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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.
Fall, Crush, Kick: Mechanisms and Outcomes in a Cohort of Equine-Related Injuries.
The American surgeon    October 13, 2021   Volume 89, Issue 4 875-880 doi: 10.1177/00031348211048836
Bhade P, Parsons A, Smiley A, Shreffler J, Nash N, Baker J, Harbrecht B, Huecker M.The potential for significant traumatic injury to individuals who interact with horses remains high due to animal size, forces applied, and unpredictability. Despite an estimated 30 million riders in the United States annually, few recent publications have addressed this patient population. Objective: This study describes characteristics of patients injured in interactions with horses, focusing on mechanism of injury and use of protective equipment. Methods: We queried our institution's trauma registry for all patients admitted for equine-related injuries (ERI) between January 1, 2013 and Dece...
Repeatability of a thyrotropin-releasing hormone stimulation test for diagnosis of pituitary pars intermedia dysfunction in mature horses.
Journal of veterinary internal medicine    October 13, 2021   Volume 35, Issue 6 2885-2890 doi: 10.1111/jvim.16281
Kam YN, McKenzie K, Coyle M, Bertin FR.Pituitary pars intermedia dysfunction (PPID) is a common endocrinopathy of horses diagnosed with a thyrotropin-releasing hormone (TRH) stimulation test. Objective: Describe the repeatability of TRH stimulation in horses with and without PPID in winter and autumn. Methods: Twenty adult horses; 6 controls and 6 with PPID tested in autumn, 8 controls and 6 with PPID tested in winter with 3 controls and 3 with PPID tested in both seasons. Methods: Thyrotropin-releasing hormone stimulation was performed on 2 consecutive occasions, 1 week before and 1 week after the winter solstice and the autumn ...
Pharmacokinetics of paracetamol in the Thoroughbred horse following an oral multi-dose administration.
Journal of veterinary pharmacology and therapeutics    October 13, 2021   Volume 45, Issue 1 54-62 doi: 10.1111/jvp.13024
Pesko B, Habershon-Butcher J, Muir T, Gray B, Taylor P, Fenwick S, Hincks P, Scarth J, Paine S.Paracetamol is a widely used, non-opioid analgesic and antipyretic drug. Scientific evidence suggests that it is an effective pain treatment in equine medicine. However, there is very little published information about the pharmacokinetics of the drug in the horse. The aim of the research was to determine the pharmacokinetics of paracetamol in equine plasma and urine to inform treatment of Thoroughbred racehorses. In this multi-dose study, paracetamol was administered orally at 20 mg/kg to six Thoroughbred horses. Pre- and post-administration urine and plasma samples were collected and analys...
Radiographic and CT features of zygomatic arch pneumatization in a Thoroughbred with a recurrent progressive ethmoid hematoma. Conradie M, Robert M, Carstens A.A 7-year-old Thoroughbred gelding presented with a history of mild unilateral right-sided epistaxis and facial swelling over the right caudal maxillary sinus and zygomatic arch. Eleven months previously a progressive ethmoid hematoma had been surgically removed from the right caudal maxillary and conchofrontal sinus. Computed tomography identified a large expansile soft-tissue attenuating mass in the right caudal maxillary sinus, with protrusion into the conchofrontal sinus, that extended into the zygomatic arch. Lytic expansion and thinning of the cortex with pneumatization of the zygomatic a...
Seminal plasma proteins as potential biomarkers for sperm motility and velocities.
Theriogenology    October 12, 2021   Volume 177 34-41 doi: 10.1016/j.theriogenology.2021.10.007
Gaitskell-Phillips G, Martín-Cano FE, Ortiz-Rodríguez JM, da Silva-Álvarez E, Masot J, Redondo E, Gil MC, Ortega-Ferrusola C, Peña FJ.Seminal plasma proteins have important roles in sperm functionality, and different mechanisms including micro-vesicle transport of proteins are involved in the regulation of sperm biology. Due to the role of seminal plasma, we hypothesized that specific proteins present in seminal plasma may be used as discriminant variables with potential to identify stallions producing different quality ejaculates; 10 fertile stallions, with different motility and velocity values (although within normal ranges) were used in this study. Motilities and velocities were studied using computer assisted sperm anal...
Recovery of horses from general anaesthesia: A systematic review (2000-2020) of risk factors and influence of interventions during the recovery period.
Equine veterinary journal    October 11, 2021   Volume 54, Issue 2 201-218 doi: 10.1111/evj.13517
Loomes K, Louro LF.In equine anaesthesia, the recovery period is a time of considerable risk and has been the focus of prolific research. Risk factors, including age, type and duration of procedure or temperament may influence recovery quality. Unfortunately, the anaesthetist is unable to control for these factors, therefore various pharmacological interventions and recovery methods have been developed with the objective of improving recovery quality. However, no consensus among anaesthetists has been reached for many of these interventions and their implications for recovery-related mortality and morbidity. Obj...
Responses to an intra-articular lipopolysaccharide challenge following dietary supplementation of Saccharomyces cerevisiae fermentation product in young horses.
Journal of animal science    October 8, 2021   Volume 99, Issue 10 skab272 doi: 10.1093/jas/skab272
Martinez RE, Leatherwood JL, Arnold CE, Glass KG, Walter KW, Valigura HC, Norton SA, White-Springer SH.Dietary intervention may be a valuable strategy to optimize the intra-articular environment in young horses to prolong their performance career. To test the hypothesis that dietary supplementation of a Saccharomyces cerevisiae fermentation product would reduce markers of joint inflammation and increase markers of cartilage metabolism following a single inflammatory insult, Quarter Horse yearlings (mean ± SD; 9 ± 1.0 mo) were balanced by age, sex, body weight (BW), and farm of origin and randomly assigned to the following treatment groups: 1.25% BW/d (dry matter basis) custom-formulated conce...
Development of a Colic Scoring System to Predict Outcome in Horses.
Frontiers in veterinary science    October 8, 2021   Volume 8 697589 doi: 10.3389/fvets.2021.697589
Farrell A, Kersh K, Liepman R, Dembek KA.Acute abdominal pain in the horse is a common emergency presenting to equine practices. The wide variety of etiologies makes prognosticating survival a challenge. A retrospective, multi-institutional clinical study was performed to determine clinical parameters associated with survival of horses with colic, and to use them to develop a colic survival scoring system. The scoring system was then validated using clinical data in the prospective portion of the study. Medical records from 67 horses presenting for acute abdominal pain were evaluated to develop the colic assessment score. Twenty eigh...
Clinical insights: Equine herpesvirus myeloencephalopathy: The conundrum of vaccination in performance and leisure horses.
Equine veterinary journal    October 7, 2021   Volume 53, Issue 6 1088-1090 doi: 10.1111/evj.13509
Kydd JH.No abstract available
Flash Visual Evoked Potentials in Conscious Horses: A Preliminary Study.
Journal of equine veterinary science    October 7, 2021   Volume 108 103783 doi: 10.1016/j.jevs.2021.103783
Palumbo MIP, Resende LAL, Olivo G, de Oliveira-Filho JP, Borges AS.The visual evoked potential (VEP) has many applications in veterinary neurology, but the test is not routinely used in a clinical setting. The aim of this study was to describe a reliable method for recording flash visual evoked potentials (F-VEPs) in nonsedated horses. F-VEPs were recorded from both eyes in 20 healthy and calm, adult horses. Recordings were accomplished without sedation, anaesthesia, or the use of mydriatic drugs. The mean and standard deviation of the latency of the most evident positive peak was 52.76±2.37 ms (P53). The mean latencies of the preceding and following negativ...
Clinical insights: Assisted reproductive techniques: More than a solution to subfertility?
Equine veterinary journal    October 7, 2021   Volume 53, Issue 6 1084-1087 doi: 10.1111/evj.13510
Stout TAE, Griffiths H.No abstract available
Maxillary Dentigerous Cyst with Double Wolf Teeth in a 3-Year-Old Quarter Horse Mare.
Case reports in veterinary medicine    October 7, 2021   Volume 2021 5532236 doi: 10.1155/2021/5532236
Gutzmer C, Nijdam P.Dentigerous cysts are characterised by the formation of cysts containing dental material with a variable level of development. They are the result of a distinct embryological phenomenon. Usually, they are of significant clinical relevance in horses, especially in tandem with ectopic tooth. Contrarily, supernumerary teeth or typical polyodontias usually have limited impact. In this case report, we describe the occurrence of a supernumerary first premolar (Triadan 105). Dissimilar to known scientific literature however was the formation of a cystic structure around the supernumerary tooth. Surgi...
Effects of forelimb instrumentation on lameness detection in horses using a portable inertial sensor-based system.
Journal of the American Veterinary Medical Association    October 6, 2021   Volume 259, Issue 8 892-898 doi: 10.2460/javma.259.8.892
Lopes MAF, Nichols JT, Dearo ACO, Nelson SR.To investigate the effects of a small sensor attached to the pastern region of a forelimb on lameness detection and quantification with a portable inertial sensor-based system (PISBS) for lameness detection and quantification in horses. 20 adult horses (body weight, 410 to 650 kg) with no visible lameness at the walk. In a crossover study design, horses were evaluated at the trot twice using the PISBS with the gyroscope alternately attached to the right forelimb pastern region (as recommended by the manufacturer) or to the left forelimb pastern region (with the sensor flipped 180° on the fron...
Survey of self-reported radiation safety practices among North American veterinary technicians involved in equine radiography using portable x-ray equipment.
Journal of the American Veterinary Medical Association    October 6, 2021   Volume 259, Issue 8 919-926 doi: 10.2460/javma.259.8.919
Belotta AF, Mayer MN, Koehncke NK, Carmalt J, Freitas FP, Waldner CL.To describe self-reported radiation safety practices by equine veterinary technicians in North America and identify factors associated with these practices. 154 equine technicians. An electronic questionnaire regarding radiation safety practices during the use of portable x-ray equipment was sent to 884 members of the American Association of Equine Veterinary Technicians and Assistants. Data were summarized, and various factors were evaluated for associations with reported safety practices. 221 of 884 (25.0%) questionnaires were completed, including 154 by equine technicians who had been invol...
Standing flank laparotomy for colic: 37 cases.
Equine veterinary journal    October 6, 2021   Volume 54, Issue 5 934-945 doi: 10.1111/evj.13511
Lopes MAF, Hardy J, Farnsworth K, Labens R, Lam WYE, Noschka E, Afonso T, Cruz Villagrán C, Santos LCP, Saulez M, Kelmer G.Standing flank laparotomy can be an alternative to ventral midline laparotomy in horses with colic. Standing flank laparotomy avoids general anaesthesia, provides excellent access to some regions of the abdominopelvic cavity and costs less than ventral midline laparotomy. Objective: To report a series of cases of peritoneal and intestinal diseases other than SC diseases managed with standing flank laparotomy. Methods: Retrospective case series. Methods: Records from equids with colic subjected to standing flank laparotomy at five hospitals (2003-2020) were reviewed. Descriptive data analysis w...
Evaluation of changes in microbiota after fecal microbiota transplantation in 6 diarrheic horses.
The Canadian veterinary journal = La revue veterinaire canadienne    October 5, 2021   Volume 62, Issue 10 1123-1130 doi: 10.1111/evj.13389
Costa M, Di Pietro R, Bessegatto JA, Pereira PFV, Stievani FC, Gomes RG, Lisbôa JAN, Weese JS.The purpose of this study was to characterize the fecal microbiota of horses with acute and chronic diarrhea before and after fecal microbiota transplantation (FMT). Six client-owned horses with acute and chronic diarrhea received FMT from 2 healthy donor horses. Microbiota analysis using next-generation sequencing was performed on fecal samples collected before and 2 and 7 d after FMT. Signs of diarrhea improved in 4 horses, whereas the remaining 2 horses did not survive. There was a significant difference in the number of bacterial species between donors and recipients (P < 0.05). The Order ...
Cardiopulmonary effects and recovery characteristics associated with 2 sedative protocols for assisted ventilation in healthy neonatal foals.
Canadian journal of veterinary research = Revue canadienne de recherche veterinaire    October 5, 2021   Volume 85, Issue 4 251-260 
Kerr CL, Keating SCJ, Arroyo LG, Viel L.Neonatal foals may require prolonged sedation to permit ventilatory support in the first few days of life. The objective of this study was to evaluate and compare the cardiopulmonary effects and clinical recovery characteristics of 2 sedative/analgesia protocols in healthy foals receiving assisted ventilation. Foals were randomized to receive dexmedetomidine, butorphanol, and propofol (DBP) or midazolam, butorphanol, and propofol (MBP) during a 24-hour period. Infusion rates of dexmedetomidine, midazolam, and propofol were adjusted and propofol boluses administered according to set protocols t...
Development of a biologically immortalized equine stem cell line.
Canadian journal of veterinary research = Revue canadienne de recherche veterinaire    October 5, 2021   Volume 85, Issue 4 293-301 
Nino-Fong R, Esparza Gonzalez BP, Rodriguez-Lecompte JC, Montelpare W, McD○ L.Bone repair in horses implies invasive surgeries and increased cost. Research on musculoskeletal disorders therapy in horses includes cell-based therapy with mesenchymal stromal cells (MSCs). Mesenchymal stromal cells can be obtained from bone marrow (BMMSCs). Unfortunately, BMMSCs have limited cell replication . The objective of this study was to develop a biologically immortalized equine stem cell line derived from bone marrow, with unlimited proliferation and the ability to differentiate into bone cells. Equine BMMSCs were transfected and immortalized with human telomerase reverse transcri...
Minimally invasive cranial ostectomy for the treatment of impinging dorsal spinous processes in 102 standing horses.
Veterinary surgery : VS    October 4, 2021   Volume 51 Suppl 1 O60-O68 doi: 10.1111/vsu.13736
de Souza TC, Crowe OM, Bowles D, Poore LA, Suthers JM.To describe a minimally invasive cranial ostectomy for the treatment of impingement of dorsal spinous processes (DSPs) in the standing horse. Methods: Retrospective study. Methods: One hundred two horses with impinging DSPs. Methods: The case records of all horses that had the described technique between 2011 and 2019 were reviewed. All sites of impinging DSPs were treated under standing sedation and local anesthesia. The minimally invasive cranial ostectomy of the caudal DSP was performed with bone rongeurs through multiple small incisions. Results: Of the 102 horses treated with this techniq...
Maternal and Neonatal Evaluation of Derived Reactive Oxygen Metabolites and Biological Antioxidant Potential in Donkey Mares and Foals.
Animals : an open access journal from MDPI    October 3, 2021   Volume 11, Issue 10 doi: 10.3390/ani11102885
Sgorbini M, Bonelli F, Percacini G, Pasquini A, Rota A.Our aim was to measure the concentrations of derived reactive oxygen metabolite (d-ROMs) and biological antioxidant potential (BAP) of donkey mares and foals at delivery and to verify the protective role of the placenta against fetal oxidative stress. A total of 15 Amiata jennies with a physiological gestation length and delivery were included together with 17 foals (two twin foalings). After delivery, maternal and foal venous blood samples were collected along with blood from the artery. Circulating lactate and plasma d-ROMs and BAP were evaluated. The Wilcoxon test for paired data was applie...
Kinematic Patterns in Horses Sedated With Low Doses of Detomidine: An Accelerometric Evaluation.
Journal of equine veterinary science    October 2, 2021   Volume 107 103777 doi: 10.1016/j.jevs.2021.103777
Calvo-Santesmases A, Manso-Díaz G, Fores P, López-Sanromán J.Alpha-2-adrenergic drugs, such as detomidine, are commonly used to sedate lame horses during examination. However, the use of these drugs should be minimized, as they have numerous side-effects, like ataxia. Therefore, we wanted to test the effects, on the locomotor pattern, of low doses of detomidine (0.003 mg/kg). Six horses were sedated with 0.003 mg/kg of detomidine and compared with the same horses administered a saline solution. Using a triaxial accelerometer, data of kinetic, coordination and energetic locomotor parameters and the degree of sedation were collected. The effects were moni...
Dose-Dependent Increase in Whole Blood Omega-3 Fatty Acid Concentration in Horses Receiving a Marine-Based Fatty-Acid Supplement.
Journal of equine veterinary science    October 2, 2021   Volume 108 103781 doi: 10.1016/j.jevs.2021.103781
Pearson G, Goodale M, Wakshlag J, Fortier L.The objective of this study was to determine the effects of an oral, commercially available, marine based omega-3 fatty acid (n3-FA) supplement on fatty acid characteristics in horse whole blood. Fifty healthy, adult horses of various light breeds were assigned to one of two treatment groups: Group 1 receiving 7.5g/day of the test supplement, and Group 2 receiving 15g/day of the test supplement. The supplement contained 0.092g docosahexaenoic acid (DHA) and 0.148g eicosapentaenoic acid (EPA) per gram. Therefore, Group 1 received 1.11g of EPA and 0.69g of DHA daily, while Group 2 received 2.22g...
A retrospective study of twin pregnancy management in mares.
Theriogenology    October 1, 2021   Volume 176 183-187 doi: 10.1016/j.theriogenology.2021.09.018
Raś A, Raś-Noryńska M.The aim of the study was to compare three methods of reducing twin pregnancy in mares to maintain a single pregnancy. As multiple pregnancies in mare are always undesirable, early ultrasound diagnosis makes possible management of twin pregnancies and extra embryo removal. In years 2010-2018, 16494 mares were sonographically tested for early pregnancy, finding 868 cases of twins (471 bilateral and 397 unilateral). 260 mares with a confirmed bilateral tween pregnancy were subjected to manual crushing of one embryo and administration of flunixin at a dose of 1.1 mg/kg BW. 186 mares were subjecte...
Systemic serum amyloid A in early (<24 h) diagnosis of acute synovial structure involvement in horses with penetrating limb injuries.
Veterinary journal (London, England : 1997)    September 30, 2021   Volume 277 105759 doi: 10.1016/j.tvjl.2021.105759
Müller AC, Büttner K, Röcken M.Synovial structure involvement secondary to limb injury is a common emergency in equine practice, requiring an accurate initial diagnosis for immediate treatment. This study aimed to investigate the clinical usefulness of Serum amyloid A (SAA) in the initial diagnosis of synovial structure involvement caused by acute (<24 h) penetrating limb injuries in horses and to correlate SAA with standard diagnostic parameters. Fifty-five horses with acute limb injuries were divided into two groups: Group 1 (G1, n = 26) with a diagnosis of penetrating synovial trauma and Group 2 (G2, n = 29) without s...
Bi-Level Positive Airway Pressure for Non-invasive Respiratory Support of Foals.
Frontiers in veterinary science    September 29, 2021   Volume 8 741720 doi: 10.3389/fvets.2021.741720
Raidal SL, Catanchin CSM, Burgmeestre L, Quinn CT.Respiratory insufficiency and pulmonary health are important considerations in equine neonatal care. As the majority of foals are bred for athletic pursuits, strategies for respiratory support of compromised foals are of particular importance. The administration of supplementary oxygen is readily implemented in equine practice settings, but does not address respiratory insufficiency due to inadequate ventilation and is no longer considered optimal care for hypoxia in critical care settings. Non-invasive ventilatory strategies including continuous or bi-level positive airway pressure are effect...
Tissue predictability of elastography is low in collagenase induced deep digital flexor tendinopathy. Johnson SA, Biscoe EW, Eilertson KE, Lutter JD, Schneider RK, Roberts GD, Cary JA, Frisbie DD.Elastography is an emerging imaging modality for characterizing tendon injury in horses, but its ability to differentiate tissue deformability relative to treatment group and biochemical properties using a prospective, experimental study design remain unknown. Objectives of the current study were to (a) to investigate differences in glycosaminoglycan, DNA, and soluble collagen levels in mesenchymal stem cell (MSC) treated limbs compared to untreated control limbs utilizing a collagenase model of tendinopathy; (b) compare elastographic features between treatment groups; and (c) determine tissue...
Neurovascular variations in the proximal plantar metatarsal region of the horse.
Equine veterinary journal    September 27, 2021   doi: 10.1111/evj.13507
Milner PI, Dimmock O, Barnes K.Neurovascular variation may be relevant when performing surgical techniques to the proximal plantar metatarsal region. Objective: To document variations in the neurovascular anatomy of the proximal plantar metatarsal region and study the relationship of the neurovascular components to each other and other structures located in this area. Methods: Descriptive anatomical study. Methods: Paired cadaver hind limbs from 15 horses were dissected from the distal tibia to the metatarsophalangeal joint. Deep branch of the lateral plantar nerve (DBLPN) length, location of its origin from the lateral pla...
Variables Affecting Veterinary Students’ Ability to Accurately Interpret Ovulation in Live Mare Palpation.
Journal of veterinary medical education    September 27, 2021   Volume 49, Issue 5 618-624 doi: 10.3138/jvme-2021-0031
Fanelli D, Tesi M, Rota A, Panzani D, Camillo F.In a veterinary medicine curriculum, students' hands-on practice is essential but is still considered one of the major deficiencies in veterinary schools in Europe. After theoretical and basic practical training, students, under the control of experienced veterinarians (supervisors), monitored the reproductive cycle of embryo recipients by transrectal palpation and ultrasound. To evaluate the skills of students, the question "Has she ovulated?" was posed when a dominant follicle ≥ 35 mm was recorded in the previous day's examination and a score of 1 or 0 was assigned in the case of a correct...
Duration of skin desensitisation following palmar digital nerve blocks with lidocaine, bupivacaine, mepivacaine and prilocaine.
Australian veterinary journal    September 26, 2021   Volume 99, Issue 12 541-546 doi: 10.1111/avj.13122
Harcourt MM, Smith RL, Hosgood G.Objective comparative evidence of the time to onset and duration of effect provided by local anaesthetic (LA) agents for perineural blocks in the horse is lacking. Clear knowledge of these properties is required to guide clinically appropriate agent selection and aid interpretation of response to diagnostic blocks for lameness examinations. An interventional study, with complete, randomised crossover design was used to compare time to onset and duration of skin desensitisation provided by four LA agents applied to palmar digital nerve blocks in 12 horses. Effect at each time point was determin...
Modification of O-ring intrauterine devices (IUDs) in mares: Contraception without estrus suppression.
Animal reproduction science    September 25, 2021   Volume 234 106864 doi: 10.1016/j.anireprosci.2021.106864
Lyman CC, Baldrighi JM, Anderson CO, Germaine SS, Kane AJ, Holyoak GR.A significant welfare concern for those within the horse industry is that of the overpopulation in free-roaming horses in the western US. The goal of the present study was to identify a humane and inexpensive means of providing contraception and reducing pregnancy rates in a way that could be applied to free-roaming horses on the western U.S. open range lands. A series of studies was conducted utilizing the previously-described silastic O-ring intrauterine devices (IUDs). Throughout these studies pregnancy was successfully prevented in mares with an O-ring IUD, but collective retention rates f...
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