
Total | 372 | | 147 | | x | | | x | x | | | x | |
Body Weight |
> 1.39kg (ref) | 127 | 96.95 | 4 | 3.05 | 1 | x | x | x | 1 | x | x | | |
< 0.82kg | 37 | 30.33 | 85 | 69.67 | 72.937 | 25.080 | 212.111 | < .0001 | 8.298 | 1.920 | 35.865 | 0.0047 | |
0.82-0.95kg | 89 | 70.08 | 38 | 29.92 | 13.551 | 4.671 | 39.316 | < .0001 | 4.381 | 1.229 | 15.622 | 0.0228 | |
0.96-1.39kg | 119 | 85.61 | 20 | 14.39 | 5.336 | 1.772 | 16.067 | 0.0029 | 3.160 | 0.982 | 10.167 | 0.0536 | |
Vitality score |
0 (ref) | 296 | 90.80 | 30 | 9.20 | 1 | x | x | x | 1 | x | x | | |
1 | 74 | 54.41 | 62 | 45.59 | 8.265 | 4.989 | 13.694 | < .0001 | 2.686 | 1.316 | 5.480 | 0.0067 | |
2 | 2 | 6.67 | 28 | 93.33 | 138.129 | 31.353 | 608.539 | < .0001 | 24.499 | 4.442 | 135.13 | 0.0003 | |
3 | - | . | 27 | 100.00 | > 999.99 | < 0.001 | > 999.99 | 0.9519 | > 999.999 | < 0.001 | | 0.9941 | |
Intrauterine growth retardation score |
0 (ref) | 274 | 88.10 | 37 | 11.90 | 1 | x | x | x | 1 | x | x | | |
1 | 86 | 63.24 | 50 | 36.76 | 4.305 | 2.640 | 7.022 | < .0001 | 1.273 | 0.582 | 2.785 | 0.5449 | |
2 | 12 | 16.67 | 60 | 83.33 | 37.027 | 18.231 | 75.201 | < .0001 | 2.367 | 0.739 | 7.575 | 0.1463 | |
Rectal temperature |
> 37.5°C (ref) | 324 | 87.57 | 46 | 12.43 | 1 | x | x | x | 1 | x | x | | |
≤ 37.5°C | 48 | 32.21 | 101 | 67.79 | 14.818 | 9.336 | 23.519 | < .0001 | 3.449 | 1.816 | 6.549 | 0.0002 | |
a p-value Wald’s Chi²-Test to the reference category |
Table 7
Predicted probability for the death of a newborn piglet until day 5 of age assessed by clinical parameters identified from the multivariable logistic regression model (see table 6).
Body weight (kg) | Vitality Score (0,1,2,3) | Rectal temperature (°C) | Probability of death |
< 0.82 | 1 | ≤ 37.5 | 0.64 |
< 0.82 | 1 | >37.5 | 0.34 |
< 0.82 | 2 | ≤ 37.5 | 0.94 |
< 0.82 | 2 | >37.5 | 0.82 |
< 0.82 | 3 | ≤ 37.5 | 1 |
< 0.82 | 3 | >37.5 | 1 |
< 0.82 | 0 | ≤ 37.5 | 0.40 |
< 0.82 | 0 | >37.5 | 0.16 |
0.82–0.95 | 1 | ≤ 37.5 | 0.48 |
0.82–0.95 | 1 | >37.5 | 0.21 |
0.82–0.95 | 2 | ≤ 37.5 | 0.89 |
0.82–0.95 | 2 | >37.5 | 0.71 |
0.82–0.95 | 3 | ≤ 37.5 | 1 |
0.82–0.95 | 3 | >37.5 | 1 |
0.82–0.95 | 0 | ≤ 37.5 | 0.26 |
0.82–0.95 | 0 | >37.5 | 0.09 |
0.96–1.39 | 1 | ≤ 37.5 | 0.40 |
0.96–1.39 | 1 | >37.5 | 0.16 |
0.96–1.39 | 2 | ≤ 37.5 | 0.86 |
0.96–1.39 | 2 | >37.5 | 0.64 |
0.96–1.39 | 3 | ≤ 37.5 | 1 |
0.96–1.39 | 3 | >37.5 | 1 |
0.96–1.39 | 0 | ≤ 37.5 | 0.20 |
0.96–1.39 | 0 | >37.5 | 0.07 |
> 1.39 | 1 | ≤ 37.5 | 0.17 |
> 1.39 | 1 | >37.5 | 0.06 |
> 1.39 | 2 | ≤ 37.5 | 0.66 |
> 1.39 | 2 | >37.5 | 0.36 |
> 1.39 | 3 | ≤ 37.5 | 1 |
> 1.39 | 3 | >37.5 | 1 |
> 1.39 | 0 | ≤ 37.5 | 0.07 |
> 1.39 | 0 | >37.5 | 0.02 |
Sample size calculation and statistical analyses
Calculation of the minimum sample size required for the study was performed using NCSS-PASS-software for a Wilcoxon rank-sum test comparing two groups (type I error 5%, power 80%). The sample size calculated was 564 piglets.
After general description data was analysed using a linear logistic regression analysis following a backward selection for multivariable modelling. Herds and batches per herd were included as random effects in this model to incorporate the hierarchical structure of the data. Body weight (day 1) was transferred into four categories comprising piglets < 0.82 kg (BW 1), 0.82 to 0.95 kg (BW 2), 0.96 to 1.39 kg (BW 3) and > 1.39 kg (BW 4). Rectal temperature was differentiated by two groups with ≤ 37.5°C (RT 1) and > 37.5°C (RT 2) as well as glucose (≤ 70 mg/dL, > 70 mg/dL) and immunocrit (≤ 0.1, > 0.1). Statistical significance was assumed for p < 5%. All statistical evaluations were performed with SAS®, version 9.4 TS level 1M5 (SAS Institute Inc., Cary, NC, United States) using GLIMMIX as model procedure.