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Topic:Clinical Study
Clinical studies in equine research involve the systematic investigation of health and disease in horses through structured scientific methods. These studies aim to evaluate the safety and efficacy of treatments, understand disease mechanisms, and improve veterinary care practices. Clinical studies can include randomized controlled trials, observational studies, and case-control studies. They may focus on various aspects such as pharmacokinetics, therapeutic interventions, and diagnostic techniques. This page compiles peer-reviewed research studies and scholarly articles that explore the design, implementation, and findings of clinical studies in equine medicine, providing insights into their impact on horse health and veterinary practices.
Incidence of complications from perioperative urinary catheterisation in horses. Catheterisation of the urinary bladder is a common procedure during perioperative care of horses. Benefits of urinary catheters include a reduction in the risk of recovery-associated slip hazards as a consequence of voided urine and the measurement of urine output during anaesthesia. However, there is little information regarding the risks associated with this procedure. A retrospective cohort study was undertaken in horses admitted to a university teaching hospital for surgery during which a urinary catheter was placed perioperatively. Data were retrieved from clinical records including signa...
Extracellular Vesicle-Derived microRNA Crosstalk Between Equine Chondrocytes and Synoviocytes-An In Vitro Approach. This study describes a novel technique to analyze the extracellular vesicle (EV)-derived microRNA (miRNA) crosstalk between equine chondrocytes and synoviocytes. Donor cells (chondrocytes, n = 8; synoviocytes, n = 9) were labelled with 5-ethynyl uridine (5-EU); EVs were isolated from culture media and incubated with recipient cells (chondrocytes [n = 5] were incubated with synoviocyte-derived EVs, and synoviocytes [n = 4] were incubated with chondrocyte-derived EVs). Total RNA was extracted from recipient cells; the 5-EU-labelled RNA was recovered and sequenced. Differential expression analysi...
Intratumoural tigilanol tiglate in the multicentre treatment of equine sarcoids and cutaneous melanomas. Intralesional chemotherapeutic administration represents an important treatment option for equine cutaneous neoplasia. Tigilanol-tiglate (TT), a novel molecule extracted from Fontainea picrosperma, an Australian rainforest plant, is registered for intratumoural treatment of canine MCT, leading to rapid oncosis and tumour slough. Evidence from horses is limited but suggests that efficacy may be similar. Objective: To evaluate the response to intratumoural TT treatment in horses with sarcoids (fibroblastic/nodular) and cutaneous melanomas. Methods: Two noncontrolled prospective multicentre clini...
Survey of the antimicrobial susceptibility of Escherichia coli isolated from horses admitted to the Western College of Veterinary Medicine, Saskatoon, Saskatchewan. Antimicrobial resistance is a serious threat in human and veterinary medicine. Among the most problematic resistant organisms are the extended-spectrum β-lactamase (ESBL)-producing Enterobacterales, which are resistant to the 3rd-generation cephalosporins. The purpose of this study was to determine the frequency of colonization of horses admitted to the Western College of Veterinary Medicine with resistant Escherichia coli. Unassigned: Rectal swabs were collected from 60 horses admitted between November 2021 and March 2022. Swabs were selectively cultured for E. coli, which was identified usi...
Equestrian Trauma in an Urban Environment: A Retrospective Analysis in a Level I Trauma Center. Equestrian trauma is recognized as a high-risk injury mechanism with the potential for significant morbidity and mortality. Although horse-related injuries are more frequently seen in a rural environment, they can also occur in urban settings. Urban physicians should be mindful of these potential cases. Methods: A retrospective review was performed on all patients treated at Nassau University Medical Center, East Meadow, New York, for equestrian-related trauma from January 1, 2000, to December 31, 2024. Results: Twenty-nine equestrian trauma patients ages 10-70 were included, with injuries ob...
Equine Blood Microbiome in a Cohort of Clinically Healthy Trail Riding Horses. Emerging research suggests the presence of a blood microbiome in clinically healthy individuals. Characterizing bacterial composition and abundance in blood from a group of healthy horses is of clinical interest. Objective: Horses in a closed herd environment will have blood microbiomes with similarities among individuals. Methods: Twenty trail-riding horses of different breeds and ages living in relative isolation on a dry lot pasture in Colorado at 7680 ft elevation. Methods: Cross-sectional study. Blood was collected from the jugular vein into serum, blood collection, and EDTA tubes. Samp...
Pain Assessment of Horses With Trigeminal-Mediated Headshaking (TMHS) at Rest Between Episodes. While there is agreement that horses experience pain during the actual headshaking attacks, there is still a lack of research about the time between the individual episodes in this species. Objective: To evaluate the signs of pain in horses with TMHS at rest in the absence of common triggering factors. Methods: Twenty TMHS horses (not head shaking at the time of pain assessment), 20 horses with colic, and 20 clinically healthy horses. Methods: Descriptive study assessing pain in TMHS horses during the absence of clinical signs using the Horse Grimace scale (HGS). To grade the pain shown with T...
The Effect of Vaccination Status on Total Lymphocyte Count in Horses Affected by Equine Herpes Virus-1 Myeloencephalopathy. Equine herpesvirus 1-induced myeloencephalopathy has a significant impact on the equine industry. Nevertheless, the clinical variables that may affect the severity of the disease are still under investigation. The objective of this research is studying the relationship between the level of lymphopenia and vaccination status with the severity of the disease in horses at an event, considering whether they had been correctly vaccinated or not prior to exposure to EHV-1. Ten horses were admitted to a veterinary teaching hospital following an equine herpesvirus myeloencephalopathy outbreak during a...
Benefits of horseback riding for neurotypical children and adolescents: a scoping review. To investigate evidence of horse riding in the development of language, cognition, social, emotional, and behavioral aspects in neurotypical children and adolescents. Methods: Search in the databases of LILACS, MEDLINE, Web of Science, EMBASE, Scopus, and grey literature, without date or language restrictions. Registration in the Open Science Framework (OSF), under number DOI 10.17605/OSF.IO/32ETZ. For search strategies: "Equine-Assisted Therapy", "Child or Adolescent Development", Cognition, Socialization, and "Child Behavior". Methods: Randomized clinical trials and non-randomized experiment...
Combining in vivo and in vitro approaches to investigate the effect of sainfoin on strongyle infection, immunity and large intestine ecosystem of horses. Sainfoin (Onobrychis viciifolia), a polyphenol-rich plant, has shown promising anti-parasitic properties in ruminants, but results in horses are fewer and inconsistent. The mechanisms of action involved are not fully understood and different factors may influence its anti-parasitic properties. Recently, it has been shown that the effect of sainfoin depends on the horse's diet. Indeed, the inclusion of dehydrated sainfoin pellets in a high starch diet limited the rate of increase in strongyle egg shedding over a short period of time (21 days). The objective of this study was to evaluate, in viv...
Influence of antimicrobial prophylaxis in horses undergoing sutured castrations. To investigate the influence of surgical antimicrobial prophylaxis (SAP) on complication rates and surgical site infections (SSI) in horses undergoing sutured castration in a hospital setting. Methods: Retrospective chart review of a convenience sample. Methods: A total of 220 colts and stallions admitted for sutured castration. Methods: Medical records of sutured castration were assessed for patient characteristics, perioperative and postoperative medications, and postoperative complications within 6 weeks after surgery. The effect of these variables on the occurrence of complications was a...
Effect of pre-freeze sperm concentration, freezing extender, and epididymal flushing technique on post-thaw quality of cryopreserved epididymal stallion sperm. Cryopreservation of stallion epididymal sperm has become a common clinical procedure after routine castration, euthanasia, or acute death. Unique features of epididymal sperm compared to ejaculated sperm include the requirement to remove sperm from the cauda epididymis, lack of exposure to seminal plasma, and potential recovery of large sperm numbers. In this study, the effect of the flushing technique (Extender (INRA) vs. AIR), freezing extender (LE, CMLE, MFR5, CFR5, or BOTU), and the concentration at which sperm are cryopreserved (200, 400, or 800 × 10 sperm/mL) on post-thaw epididymal s...
Cardiopulmonary effects of oral trazodone administration prior to isoflurane anesthesia in healthy horses. To determine the cardiopulmonary effects of oral trazodone before isoflurane anesthesia in systemically healthy horses. Unassigned: 12 horses donated for euthanasia (from August 2022 through June 2023) due to conditions unrelated to the cardiovascular system were included in this prospective, randomized, controlled trial. Horses were assigned to receive oral trazodone (6 mg/kg; n = 7) or corn syrup (n = 5) 1 hour before xylazine (1 mg/kg, IV) sedation, ketamine (2.2 mg/kg, IV) and propofol (0.7 mg/kg, IV) induction, and anesthetic maintenance with inhaled isoflurane (target 1.6% expired) for 7...
Comparison of prevalence and strongyle egg counts per gram of feces in horses at pasture and in stables following ivermectin/praziquantel treatment. Equine strongyle infections are prevalent among grazing horses worldwide, yet research on anthelmintic efficacy and parasite management strategies in South Korea remains limited. This study investigated the infection dynamics and parasite burden in horses managed under different systems (pasture vs. stable) over a one-year period in Jeju, South Korea, assessing the impact of management practices on parasite burden and the effectiveness of current deworming regimens. Thirty-two horses were administered ivermectin/praziquantel in June 2022 and assigned to either pasture (n = 16) or stable (n...
Description of a Modified Two-Step Omphalectomy Technique Using the LigaSure™ Device to Remove the Whole Extrahepatic Umbilical Vein: A Case Series Study in Equine and Donkey Foals. Umbilical disorders are common in equids, although scarce information is available in donkeys compared to horses. Foals with these disturbances have high morbidity and mortality rates. The conventional omphalectomy technique does not remove the whole umbilical vein, which can lead to infection in the remnant vein or even liver abscess. At the moment, if the whole umbilical vein needs to be removed, a longer ventral midline incision must be performed, which is linked with several complications. This retrospective case series study focused on a modified two-step omphalectomy using the LigaSureTM...
Fecal Secretory Immunoglobulin A and Lactate Level as a Biomarker of Mucosal Immune Dysfunction in Horses With Colic. Colic-related obstructions can reduced intestinal mucosa function and cause dysbiosis in horses, but it is unclear how defense barrier and secretory immunoglobulin A (SIgA) secretion is disrupted. Objective: The aim of the study is to evaluate the effect of severity of colic signs and treatments on fecal SIgA and fecal lactate in horses. Methods: Sixty-two client owned hospitalised horses with colic and eight healthy horses. Methods: Prospective clinical trial. Fecal samples were taken daily for 7 days. SIgA was analyzed using ELISA, and D/L-lactate measured with a commercial kit. Results: A...
Collecting equine whole blood in glass tubes does not decrease adrenocorticotropic hormone concentration compared to plastic tubes. Pituitary pars intermedia dysfunction is diagnosed using immunoreactive ACTH concentrations. Glass reportedly binds ACTH, but the clinical relevance of using glass blood tubes for measuring equine ACTH concentrations is controversial. This study investigates whether the collection of whole blood into glass EDTA tubes and storage for up to 6 hours changes ACTH concentrations compared to plastic EDTA tubes. Unassigned: This was a cohort study. Whole blood was collected into both glass and plastic EDTA tubes from 9 horses > 12 years of age, including 4 with pituitary pars intermedia dysfunction a...
Best practices for physiological data collection in youth with autism and co-occurring mental health diagnoses: Implications for human-animal intervention research. The purpose of this paper is to serve as a catalyst for the human-animal interaction research field to improve scientific rigor and accelerate the knowledge of field-based physiological responses during equine-assisted services in youth with autism spectrum disorder. This paper outlines the best practices for collecting and analyzing electrocardiogram and electrodermal activity in youth with autism spectrum disorder, utilized during a 10-week therapeutic horseback riding intervention.•Motivation strategies such as device choice, reward systems, and a visual schedule should be implemented to ...
Clinical use of antimicrobial regional limb perfusion in adult horses diagnosed with synovial sepsis or penetrating synovial wounds at a single equine referral hospital in the Midwest United States-163 cases (2010-2020). The clinical outcomes in horses diagnosed with established synovial sepsis (SS) or minimally contaminated synovial wounds (SW)/non-established sepsis, following intravenous regional limb perfusion (IVRLP) treatment, have not been reported since 2010. Additionally, previous reports on this subject were confined to just two clinical retrospective reports. This study aimed to provide an update on the short-term (hospital discharge) and long-term (≥1 year) survival rates in adult horses diagnosed with SS or SW treated with IVRLP at a single institution in the USA from 2010-2020. The study also...
A retrospective analysis of canine, feline, and equine respiratory polymerase chain reaction panels performed at the New York State Animal Health Diagnostic Center (January-December 2023). To analyze the results and metadata of canine, feline, and equine respiratory PCR panel assays performed at the New York State Animal Health Diagnostic Center and inform veterinary diagnostic sample submission. Unassigned: This retrospective study reviewed laboratory data from routine sample submissions to the Animal Health Diagnostic Center for canine, feline, and equine respiratory PCR panels from January 1 through December 31, 2023. Associations were compared between variables using χ2 tests of independence or Fisher exact tests. Unassigned: A total of 1,902 canine, feline, and equine resp...
Combined standing low-field magnetic resonance imaging and fan-beam computed tomographic diagnosis of fetlock region pain in 27 sports horses. There is no description of comparative magnetic resonance imaging (MRI) and fan-beam computed tomography (CT) findings in the fetlock of lame sports horses. Objective: To document low-field MRI and fan-beam CT diagnoses in the lame and nonlame limbs of sports horses with fetlock region pain, and to evaluate whether combined imaging provides superior information to either technique alone. Methods: Retrospective descriptive study. Methods: Clinical records of sports horses with pain causing lameness localised to the metacarpo/metatarsophalangeal joint region that had undergone fan-beam CT and lo...
Equine colic outcomes and prognostic factors at a South African academic hospital (2019-2021). Colic is a common equine emergency requiring medical or surgical intervention. These interventions can be costly, making outcomes data and prognostic indicators essential for guiding referral and treatment decisions. Objective: To determine survival rates to hospital discharge and evaluate prognostic indicators in equine colic cases treated at a referral hospital (Onderstepoort Veterinary Academic Hospital [OVAH], South Africa). Methods: This retrospective observational cohort study analysed records from horses with colic that were presented to the OVAH from January 2019 to August 2021. Data i...
A single-centre retrospective study of surgical site infection following equine colic surgery (2013‒2021). Surgical site infection (SSI) is a significant cause of postoperative morbidity following equine laparotomy. Therefore, if risk factors for SSI can be identified, morbidity may consequently be reduced. The objectives of this study were to determine the prevalence of SSI in horses undergoing exploratory laparotomy at a single hospital over an 8-year period (2013‒2021), investigate the risk factors associated with SSI and report on the bacterial isolates identified. Methods: The medical records of horses that had an exploratory laparotomy performed at the teaching hospital due to colic were r...
Ex Vivo Pharmacokinetic/Pharmacodynamic Integration Model of Cefquinome Against Escherichia coli in Foals. Cefquinome is used to treat septicemia caused by () and respiratory infections caused by subsp. in foals. However, studies reporting the use of cefquinome to target as pathogens of sepsis are lacking. Therefore, this study aimed to determine the optimal dosage regimen for cefquinome against using a PK/PD model. After the administration of 1 mg/kg cefquinome (intramuscularly or intravenously), blood samples were collected at different time points to determine the serum concentration of cefquinome via HPLC. The pharmacokinetic parameters were evaluated via NCA (WinNonlin 5.2.1 software). Th...
How Nutrigenomics Impacts Equine Health – A Case Study of Vitamin E. Nutrigenomics defines the interaction between the nutrients in our food and the genes in our body. Examples from human medicine of diseases and associated genes include lactose intolerance (genetic variants in LCT lactase), hypercholesteremia (low density lipoprotein receptor, LDLR) and caffeine sensitivity (adenosine A2A receptor, ADORA2A). In horses, examples include Hyperkalemic Periodic Paralysis (HYPP), where clinical signs of disease are managed through maintaining a diet low in potassium and Polysaccharide Storage Myopathy Type 1 (PSSM1), where low starch and high fat diets are recommen...
Sperm Motility Evaluation in Stallion Fresh, Cooled and Frozen Semen Using a Portable Computer-Assisted Sperm Analysis System. Semen analysis is an important laboratory diagnostic test for stallions. Evaluation of sperm motility is integral to basic semen analysis and results are important for breeding management and clinical practice. Computer-assisted sperm analysis (CASA) allows objective sperm motility evaluation and increases analytical precision. The objective of the present study was to validate a portable CASA system (AndroScope). Fresh/cooled semen samples (33 ejaculates, 18 stallions) and frozen semen (40 ejaculates and one epididymal flush, 27 stallions) were evaluated using the AndroScope and the IVOS II C...
Experimental comparison of caudal wedge ostectomy to cranial wedge ostectomy for surgical treatment of overriding/impinging spinous processes in horses. Caudal wedge ostectomy has not been investigated for overriding or impinging spinous processes (SPs). Objective: To establish the feasibility of caudal wedge ostectomy and compare measures of surgical trauma and error between hypothetical caudal and cranial wedge ostectomies on SPs of different inclinations. Methods: Experimental, method comparison study. Methods: Computed tomography and caudal wedge ostectomy surgery were performed on four cadavers. Observations, technical difficulties, and surgical errors were recorded. Radiographs from 67 horses with overriding/impinging SPs were reviewed. ...
Effects of vatinoxan on gastrointestinal motility, sedation, and antinociception during and after long-lasting detomidine infusion in horses. Sedation in horses is typically achieved using alpha-2 adrenoceptor agonists, although their use is associated with multiple side effects. A peripheral alpha-2 adrenoceptor antagonist, vatinoxan, can alleviate many of these. Objective: To evaluate the effects of vatinoxan infusion on gastrointestinal motility, sedation, and antinociception in horses sedated with detomidine infusion. Methods: Randomised, blinded cross-over in vivo experiments. Methods: Eight horses were given two 4-h infusions: detomidine (0.01 mg/kg + 0.015 mg/kg/h IV) (DET) and a combination of detomidine and vatinoxa...
