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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.
Serial Postoperative Blood and Peritoneal Fluid Analysis and Ultrasonographic Assessment in Client-Owned Horses Undergoing Ventral Midline Exploratory Celiotomy for Colic. Postoperative monitoring, including evaluation of peritoneal fluid, is used to aid in the diagnosis and treatment plan for complications after colic surgery. The primary objective of this study was to determine serial venous and peritoneal postoperative variables, including L-lactate values in horses after ventral midline exploratory celiotomy. A secondary objective was to evaluate postoperative abdominal ultrasonography as a predictor of complications. A total of 36 client-owned horses with signs of colic undergoing ventral midline exploratory celiotomy were prospectively enrolled in the stud...
Centrifugation of peritoneal fluid improves visual assessment of strangulating lesions in equine colic. Early and accurate recognition of a strangulating lesion is essential to expedite surgical intervention in horses presenting with colic. Objective: To evaluate the use of a colour grading scale in the visual assessment of peritoneal fluid, before and after centrifugation, and assess its ability to predict the presence of a strangulating lesion. Methods: Prospective clinical study. Methods: Peritoneal fluid samples from 231 equids presenting with colic were visually analysed immediately after collection and assigned a numerical value based on a developed colour scale. Peritoneal fluid was centr...
Successful outcome of open distal interphalangeal joint luxation in equids treated by surgical debridement without internal implants. The distal interphalangeal joint (DIPJ) plays a crucial role in the function of the hoof and digit. Dislocations and subluxations in this region are rare and primarily of traumatic origin. Methods: This case report aims to describe two unusual cases of open DIPJ dislocation, including clinical presentation, diagnostic workup, treatment, and long-term follow-up. Both animals presented with open traumatic distal interphalangeal joint (DIPJ) luxation. In Case 1, the animal received initial care on the property 5 h post-trauma and presented with joint exposure and articular surface contact with th...
Proof of concept for low dose and delayed release of tigilanol tiglate in the treatment of equine sarcoids. Intra-tumoural administration of tigilanol tiglate has been shown effective in local treatment of cutaneous equine neoplasias. The drug causes rapid oncolysis and tumour slough, but may also be associated with comorbidities in sensitive and/or intricate anatomical sites due to its initial pro-inflammatory mode of action. Here we describe two approaches to optimise and further de-risk treatment of equine sarcoids with tigilanol tiglate, especially in difficult locations. Firstly, we provide preliminary clinical and observational data on the efficacy of low dose administration of tigilanol tigla...
Seizures and blindness onset zone in 7 horses undergoing radiographic myelography in lateral recumbency under inhalation anesthesia. Seizures and blindness are potential complications associated with myelography. Objective: Describe, classify, and determine onset zone of seizures and blindness in horses undergoing radiographic myelography in lateral recumbency. Methods: Seven young adult horses. Methods: Retrospective study. Horses with seizures or blindness associated with myelography were included. Results: Three horses with general proprioceptive ataxia and 4 neurologically normal horses (Warmblood = 4, Thoroughbred = 3), ages 9 (range, 3-16) years old. Iohexol (300 mg I/mL) from 50 to 60 mL (0.09-0.1 mL/kg) were ...
Histological differences in the placenta of three mares treated for ascending bacterial placentitis compared to physiological pregnancies. Ascending bacterial placentitis is a frequent cause of late pregnancy loss in mares. The histology of placentitis has been described but mainly with a focus on inflammatory changes. In this study, we assessed several aspects beyond inflammatory processes between mares foaling close to term during treatment for placentitis and physiological pregnancies. We included placental tissue from physiological term pregnancies (group PP; n = 8) and clinical cases with confirmed ascending bacterial placentitis (group PL; n = 3). Samples were collected from several locations of the allantochorion (cerv...
Spatial and temporal radiation exposure during equine bone scintigraphy: Implications for occupational safety and post-scintigraphy isolation. Bone scintigraphy is a valuable diagnostic modality in equine orthopaedics, but it is associated with occupational radiation exposure and regulatory requirements for post-procedural isolation. Objective: To quantify radiation dose rates emitted from horses undergoing bone scintigraphy, to evaluate the effects of distance (spatial) and time (temporal) on radiation exposure, and to derive evidence-based recommendations for post-scintigraphy isolation periods. Methods: Prospective, cross-sectional study. Methods: Twenty warmblood horses underwent musculoskeletal scintigraphy following intravenous...
Limb position, not exercise or sedation, affects power Doppler neovascularization detection in equine superficial digital flexor tendon core lesions. To determine the effect of limb position, exercise, and sedation on neovascularization detectability with the use of power Doppler ultrasonography (PDU) in superficial digital flexor tendon core lesions of the equine forelimb. Unassigned: 9 Thoroughbred horses with superficial digital flexor tendon core tendinopathies were assessed with PDU before lesion induction (week 0) and 12 weeks after lesion induction, with 5 horses in the study period ranging from January to April 2024 and 4 horses from January to April 2025. During weeks 0 and 12, ultrasound examinations were performed 24 hours apart,...
Serum physiology, fecal microbiota, and metabolome signatures associated with perinatal stage transitions in Mongolian mares. Lactation is a critical reproductive trait that influences offspring survival and livestock productivity in equine production. Characterizing physiological transitions during the perinatal period can improve our understanding of how mares adapt to late gestation, parturition, and early lactation. However, in horses-a typical monogastric herbivore with unique digestive characteristics-the associations between gut microbiota and perinatal physiological adaptation, as well as related stage-associated microbial and metabolic features, remain largely uncharacterized. Unassigned: In this study, para...
Walking prior to contrast tenogram radiograph acquisition improves radiological identification of equine digital flexor tendon sheath pathology. the protocol for mobilization of the fetlock region prior to acquiring a contrast tenogram radiograph is not clearly defined. Objective: to determine if walking exercise improves identification of DFTS pathology on contrast tenography. Methods: Prospective cohort study. Nineteen horses that underwent contrast tenography and subsequent surgical tenoscopy were included. A tenogram protocol was developed to enable comparison of diagnostic accuracy after increasing mobilization of the affected limb post-injection. Following contrast injection three tenogram radiographs were taken, (1) immediately ...
Effect of sample storage on pH-value in equine faeces. Measurements of pH-value in equine faeces are often performed in studies on nutrition and health in horses, but a standard protocol for it is lacking despite the knowledge that different sample handling may affect the pH-value. Sample handling prior to pH-measurement is often determined by practical settings and has been reported to vary in published studies within the area. The purpose of the current study was therefore to investigate the influence of different combinations of storage time and temperature on the pH-value in equine faecal samples in comparison to immediate pH-measurement at de...
Analgesic use, safety and pharmacokinetics of acetaminophen in equids: A structured scoping review. Despite its frequent use in equine clinical practice, scientific data on the use of acetaminophen in horses remain limited. Objective: To map and critically appraise the available evidence on the analgesic use, safety and pharmacokinetics of acetaminophen in horses. Methods: Structured scoping review. Methods: A comprehensive search was performed in accordance with the PRISMA Extension for Scoping Reviews using the terms '(paracetamol OR acetaminophen) AND (pain OR safety OR toxicosis OR pharmacokinetics) AND (horse OR pony OR donkey OR mule)' across Web of Science, Scopus, and PubMed from dat...
Intraoperative monitoring and anaesthetic complications in horses: A secondary analysis of the CEPEF4 multicentre cohort. CEPEF4 provides the most comprehensive contemporary dataset on perianaesthetic risk in horses. Intraoperative complications, monitoring and American Society of Anesthesiologists (ASA)-stratified associations with death remain incompletely described. Objective: To describe monitoring and complication incidence, assess associations with ASA physical status, and compare ASA-stratified mortality by complication status. Methods: Secondary analysis of a prospective, multicentre cohort study. Methods: Data from 47,371 equine general anaesthetics were analysed. Monitoring was described overall and by ...
Ethical monitoring of ovum pick-up procedures in domestic horses: A standardised self-assessment checklist for responsible veterinary practice. Assisted reproductive technologies (ARTs) have the potential to accelerate genetic improvement in selective equine breeding programmes while addressing specific reproductive challenges. One recent assisted reproductive technique in domestic horse breeding is Ovum Pick-Up combined with Intracytoplasmic Sperm Injection (OPU-ICSI). Despite their advantages, the implementation of these new procedures, like more established breeding methods, raises ethical concerns relating to aspects like animal welfare, staff safety, professional and veterinary practice integrity, which must be monitored and asse...
Allele frequencies of 7 inherited disorders in performance and random cohorts of American Quarter Horses (2020-2024). To estimate allele frequencies for genetic diseases in the American Quarter Horse (QH), including hyperkalemic periodic paralysis (HYPP), type 1 polysaccharide storage myopathy (PSSM1), malignant hyperthermia (MH), myosin-heavy chain myopathy (MYHM), glycogen branching enzyme deficiency (GBED), hereditary equine regional dermal asthenia (HERDA), and equine juvenile spinocerebellar ataxia (EJSCA), and to compare these frequencies over time among elite performance subgroups and a random cohort of registered horses. Unassigned: In this prospective genetic survey, DNA was extracted from 300 elite ...
Preliminary evaluation of beta-endorphin alone and in combination with adrenocorticotropic hormone for the diagnosis of pituitary pars intermedia dysfunction in equids. Limited published data exist regarding the diagnostic utility of beta-endorphin (β-END) for pituitary pars intermedia dysfunction (PPID), either compared with or in combination with adrenocorticotropic hormone (ACTH). Objective: To evaluate β-END as a potential diagnostic test for PPID in comparison with ACTH and to explore the diagnostic performance of combined tests. Methods: Ninety-eight equids aged 19-32 years, owned by the foundation "Stiftung für das Pferd," were included. Methods: A cross-sectional study was conducted in January 2025. Haircoat abnormalities were scored as absent, mi...
Microbiological, Molecular Diagnosis and Antimicrobial Resistance of Bordetella bronchiseptica in the Equine Reproductive Tract in Brazil. The genus Bordetella comprises 16 species of aerobic Gram-negative bacteria, with the most notable being B. pertussis, B. parapertussis and B. bronchiseptica. The latter stands out for its ability to infect various hosts, causing both respiratory and reproductive issues, such as endometritis and infertility in mares. These infections impair reproductive efficiency and facilitate the spread of the pathogen among susceptible animals. Objective: The present study aimed to report the isolation and molecular diagnosis of B. bronchiseptica associated with endometritis and infertility in mares in Bra...
[Puncture wounds of the equine hoof – a retrospective study of 96 cases – Part 2: Management and prognosis]. Puncture wounds are a common and potentially life-threatening injury in equine veterinary practice. The aim of this study was to systematically analyze data from horses presenting to the clinic with a puncture wound. Unassigned: A retrospective study was conducted on patient data from horses with a puncture wound in the period from September 2008 to August 2024. Analyzed data included medical management and surgical treatment, complications, duration and costs of hospitalization, short-term survival rate and treatment success. Unassigned: A total of 96 horses met the inclusion criteria. Seven ...
Mesenchymal stem cells in veterinary clinical practice: Evidence from naturally occurring diseases. Over the past two decades, the use of mesenchymal stem cells (MSCs) in veterinary medicine has expanded rapidly, although the clinical evidence remains in its early stages. This review discusses clinical studies involving client-owned animals with naturally occurring diseases in which MSCs or MSC-derived extracellular vesicles (EVs) were used as treatments. It covers musculoskeletal disorders, including osteoarthritis, tendon and ligament injuries, and bone diseases; soft-tissue and oral mucosal conditions; neurological disorders; ophthalmic diseases; and internal medicine disorders, such as i...
Measuring Activity-Rest Condition by Using Two Different Accelerometer Devices in Trained and Retired Horses. To advance technological applications in animal welfare assessment, this study evaluated resting activity as a component of total locomotor activity (TLA) in horses using two different accelerometer devices: a collar-mounted device containing a single-axis accelerometer that records physical movement, and a three axes accelerometer that classifies the measured physical activity into nine different activities. Ten clinically healthy Italian saddle horses were enrolled in the study and divided into two groups on the basis of their lifestyle. Group A consisted of regularly trained horses housed c...
Horses with pituitary pars intermedia dysfunction have an altered fecal short-chain fatty acid profile. Pituitary pars intermedia dysfunction (PPID) is a prevalent endocrine disease in older horses sharing pathogenetic features with Parkinson disease, including dopaminergic neurodegeneration and α-synuclein aggregation. This study was conducted to determine whether horses with PPID exhibit changes in short-chain fatty acid (SCFA) profiles as described in Parkinson disease, providing further evidence for involvement of a microbiota-gut-brain axis in the pathogenesis of PPID. Unassigned: Prospective case-control study including 22 horses > 12 years of age. Diagnosis of PPID was based on clinical ...
Epidural 0.125% ropivacaine is safe but insufficient for induced tibiotarsal joint pain. Epidural injection of a low concentration of the local anaesthetic ropivacaine produces analgesia without neurological deficits or ileus in people. Objective: To determine if epidural 0.125% ropivacaine mitigates induced hindlimb lameness in horses while preserving neurological function and gastrointestinal (GI) motility. Methods: Randomised, blinded, controlled, crossover study. Methods: Eight healthy, sound horses underwent two treatments in random order, separated by at least 3 weeks: epidural saline or epidural ropivacaine. For each treatment, an epidural catheter was inserted at the fir...
Administration of the Postbiotic Substance 412 to Slovak Warm-Blooded Horses: A Pilot Experiment. Antimicrobial proteinaceous postbiotic substances (PS) and/or bacteriocins can beneficially influence animal health, as previously shown with enterocins from non-autochthonous enterococcal strains. Therefore, the effectiveness of PS 412, produced by our beneficial autochthonous strain EF 412, was assessed in horses. In the pilot experiment, PS 412 was administered to 12 horses of various ages and breeds for 21 days via a small feed ball. Sampling was performed on days 0/1, 21, and 42 (after a 3-week cessation of PS 412). The horses served as their own controls. Although the number of horses w...
Validation of a handheld smartphone markerless method for quantifying thoracolumbar flexion-extension range of motion in horses at trot. Back pain and poor performance in horses are difficult to assess objectively and thoracolumbar flexion-extension range of motion (FE) is not reliably evaluated by subjective observation alone. A handheld, smartphone-based markerless computer vision system (RealHorse®; RH) may enable objective clinical and field-based FE assessment but requires validation against an established optical motion capture reference system (Qualisys®; QS). Objective: To compare the accuracy and precision of RH relative to QS for measuring FE in horses trotting on a straight line and on a circle. Methods: Cross-sect...
Evaluation of a commercial multiplex immunoassay for assessing uterine inflammation in mares susceptible to persistent breeding-induced endometritis. Persistent breeding-induced endometritis (PBIE) is characterized by a prolonged and dysregulated uterine inflammatory response following breeding. Although inflammatory cytokines are central to the post-breeding immune response, their assessment in the equine uterus has historically relied largely on gene expression analyses. Multiplex immunoassays provide an opportunity to simultaneously quantify multiple cytokine proteins within uterine secretions; however, the application of equine-specific multiplex immunoassays utilizing the Luminex platform to low-volume uterine lavage (LVL) fluid remain...
Quantifying the Equine Pain Response to Paracetamol Administration in Horses With Chronic Lameness Already Receiving Non-Steroidal Anti-Inflammatories. Paracetamol is used in horses alongside non-steroidal anti-inflammatories (NSAIDs) for multi-modal analgesia; however to date there are few studies published which have investigated its analgesic effect in the horse. Horses were recruited to this study from a population of geriatric horses at The Horse Trust. Horses were selected based on the following inclusion criteria; documented naturally occurring chronic lameness and being treated with an NSAID at the licensed dose and dosing interval. This population was assessed with a five-point subjective lameness grading system performed live by two...
Wound healing of experimental cutaneous wounds in horses: comparison between a topical formulation containing powdered coconut water and an antimicrobial ointment. Skin wounds in horses often present prolonged healing, stimulating the search for alternative topical therapies. To date, there are no experimental studies in horses evaluating topical formulations containing powdered coconut water. Objective: To compare the early macroscopic and morphometric wound-healing outcomes and the histopathological findings at day 14 in experimental cutaneous wounds in horses treated with a topical formulation containing powdered coconut water versus a reference antimicrobial ointment. Methods: Eight clinically healthy horses received two standardized circular skin wo...
Effects of omeprazole therapy administered via different routes on urinary parameters and selected interleukins in horses with equine gastric ulcer syndrome. Equine gastric ulcer syndrome (EGUS) is commonly treated with proton pump inhibitors such as omeprazole, administered orally or by injection. In humans, omeprazole has been associated with acute interstitial nephritis (AIN) and acute kidney injury (AKI), potentially linked to oxidative stress, and urinary interleukins may serve as early non-invasive markers. However, this association has not been established in horses. Objective: To evaluate the effects of oral and injectable omeprazole on basic urinary parameters and selected interleukin levels, with particular emphasis on the potential risk ...
