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Topic:Age Factors

Age factors in horses encompass a range of physiological and developmental changes that occur as horses mature from foals to adults and eventually into their senior years. These factors include variations in metabolic rate, immune function, and musculoskeletal development, which can influence a horse's health, performance, and nutritional needs. Age-related changes can also affect how horses respond to medications, recover from injuries, and maintain overall vitality. Researchers study these aspects to understand better how age impacts equine health and management. This page compiles peer-reviewed research studies and scholarly articles that explore the effects of age on equine physiology, health management, and disease susceptibility.
Prevalence and risk factors for laminitis within the Norwegian pony breed Nordlandshest/Lyngshest.
Acta veterinaria Scandinavica    June 16, 2023   Volume 65, Issue 1 22 doi: 10.1186/s13028-023-00687-w
Lykkjen S, Stenbakk LK, Holmøy IH.Laminitis is a systemic condition resulting in debilitating pain and structural changes within the feet, and hence has major welfare implications. Causes include endocrine and systemic inflammatory conditions. Ponies are frequently affected, and observations in the field suggest that occurrence of laminitis is also common in Norwegian breeds. The aim of this study was to estimate the prevalence and risk factors for laminitis within the Norwegian pony breed Nordlandshest/Lyngshest. Results: The study was a cross-sectional study based on questionnaires sent to members of the Norwegian Nordlands...
Occurrence of equine metabolic syndrome, clinical manifestations, and associated risk factors in Nigeria.
Journal of equine science    June 12, 2023   Volume 34, Issue 2 29-35 doi: 10.1294/jes.34.29
Akinniyi OO, Sackey AKB, Ochube GE, Mshelia PW, Musa FA, Elijah MO, Jolayemi KO.Insulin dysregulation (ID) is central to the pathophysiology of equine metabolic syndrome (EMS), putting the horse at risk of laminitis. There is a paucity of information on the status of EMS in Nigeria. This study aimed to determine the occurrence of EMS, clinical manifestations, and associated risk factors in Nigeria. A cross-sectional study was carried out. Selected horses underwent an insulin 2-step response test to ascertain insulin dysregulation; a physical examination was carried out to diagnose laminitis and obesity. Risk factors were assessed using a questionnaire. The overall prevale...
Intestinal hemangiomas in 8 horses.
Veterinary pathology    June 2, 2023   3009858231176560 doi: 10.1177/03009858231176560
Metcalfe A, Craig LE.This retrospective study describes 8 cases of intestinal hemangioma diagnosed in horses during postmortem examination or surgical biopsy at the University of Tennessee College of Veterinary Medicine. In all cases, the intestine was the sole organ affected, and lesions were focal (3/8) or multifocal (5/8). Nodules were most commonly within the small intestine (7/8), particularly the jejunum (5/7). One case was in the left dorsal colon, which is the first report of hemangioma in the large colon of a horse. Lesions were discrete, raised, smooth, black to red, and ranged from 2 to 15 mm in diamete...
Adaptive Response of Estrogen-Iron Axis in Pregnant Purebred Spanish Mares of Different Age.
Journal of equine veterinary science    May 27, 2023   Volume 127 104827 doi: 10.1016/j.jevs.2023.104827
Satué K, Fazio E, La Fauci D, Bruschetta G, Medica P.The maintenance of iron (Fe) homeostasis is vital for the physiological function along life. In sexually mature humans and experimental animals, estrogens downregulate hepcidin (Hpc) expression, in order to improve the intestinal absorption and to mobilize Fe stores for maternal erythropoietic expansion and placental development. However, changes of these mechanisms related to regulation of Hpc on the availability of Fe during gestation with advancing age in mares, remain unknown. The objective of this study was to evaluate the interrelationships between serum Fe, Ferritin (Ferr) and Hpc with ...
Impact of inbreeding and genetic parameter estimates for seminal traits in Lusitano horses.
Theriogenology    May 27, 2023   Volume 208 43-51 doi: 10.1016/j.theriogenology.2023.05.011
Gonçalves AR, Telo da Gama L, Antunes L, Guimarães H, Bliebernicht M, Duarte JC, Cosinha C, Duarte Rego B, Ferro da Costa P, Guimarães T, Rocha A....The objectives of this study were to establish baseline information for seminal traits in Lusitano stallions, to assess the impact of inbreeding, interval between collections and age on semen quality during the breeding and non-breeding seasons, and to estimate the corresponding genetic parameters. A total of 2129 ejaculates by 146 Lusitano stallions used for artificial insemination, obtained from four equine reproduction centers distributed throughout Portugal, over a period of 14 years (2008-2021), were included in the study. The seminal traits analyzed, and the corresponding means and stand...
Evaluation of the appearance of osteochondrosis lesions by two radiographic examinations in sport horses aged from 12 to 36 months.
PloS one    May 23, 2023   Volume 18, Issue 5 e0286213 doi: 10.1371/journal.pone.0286213
Van Cauter R, Serteyn D, Lejeune JP, Rousset A, Caudron I.Osteochondrosis is a developmental orthopedic disease characterized by a defect of enchondral ossification. This pathological condition develops and evolves during growth and is influenced by various factors, in particular genetic and environmental. However, little research has been conducted on the dynamic of this condition in horses after the age of 12 months. The retrospective study presented here investigates changes in osteochondrosis lesions through two standardized radiographic examinations carried out on young Walloon sport horses after one year of age (mean age at first and second exa...
Investigation of breed differences in plasma adrenocorticotropic hormone concentrations among healthy horses and ponies.
Veterinary journal (London, England : 1997)    May 18, 2023   Volume 296-297 105995 doi: 10.1016/j.tvjl.2023.105995
Bamford NJ, Stewart AJ, El-Hage CM, Bertin FR, Bailey SR.Plasma adrenocorticotropic hormone (ACTH) concentration is commonly measured to diagnose pituitary pars intermedia dysfunction (PPID). Several intrinsic and extrinsic factors affect ACTH concentrations, including breed. The objective of this study was to prospectively compare plasma ACTH concentrations among different breeds of mature horses and ponies. Three breed groups comprised Thoroughbred horses (n = 127), Shetland ponies (n = 131) and ponies of non-Shetland breeds (n = 141). Enrolled animals did not show any signs of illness, lameness or clinical signs consistent with PPID. Blood ...
National participation levels in the 2017-2018 Australian thoroughbred racing season.
Australian veterinary journal    May 9, 2023   Volume 101, Issue 7 265-274 doi: 10.1111/avj.13242
Flash ML, Shrestha K, Stevenson MA, Gilkerson JR.The social licence of the Australian thoroughbred (TB) industry relies on the general public's perception of how they manage the animal in their care. Methods: This study examines the horse, race and activity records for the 37,704 horses racing and training in Australia from 1 August 2017 to 31 July 2018. Three-quarters (75%, n = 28,184) of TBs started in one of the 180, 933 race starts that occurred during the 2017-2018 Australian racing season. Results: Horses participating in the 2017-2018 Australian racing season had a median age of 4 years, with geldings more likely to be aged 5 ye...
Serum C-reactive Protein and Protein Electrophoretic Pattern Correlated With Age in Horses.
Journal of equine veterinary science    May 7, 2023   Volume 126 104561 doi: 10.1016/j.jevs.2023.104561
Arfuso F, Piccione G, Guttadauro A, Monteverde V, Giudice E, Giannetto C.Inflammaging or chronic, low-grade inflammation is a phenomenon characterizing age-related pathologies and natural processes in aging tissues. This study aimed to investigate the effect of age on the serum levels of C-reactive protein and protein electrophoretic pattern in horses. Thirty Italian Saddle horses from the same horse training center, were enrolled and divided in three equal groups according to their age: Group A (2-4 years), Group B (7-10 years), Group C (15-20 years). Blood samples were collected from each horse to evaluate hematological parameters and the serum concentration of C...
Prevalence and genetic diversity of Theileria equi from horses in Xinjiang Uygur Autonomous region, China.
Ticks and tick-borne diseases    May 5, 2023   Volume 14, Issue 4 102193 doi: 10.1016/j.ttbdis.2023.102193
Zhang Y, Shi Q, Laven R, Li C, He W, Zheng H, Liu S, Lu M, Yang DA, Guo Q, Chahan B.Theileria equi is a tick-borne intracellular apicomplexan protozoan parasite that causes equine theileriosis (ET). ET is an economically important disease with a worldwide distribution that significantly impacts international horse movement. Horses are an essential part of the economy in Xinjiang which is home to ∼10% of all the horses in China. However, there is very limited information on the prevalence and genetic complexity of T. equi in this region. Blood samples from 302 horses were collected from May to September 2021 in Ili, Xinjiang, and subjected to PCR examination for the presence...
Prevalence, Risk Factors and Diagnosis of Helminths in Thoroughbred Horses Kept at Training Centers in Rio de Janeiro, Brazil.
Journal of equine veterinary science    May 1, 2023   Volume 127 104536 doi: 10.1016/j.jevs.2023.104536
Martins AV, Corrêa LL, Ribeiro MS, Lobão LF, Dib LV, Palmer JPS, de Moura LC, Knackfuss FB, Uchôa CMA, Molento MB, Barbosa ADS.The aims of this study were to determine the prevalence of helminths in Thoroughbred horses in Rio de Janeiro; make correlations with risk factors for these infections; and compare the efficiency of three floatation solutions applied in the quantitative Mini-FLOTAC technique. Fecal samples from 520 horses were collected from six training centers between 2019 and 2021. These were subjected to the Mini-FLOTAC technique using three solutions: NaCl (density = 1.200 g/mL), ZnSO4 (1.350 g/mL) and ZnSO4 (1.200 g/mL); and also to qualitative techniques. Information on the horses' sex and age of hors...
What drives horse success at following human-given cues? An investigation of handler familiarity and living conditions.
Animal cognition    April 19, 2023   Volume 26, Issue 4 1283-1294 doi: 10.1007/s10071-023-01775-0
Liehrmann O, Cosnard C, Riihonen V, Viitanen A, Alander E, Jardat P, Koski SE, Lummaa V, Lansade L.Cues such as the human pointing gesture, gaze or proximity to an object are widely used in behavioural studies to evaluate animals' abilities to follow human-given cues. Many domestic mammals, such as horses, can follow human cues; however, factors influencing their responses are still unclear. We assessed the performance of 57 horses at a two-way choice task testing their ability to follow cues of either a familiar (N = 28) or an unfamiliar informant (N = 29). We investigated the effects of the length of the relationship between the horse and a familiar person (main caregiver), their ...
Ocular findings in a population of geriatric equids in the United Kingdom.
Equine veterinary journal    April 18, 2023   Volume 56, Issue 1 121-130 doi: 10.1111/evj.13941
Chalder R, Housby-Skeggs N, Clark C, Pollard D, Hartley C, Blacklock B.There are a growing number of horses, ponies, and donkeys aged 15 years or older in the United Kingdom, yet there have been no studies utilising a complete ophthalmic examination to investigate the prevalence of ophthalmic pathology within this population. Objective: To investigate the prevalence of ophthalmic pathology and associations with signalment, in a convenience sample of geriatric equids in the United Kingdom. Methods: Cross sectional. Methods: Horses, ponies, and donkeys aged 15 years or older based at The Horse Trust charity underwent a full ophthalmic examination including slit...
Zinc Status of Horses and Ponies: Relevance of Health, Horse Type, Sex, Age, and Test Material.
Veterinary sciences    April 16, 2023   Volume 10, Issue 4 295 doi: 10.3390/vetsci10040295
van Bömmel-Wegmann S, Gehlen H, Barton AK, Büttner K, Zentek J, Paßlack N.Little is known about the animal- and diet-related factors that could interfere with the plasma zinc (Zn) concentrations of equines. Additionally, the adequacy of plasma to reflect changes in the Zn intake is unclear. In the first part of this study, the plasma Zn concentrations of hospitalized horses and ponies ( = 538) were measured and evaluated for the impact of the age, sex, horse type, and internal diseases of the animals. In the second part, the effects of increasing dietary Zn chloride hydroxide and Zn methionine supplementations were assessed on the plasma and mane hair Zn concentrati...
Risk Factors for Epistaxis in Thoroughbred Flat Races in Japan (2001-2020).
Animals : an open access journal from MDPI    April 14, 2023   Volume 13, Issue 8 doi: 10.3390/ani13081348
Sugiyama F, Takahashi Y, Nomura M, Ebisuda Y, Mukai K, Yoshida T.We investigated the risk factors for epistaxis in Japanese flat races over a 20-year period. The veterinary records of horses identified as having epistaxis by endoscopy on the race day, and the official racing records of all flat races from April to September between 2001 and 2020, were reviewed. The racecourses (n = 10), surface type, surface condition, race class, race distance, race year, sex, age, two training centers, ambient temperature, and body weight on race days were assessed using multivariable logistic regression (p < 0.05). Of 475,709 race starts, 616 (1.30 cases per 1000 star...
Age-related changes in vitamin D metabolism and vitamin D receptor expression in equine alveolar macrophages: A preliminary study.
Veterinary immunology and immunopathology    April 5, 2023   Volume 259 110593 doi: 10.1016/j.vetimm.2023.110593
Berghaus LJ, Cathcart J, Berghaus RD, Hart KA.The vitamin D receptor (VDR)-vitamin D axis modulates pulmonary immunity in people but its role in equine immunity is unknown. Bacterial pneumonia causes high morbidity/mortality in foals and alveolar macrophages (AMφ) are important for pulmonary defenses. Age-related variations in vitamin D-mediated function of AMφ might contribute to the foal's susceptibility to pneumonia. Our aim was to assess the impact of age on equine vitamin D metabolism and VDR expression in AMφ. AMφ and plasma was collected from healthy foals (2, 4 and 8 weeks old) and adult horses (once). AMφ VDR expression was ...
Body Condition Score in Danish Horses Related to Type, Use, and Training Level: Patterns, Risk, and Protective Factors.
Animals : an open access journal from MDPI    March 31, 2023   Volume 13, Issue 7 doi: 10.3390/ani13071219
Uldahl M, Dahl J, Clayton HM.Body condition in horses is a growing concern that has different patterns of development in horses that are above and below the ideal range. This study used professional and para-professional evaluators (veterinarians, farriers, trainers, Danish Equestrian Federation (DEF) officials) who were trained and certified in the use of a modified Henneke scoring system to assign a body condition score (BCS) on a scale of 1-9. Scores of 5-6 are regarded as ideal, and 78.6% of the evaluated horses were in these groups. Only 4.8% of horses were below ideal BCS but 16.5% were above ideal BCS, and this was...
Horse-riding hazards: an observational cohort study mapping equestrian related injuries at a Scandinavian trauma centre.
BMC sports science, medicine & rehabilitation    March 28, 2023   Volume 15, Issue 1 46 doi: 10.1186/s13102-023-00646-y
Franzén Lindgren E, Hammarqvist F, Ahl Hulme R.Horse-riding is practiced on a regular basis by 500,000 people in Sweden. It is reputed to be one of the most dangerous sports. On average, there were 1756 acute injuries and three fatalities each year between 1997 and 2014 in Sweden related to horses. The primary aim of this study was to outline the injury spectrum related to equestrian activities cared for at a large Swedish trauma centre. The secondary aim was to identify trends in clinical outcomes and to investigate the association between age and such outcomes. Methods: The electronic medical records system at Karolinska University Hosp...
Short-Term Survival and Postoperative Complications Rates in Horses Undergoing Colic Surgery: A Multicentre Study.
Animals : an open access journal from MDPI    March 20, 2023   Volume 13, Issue 6 1107 doi: 10.3390/ani13061107
Spadari A, Gialletti R, Gandini M, Valle E, Cerullo A, Cavallini D, Bertoletti A, Rinnovati R, Forni G, Scilimati N, Giusto G.The occurrence of colic could be influenced by the characteristics of a population, geographical area, and feeding management. The aim of this study was to report the short-term postoperative complications and survival rates and to identify factors that might affect the outcome of horses that underwent colic surgery in three Italian surgical referral centres. Data of horses subjected to colic surgery in three referral centres (2018-2021) were analysed. Comparisons of the outcomes were performed using a Mann-Whitney or a Chi square test. Areas under the receiver operating characteristic (ROC) c...
Assessment of P Wave Indices in Healthy Standardbred Horses.
Animals : an open access journal from MDPI    March 16, 2023   Volume 13, Issue 6 doi: 10.3390/ani13061070
White R, Nath L, Hebart M, Franklin S.P wave indices are used as non-invasive electrocardiographic markers of atrial remodelling in humans. Few studies have investigated their use in animals. The aim of this study was to measure P wave duration and P wave dispersion (Pd) in healthy standardbred horses and investigate variables that might influence these measurements. A 12-lead electrocardiogram was recorded at rest and P wave indices were calculated in 53 horses. A general linear model was used to investigate the main effects: age, bodyweight, sex, resting heart rate, presence of a murmur, exercise status and the number of years r...
Evaluation of cartilage injury in horses with osteochondral fragments in the metacarpo-/metatarsophalangeal joint: A study on 823 arthroscopies.
Equine veterinary journal    March 15, 2023   doi: 10.1111/evj.13937
Goldkuhl JEC, Zablotski Y, Sill V, Jahn W, Lorenz I, Brunk J, Gerlach K, Troillet A.Osteochondral fragment removal is commonly performed but there are little scientific data supporting this procedure in the absence of clinical signs. More information is needed to facilitate clinical decision-making regarding fragment removal of the metacarpo-/metatarsophalangeal joint. Objective: To assess prevalence of cartilage injury in the equine metacarpo-/metatarsophalangeal joint and its association to fragment size, location, age and lameness. Methods: Retrospective observational study. Methods: Clinical records, including radiographs of 823 metacarpo-/metatarsophalangeal joints (640 ...
Prevalence of Chronic Progressive Lymphedema in the Rhenish German Draught Horse.
Animals : an open access journal from MDPI    March 9, 2023   Volume 13, Issue 6 999 doi: 10.3390/ani13060999
Sievers J, Distl O.Chronic progressive lymphedema (CPL) is a common disease in Rhenisch German draught horses. The objective of our study was to evaluate the prevalence of this disease and its progression with age in 493 Rhenish German draught horses from different regions in Germany. We employed generalized linear models with binomial, multinomial, and normal distributions to analyse the effects of breeding association, coat colour, sex and age within sex, time of examination, limb on which CPL was recorded, and farm-related factors on disease scores. The occurrence and severity of CPL were significantly influe...
Influence of Mechanistic Target of Rapamycin (mTOR)-Regulated Anabolic Pathways on Equine Skeletal Muscle Health.
Journal of equine veterinary science    March 9, 2023   Volume 124 104281 doi: 10.1016/j.jevs.2023.104281
Semanchik PL, Wesolowski LT, Ryan PJ, White-Springer SH, Fluckey JD.Skeletal muscle is a highly dynamic organ that is essential for locomotion as well as endocrine regulation in all populations of horses. However, despite the importance of adequate muscle development and maintenance, the mechanisms underlying protein anabolism in horses on different diets, exercise programs, and at different life stages remain obscure. Mechanistic target of rapamycin (mTOR) is a key component of the protein synthesis pathway and is regulated by biological factors such as insulin and amino acid availability. Providing a diet ample in vital amino acids, such as leucine and gluta...
Analysis of lncRNA and mRNA expression profiling in immature and mature DeZhou donkey (equine Taurus) testes.
Reproduction in domestic animals = Zuchthygiene    March 6, 2023   Volume 58, Issue 5 646-656 doi: 10.1111/rda.14330
Yu J, Wang Z, Wang F, Yang G, Cheng J, Ji C, Li M, Liu B, Wang Y, Dang R.Testicular development and spermatogenesis are tightly regulated by the number of genes and noncoding genes, and mRNAs and lncRNAs play vital roles in regulating posttranscriptional gene expression. However, mRNAs and lncRNAs have not been systematically identified in the testes of donkeys. In this study, mRNA and lncRNA expression profiles in the testes of DeZhou donkeys between 2 months and 2 years of age were comprehensively analysed by RNA sequencing. We identified 56,605 lncRNAs and 61,857 mRNAs by gene expression analysis, and 21,845 lncRNAs (p < .05) and 14,109 mRNAs (p <...
Electrocardiographic and Echocardiographic Parameters in Pega Breed Donkeys: A Descriptive Study.
Animals : an open access journal from MDPI    February 27, 2023   Volume 13, Issue 5 861 doi: 10.3390/ani13050861
Cruz-Aleixo AS, de Oliveira KC, de Oliveira Ferreira LV, Cedeo Quevedo DA, Cruz RKS, Tsunemi MH, Chiacchio SB, Lourenço MLG.Clinical, electrocardiographic and echocardiographic parameters in Pega donkeys are scarce in the literature; hence, this study was performed to describe the echocardiographic and electrocardiographic measurements in Pega breed donkeys. The objectives of this study were to describe and illustrate the clinical, electrocardiographic, and echocardiographic parameters in Pega donkeys used for reproduction. Fifty Pega breed donkeys were evaluated, with an average age of 3.4 years and with 20 males and 30 females. In each animal, the electrocardiographic examination at rest was performed using the T...
Post-Mortem Computed Tomographic Features of the Most Caudal Lumbar Vertebrae, Anatomical Variations and Acquired Osseous Pathological Changes, in a Mixed Population of Horses.
Animals : an open access journal from MDPI    February 19, 2023   Volume 13, Issue 4 743 doi: 10.3390/ani13040743
Scilimati N, Angeli G, Di Meo A, Dall'Aglio C, Pepe M, Beccati F.The radiographic, ultrasonographic, and scintigraphic findings of horses with thoracolumbosacral pain have been previously reported. In this study, the computed tomographic appearance of anatomical variations and pathological changes of the equine caudal lumbar region through a post-mortem examination were investigated. A total of 40 horses that had died or were submitted for euthanasia, for reasons unrelated to the study, were included in the study. From all the specimens, the modified vertebral system was adopted to evaluate and describe the four most caudal lumbar vertebrae, which were numb...
Patterns of variation in equine strongyle community structure across age groups and gut compartments.
Parasites & vectors    February 11, 2023   Volume 16, Issue 1 64 doi: 10.1186/s13071-022-05645-5
Boisseau M, Mach N, Basiaga M, Kuzmina T, Laugier C, Sallé G.Equine strongyles encompass more than 64 species of nematode worms that are responsible for growth retardation and the death of animals. The factors underpinning variation in the structure of the equine strongyle community remain unknown. Methods: Using horse-based strongyle community data collected after horse deworming (48 horses in Poland, 197 horses in Ukraine), we regressed species richness and the Gini-Simpson index upon the horse's age, faecal egg count, sex and operation of origin. Using the Ukrainian observations, we applied a hierarchical diversity partitioning framework to estimate ...
Estimating the Prevalence and Factors Affecting the Shedding of Helminth Eggs in Irish Equine Populations.
Animals : an open access journal from MDPI    February 7, 2023   Volume 13, Issue 4 doi: 10.3390/ani13040581
Elghryani N, McOwan T, Mincher C, Duggan V, de Waal T.Gastrointestinal helminths are ubiquitous in horse populations across the world. Intensive anthelmintic treatments have succeeded in controlling some of the pathogenic effects of these parasites. However, the success of anthelmintic drugs has been threatened by the development of widespread resistance to those most commonly used. To develop improved control strategies, information on helminth distribution patterns is needed, which can be obtained by identifying animals regarded as high egg shedders and taking age, gender, and other risk factors into account. The aim of this study was to determ...
DNA methylation-based profiling of horse archaeological remains for age-at-death and castration.
iScience    February 5, 2023   Volume 26, Issue 3 106144 doi: 10.1016/j.isci.2023.106144
Liu X, Seguin-Orlando A, Chauvey L, Tressières G, Schiavinato S, Tonasso-Calvière L, Aury JM, Perdereau A, Wagner S, Clavel P, Estrada O, Pan J....Age profiling of archaeological bone assemblages can inform on past animal management practices, but is limited by the fragmentary nature of the fossil record and the lack of universal skeletal markers for age. DNA methylation clocks offer new, albeit challenging, alternatives for estimating the age-at-death of ancient individuals. Here, we take advantage of the availability of a DNA methylation clock based on 31,836 CpG sites and dental age markers in horses to assess age predictions in 84 ancient remains. We evaluate our approach using whole-genome sequencing data and develop a capture assay...
Horse-related injury patterns: a single center report.
Journal of orthopaedic surgery and research    February 2, 2023   Volume 18, Issue 1 83 doi: 10.1186/s13018-023-03549-3
Hoffmann MF, Bernstorff M, Kreitz N, Roetman B, Schildhauer TA, Wenning KE.For ages, humankind and horses have been closely related to occupational and recreational activities. The dangers of engaging with horses have been previously reported. Among sporting activities, horse riding is well-known for its risks. Despite multiple recommendations to wear protective gear, horse-related activities still comprise the risk of severe injuries. This study aimed to examine: (1) if specific mechanisms are correlated to particular injury patterns and (2) if injury types are related to patient demographics. Methods: From one level I trauma center, between July 2019 and July 2022 ...
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