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. 2016 Jul;57(7):728–732.

Table 2.

Inputs used to calculate the cost of 1 case of clinical ketosis (defined as a case of ketosis manifested with clinical signs regardless of serum BHBA concentrations)

Item Value Reference
Incidence of clinical ketosis (%) 9.6 (3)
300 g of propylene glycol for 4 days ($) 12 (26)
Labour wages ($)/hour 15 (27)
Number of cows drenched/hour 15
Death due to clinical ketosis (%) 1.3 (28)
Culling due to clinical ketosis (%) 5 (28)
Hourly veterinary fee ($) 160
Time (hours) to diagnose and treat clinical ketosis by a veterinarian 0.3
Cases of clinical ketosis examined and treated by veterinarians (%) 10 (30)
Milk production loss (kg) due to clinical ketosis 255 (31)
Average milk price in Canada ($/L) 0.81 (22)
Dairy efficiencya 2.3
Cost ($) of 1 kg of TMR (dry matter basis) to produce 1 L of milk 0.3 (20)
Cost of pregnant replacement heifer ($) 2500 (23)
Cull cow price ($) 1680 (23)
Average value of a cow in a herd ($) 2100 (20)
Cost of 1 day open beyond 100 days ($) 3.0 (21)
Increase in days open for cows with clinical ketosis 10 (30)
Risk of aspiration pneumonia (%) with drenching 0.003 J.P. Goff, Iowa State University, Ames, Iowa, personal communication, 2015
Risk of immediate death after aspiration pneumonia (%) 0.0024 (32)
Risk of survival after aspiration pneumonia (%) 0.0009 (32)
Risk of culling after survival and treatment (%) 0.0003 (32)
a

Milk yield (kg) produced as a result of a cow consuming one additional kg of dry matter above maintenance requirements (24); this calculation accounts only for the concentration energy required to produce marginal milk after considering that NEL of 0.75 Mcal/kg of 4% milk and 1.73 Mcal/kg of feed in dry matter basis (25).