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.
Return to Athletic Activity of a Shetland Pony Mare with Coxofemoral Luxation Treated by Femoral Head Ostectomy. Femoral head ostectomy is considered a salvage procedure in the treatment of chronic coxofemoral joint luxation in small equids. Permanent lameness of varying degrees, largely depending on the animal's weight, and potential contralateral limb deformity may occur. The purpose of this study was to report the outcome of a small equid that, despite undergoing a femoral head ostectomy for a chronic coxofemoral joint luxation, was able to return to being ridden by children and to athletic activities. Methods: An 8-year-old Shetland pony mare (180 kg) was presented for a chronic right hind limb lamen...
Echocardiographic and clinical effects of two sedative doses of Dexmedetomidine in healthy horses. The effects of dexmedetomidine (DEX), as a sedative drug, on echocardiographic measurements have been investigated in many species but not in horses. Therefore, this study aimed to evaluate the echocardiographic and clinical effects of two sedative doses of DEX in healthy horses. Six female crossbred horses weighted 250-330 kg underwent echocardiography before and after sedation by intravenous administration of a low dose of 3.5 μg/kg (LD) and a high dose of 7 μg/kg (HD) of DEX. A significant increase (p≤ 0.05) was observed in the diameters of the pulmonary artery and the left atrium measu...
Sensitization to Horse Allergens-Molecular Analysis Based on the Results of Multiparameter Tests. The domestic horse is the third most common source of animal allergens. Currently, five equine allergens have been classified (Equ c 1, 2, 3, 4, 6). Despite the apparently low exposure to allergens, equine allergy is still of great clinical importance. The aim of the study was to analyze equine allergy based on the results of ImmunoCAP ISAC and Allergy Xplorer ALEX tests. The study was retrospective. A total of 1553 patients were analyzed. Immunological tests were performed using the ImmunoCAP ISAC and Allergy Xplorer ALEX systems. From all the results, those with a positive result for at leas...
Plasma and Urine Pharmacokinetics of Long-Acting Injectable Omeprazole Following Intramuscular Administrations to Healthy Thoroughbred Horses. Omeprazole is a gastric acid secretion inhibitor used as an effective anti-ulcer drug. Based on oral administration studies, its International Screening Limit (ISL) was established in plasma and urine at 1 ng/mL with a Detection Time (DT) of 48 h. A novel formulation of injectable omeprazole has since been released, and therefore, a pharmacokinetic study was performed to assess the DT above the ISL against current advice. Six Thoroughbred horses were given four repeated weekly intramuscular administrations of omeprazole (4 mg/kg). Plasma and urine omeprazole concentrations were measured ...
Investigation of the role of exercise in the detection of selected respiratory pathogens from nose wipes collected from healthy horses. This study aimed to determine if exercise increases the frequency of selected respiratory viruses/bacteria shedding in non-clinical horses using nose wipes. Nose wipes were taken pre- and post- exercise from 133 healthy horses of various ages and disciplines. Wipes were assayed for the presence of selected common (equine herpesvirus-1 (EHV), EHV-4, S. equi spp equi) and commensal (EHV-2, EHV-5, S. equi spp zooepidemicus) respiratory pathogens. The frequency of detection increased significantly (p < 0.05) in the post-exercise wipes for EHV-1, EHV-2, EHV-5, and S. zooepidemicus. EHV-4 and S. equ...
Pulmonary disposition and pharmacokinetics of a single oral dose of chloramphenicol in healthy fasted adult horses. To describe and compare the pulmonary and plasma pharmacokinetics of different oral formulations of chloramphenicol administered as a single dose to healthy adult horses. Unassigned: A single dose of chloramphenicol was administered to 6 healthy, university-owned fasted adult horses IV (25 mg/kg), orally as commercial tablets (50 mg/kg), or orally or intragastrically as compounded suspension (50 mg/kg), according to a randomized crossover protocol. Plasma was collected 5, 10, 15, 20, and 30 minutes and 1, 1.5, 2, 3, 4, 6, 8, 12, and 24 hours after drug administration. Bronchoalveolar lavage (B...
Time but not storage of equine plasma in silicate-coated tubes affects adrenocorticotropic hormone stability. Pituitary pars intermedia dysfunction (PPID) is diagnosed by measuring the ACTH concentrations. Due to the reported instability of ACTH, it is recommended to transfer centrifuged plasma into cryovials; however, in practice, cryovials are infrequently used, and serum (red-top) tubes are used instead. This study investigated whether this procedure affects ACTH concentrations and the diagnosis of PPID. Unassigned: This was a cohort study. Blood was collected into EDTA tubes from 9 horses with PPID and 7 controls. After centrifugation, plasma was either aliquoted into a cryovial or into a serum tu...
The inability of spectral Doppler ultrasonography to identify stallions with testicular dysfunction. This retrospective study aimed to validate the usefulness of spectral Doppler ultrasonography in diagnosing testicular dysfunction in stallions. The first part of the study included a pony stallion with age-related testicular degeneration (18 - 21 yrs. old). Testicular dimensions, spectral Doppler parameters of testicular blood flow, and semen parameters were obtained numerous times from this pony over four consecutive years. While testicular volume decreased dramatically, and the stallion became azoospermic, there were no changes in any of the spectral Doppler parameters of testicular blood f...
Equine Odontoclastic Tooth Resorption and Hypercementosis (EOTRH) in Icelandic Horses in Germany: A Correlation Between Clinical and Radiographic Findings. Equine odontoclastic tooth resorption and hypercementosis (EOTRH) is a widespread dental disease with an unknown aetiology, mainly affecting the incisors and canine teeth of senior horses. Being clinically asymptomatic in early stages but progressively destructive and painful in many cases highlights the need for improvements in early diagnosis of EOTRH. This study describes how clinical and radiological findings correlate with distinguishing EOTRH-specific symptoms from non-specific findings. Clinical and radiographic examinations of the rostral oral cavity were performed in 154 Icelandic hor...
Evaluation of Bacterial Cellulose/Alginate-Based Hydrogel and Frog Skin Dressings in Equine Skin Wound Healing. This study evaluates the wound-healing process in horses following the application of two treatment modalities: bacterial cellulose hydrogel with alginate (BCAW) and frog skin (FSW) dressings on experimentally induced skin wounds. Throughout the experiment, no clinical abnormalities were noted in the horses, although initial wound assessments indicated edema and sensitivity. Local hemorrhage was observed in some cases on Day 0, with granulation tissue formation evident by Day 14. Epithelialization began around Day 14 but did not reach complete healing in any group by Day 28. The analysis showe...
Age is associated with the requirement for surgery in horses with nephrosplenic ligament entrapment of the large colon at a single UK equine referral hospital. Conservative and surgical management of left dorsal displacement and nephrosplenic ligament entrapment of the large colon (NSLE) is well described in horses. Whilst breed factors predispose the development of NSLE, it is unknown if breed affects the likelihood for surgical intervention. Objective: To compare the incidence of surgical intervention and differences in pre-operative parameters between Thoroughbred and non-Thoroughbred horses. The authors hypothesise a higher proportion of Thoroughbreds require surgical intervention. Methods: Retrospective cross-sectional study. Methods: Case recor...
A Safety and Efficacy Study of a Synthetic Biolubricant in an Equine Model of Post-Traumatic Osteoarthritis. Post-traumatic osteoarthritis (PTOA) is a common cause of lameness in the horse. There is no cure, therefore treatments are aimed at reducing pain and improving the joint environment by modifying inflammatory pathways or by viscosupplementation. Here, we report the safety and efficacy of the biolubricant (poly(2-methacryloyloxyethyl phosphorylcholine; pMPC) to mitigate the physical, gross, histological, and biochemical effects of arthritis. We created an osteochondral fragment in the middle carpal joint of one limb in 16 horses to induce PTOA; the contralateral limb served as a sham-operated j...
The concurrent use of 2.5% polyacrylamide hydrogel and betamethasone esters for intra-articular injection is well tolerated in 10 healthy horses. This study assessed the safety and tolerability of concurrent intra-articular (IA) injection of 2.5% polyacrylamide hydrogel (2.5% iPAAG) and betamethasone sodium phosphate and betamethasone acetate esters (BME) in the metacarpophalangeal joints (MCPJs) of healthy horses. Methods: 10 healthy therapeutic riding horses were enrolled in this open-label safety study from August 1 to September 14, 2023. Inclusion criteria required normal physical examinations, insulin level, hematology, biochemistry, soundness at all gaits, and negative forelimb flexion tests. Screening occurred from days -14 to -0...
Vitamin E concentrations in hospitalized adult horses and foals. To determine the prevalence of vitamin E deficiency in horses at admission and at the time of discharge. The hypothesis was that vitamin E concentrations would decrease during hospitalization. Methods: A prospective cohort study was performed of client-owned horses admitted as patients or companions through the emergency service at a tertiary referral center. Exclusion criteria included vitamin E supplementation. Whole blood was collected into an additive-free tube at the time of admission for all horses and at discharge if the horse was hospitalized for a minimum of 5 days. Serum vitamin E co...
Laparoscopic Inguinal Hernioplasty with a Polyether Ether Ketone Anchoring Device in Intact Male Horses Does Not Compromise Testicular Perfusion, Sperm Production or Motility Characteristics. A new surgical technique using a polyether ether ketone (PEEK) anchoring device for testicle-sparing laparoscopic inguinal hernioplasty in stallions was described in 2023 and is known as the PEEK harpoon technique (PHT). In breeding stallions, it is essential that the surgery is effective in preventing inguinal hernia but also that it does not impair the testicular function. This study aims to evaluate whether the PHT may affect testicular function. To achieve that, changes in the testicular blood flow, sperm production and motility characteristics were assessed 28 days after use of the PHT. S...
Remodelling of the healthy foal’s conjunctival microbiome in the first two months of life. The aim of the study was to explore and characterise healthy foals' eye microbiomes in the first two months of life. Unassigned: Conjunctival swabs were collected three times, not later than 12 h after delivery and again at the end of the first and the second months of life from six clinically healthy foals of the Polish Konik breed. The average interval between the first and second samplings was 33.3 days and between the second and third was 35.6 days. Next-generation sequencing performed on a MiSeq sequencer in paired-end technology was used to analyse the composition of the conjunctival mic...
Dickkopf-1 is present in equine platelet-rich plasma and correlates to platelet concentration. To determine if equine platelet-rich plasma (PRP) contains Dickkopf-1 (Dkk-1) and, if so, to quantify the amount of Dkk-1 in bovine thrombin (BT)-activated PRP and a control platelet lysate created using a freeze-thaw (FT) method. Unassigned: 10 adult horses were used in this experimental study. Blood was collected and processed in November 2019 and stored at -80 °C until the ELISAs were performed in October of 2023. Blood was collected from each horse, and PRP was created using a commercially available kit. Known concentrations of platelets were activated using BT or by an FT cycle to create...
Circulating concentrations of vitamins C, D and E vary with age but not with pneumonia status in foals during the first 5 months of life. Adequate vitamin availability is vital for cellular and immune function and for normal growth. Available data on age-related changes in serum concentrations of vitamins in foals are limited. In addition, associations between circulating vitamin concentrations and the development of bronchopneumonia in foals are not described. Objective: (1) To quantify circulating concentrations of vitamins C, D and E from birth to weaning in foals; (2) to determine associations between vitamin concentrations and the development of bronchopneumonia during this period. Methods: Prospective cohort study. Methods...
Effect of an adjustable ceiling to prevent premature rising attempts after general anesthesia in healthy ponies and horses: A pilot study. This study aimed to assess and compare the recovery of ponies and horses following general anesthesia in two different settings: a recovery box with an inflexible, adjustable ceiling, and free recovery without restraints. Our primary objective was to evaluate the effect of adjustable ceilings on the prevention of premature attempts to rise during recovery. The secondary aim was to compare the physiological stress indicators during recovery. Methods: Prospective, randomized, experimental study. Methods: Six healthy ponies and 10 healthy horses. Methods: This study used a crossover design with t...
Objective assessment of acute pain in foals using a facial expression-based pain scale. Pain assessment based on facial expressions has been described in foals. Objective: To extend previous pilot findings of the Equine Utrecht University Scale for Facial Assessment of Pain in Foals (EQUUS-FAP FOAL). Methods: Prospective blinded case-control study (known groups analysis). Methods: Video recordings (30-60 s) of n = 100 foals (38 patients and 62 controls) were collected. Videos were randomised and scored by two observers, blinded for the condition of the animals. Inter- and intra-observer agreement was tested by Intra Class Correlation (ICC) analysis. Differences between pati...
Blood culture isolates and antimicrobial sensitivities from 1621 critically ill neonatal foals (2005-2022). Sepsis is a leading cause of morbidity and mortality in neonatal foals. Administration of appropriate antimicrobials and early aggressive supportive treatment is central to the efficacious treatment of neonatal sepsis and has proven to positively influence outcomes. The primary aim of our study was to evaluate microorganism results and antimicrobial sensitivities of neonatal foals with a positive blood culture submitted to our intensive care unit (ICU) during 2005-2022. The secondary aim was to compare the results to those of a similar previous study performed at the same ICU during 1999-2004....
Complications associated with equine transvaginal ultrasound-guided follicle aspiration: Practitioner survey and field results. Transvaginal ultrasound-guided follicle aspiration (TVA) is being performed commonly in clinical equine practice. There is limited information in the literature about the type and incidence of complications related to TVA. We conducted a survey (Study 1), completed by 23 practicing veterinarians, soliciting information about the types and incidence of minor and major complications and of fatalities they had experienced associated with performance of TVA. In Study 2, data from a large clinical practice in which six veterinarians performed over 14,000 TVAs over a period of 7 years was reviewed t...
Motorcycle and Equestrian Trauma: An ACS TQIP Comparative Study. Motorcycle and equestrian accidents can share similar trauma mechanisms and can result in serious injuries. Objective: This study aims to analyze variations in injuries and safety standards through types, severity, and outcomes of traumatic injuries in both motorcycle and equestrian riders. Methods: Using the 2020 ACS TQIP database, we split patients into two groups based on their primary injury. We chose codes V28 and V80.0 to identify non-collision fall or throw injuries for motorcycle and equestrian accidents respectively. A total of 17,730 motorcycle and 5,461 equestrian patients were iden...
Unravelling Faecal Microbiota Variations in Equine Atypical Myopathy: Correlation with Blood Markers and Contribution of Microbiome. Hypoglycin A and methylenecyclopropylglycine are protoxins responsible for atypical myopathy in equids. These protoxins are converted into toxins that inhibit fatty acid β-oxidation, leading to blood accumulation of acylcarnitines and toxin conjugates, such as methylenecyclopropylacetyl-carnitine. The enzymes involved in this activation are also present in some prokaryotic cells, raising questions about the potential role of intestinal microbiota in the development of intoxication. Differences have been noted between the faecal microbiota of cograzers and atypical myopathy-affected horses. Ho...
Nebulization of 2% lidocaine has no detectable impact on the healthy equine respiratory microbiota. Glucocorticosteroids remain the most common pharmaceutical approach for the treatment of equine asthma but can be associated with significant side effects, including respiratory microbiome alterations. The goal of the study was to assess the impact of 2% lidocaine nebulization, a projected alternative treatment of equine asthma, on the healthy equine respiratory microbiota. A prospective, randomized, controlled, blinded, 2-way crossover study was performed, to assess the effect of 1 mg/kg 2% lidocaine (7 treatments over 4 days) on the equine respiratory microbiota compared to control horses (s...
Oxidative stress in critically ill neonatal foals. Oxidative injury occurs in septic people, but the role of oxidative stress and antioxidants has rarely been evaluated in foals. Objective: To measure reactive oxygen species (ROS), biomarkers of oxidative injury, and antioxidants in neonatal foals. We hypothesized that ill foals would have higher blood concentrations of ROS and biomarkers of oxidative injury and lower concentrations of antioxidants compared to healthy foals. Methods: Seventy-two hospitalized and 21 healthy neonatal foals. Methods: Prospective cohort study. Reactive oxygen species (hydrogen peroxide [HO]), biomarkers of oxidati...
Characterization and comparison of fecal microbiota in horses with pituitary pars intermedia dysfunction and age-matched controls. Altered gut microbiota has been associated with dopaminergic degenerative diseases in people, but studies on horses with pituitary pars intermedia dysfunction (PPID) are lacking. Objective: Investigate the effect of PPID on fecal microbiota in horses. Methods: Nine horses with PPID and 13 age-matched control horses. Methods: Prospective control study. Fecal samples were collected bimonthly. Microbial analysis used 16S rRNA sequencing to determine the relative abundance at genus and phylum levels, assess alpha and beta diversity and identify core microbiota. Results: Horses with PPID had decrea...
Pulse oximetry at two sensor placement sites in conscious foals. Pulse oximetry has not been thoroughly evaluated for assessment of oxygenation in conscious foals. Compared with invasive arterial blood sampling, it is a painless and non-invasive method for real-time monitoring of blood oxygen saturation. The aim of this prospective clinical study was to evaluate the usability, validity, and reliability of pulse oximetry at two measuring sites (lip and caudal abdominal skin fold) for blood oxygen saturation measurement in conscious foals with and without respiratory compromise. Thirty-two foals under one month of age were used. Nineteen foals had normal resp...
Screening analysis of doping agents in horse urine and plasma with dilute and shoot using liquid chromatography high resolution mass spectrometry. Various technical methodologies are required to accurately detect substances of different chemical and pharmacological properties in biological samples, which are increasing in number and variety daily. Therefore, laboratories where many samples and different factors are analyzed simultaneously need methods with easy sample preparation, short analysis times and low analysis costs. In this study, the objective was to scan substances susceptible to chemical degradation, amenable to analysis without hydrolysis, and exhibiting short-term stability by employing a straightforward, expeditious, and c...
Factors associated with time to return to horse racing following a clavicle fracture in jockeys competing in Great Britain: A review and analysis of medical records. Competitive horse racing is the second largest sport in Great Britain by spectator attendance, employability, and revenue. It is a lucrative yet hazardous sport, with high injury rates, particularly from falls. Clavicular fractures are one of the most common injuries reported, yet their management, especially regarding return to racing, is under-researched. The purpose of this study was to explore the factors associated with the time to return to competition following a clavicular fracture in jockeys competing in Great Britain. Methods: This review of medical records utilised data from the Bri...