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Topic:Equine Health

Equine health encompasses the study and management of diseases, disorders, and overall well-being of horses. It involves understanding various physiological systems, preventive care, and treatment strategies to maintain optimal health in equine populations. Common areas of focus include nutrition, infectious diseases, orthopedic conditions, and reproductive health. Research in equine health aims to advance knowledge on diagnostic methods, therapeutic interventions, and management practices that improve horse welfare and performance. This page collects peer-reviewed research studies and scholarly articles that explore the diverse aspects of equine health, offering insights into current findings and advancements in the field.
Enzyme-Linked Immunosorbent Assay (ELISA) Development for Equine Serum Amyloid A (SAA) Determination Using Recombinant Proteins.
Methods and protocols    April 7, 2025   Volume 8, Issue 2 37 doi: 10.3390/mps8020037
Souto PC, Santos MR, Orozco AMO, Bento LD, Ramirez-Lopez CJ, Girardi FM, Machado JCA, de Oliveira LL, da Fonseca LA.We aimed to develop a species-specific ELISA for qualitatively and quantitatively determining serum amyloid A (SAA) in horses. Current methods for measuring SAA in horses utilize ELISA or immunoturbidimetric tests designed for human SAA, which are not specific to horses. Mice and rabbits were used to generate polyclonal antibodies against equine SAA. The study examined serum samples from 32 horses with acute inflammatory disease (SG) and 25 clinically healthy horses. Furthermore, the SAAeq kinetics were observed in three horses from the SG group at three different timepoints. The SAA-ELISA est...
Isolation method and characterization of adipocytes as a tool for Equine Obesity Research – in vitro study.
Veterinary journal (London, England : 1997)    April 7, 2025   106354 doi: 10.1016/j.tvjl.2025.106354
Antoni KP, Natalia L, Maciej S, Leszek N, Małgorzata SS, Robert M, Maciej G, Ewa PO.Adipose tissue functions as an endocrine organ; however, excessive lipid accumulation can lead to obesity and metabolic disorders, such as Equine Metabolic Syndrome (EMS), characterized by insulin resistance, fat deposition, and increased inflammation. Despite the growing prevalence of obesity in horses, knowledge of equine adipocytes and their metabolic functions remains limited. The main objective of the study was to develop and optimize a method for isolating equine adipocytes and to characterize their metabolic activity. Using slaughterhouse-derived horse visceral adipose tissue, we develo...
Immunological insights into the occurrence of Lawsonia intracellularis in horses from southern Brazil using flow cytometry.
Veterinary world    April 7, 2025   Volume 18, Issue 4 755-762 doi: 10.14202/vetworld.2025.755-762
Matté YA, Baldasso DZ, Rezende MA, Lui JFM, Seibel AC, Guizzo JA, Frandoloso R, Kreutz LC.Lawsonia intracellularis is an obligatory intracellular bacterium associated with equine proliferative enteropathy (EPE), which significantly impacts equine health. Despite its clinical relevance, epidemiological and diagnostic approaches for this infection in horses have remained underexplored. This study aimed to evaluate the humoral immune response in horses immunized with an experimental vaccine for L. intracellularis and to determine the occurrence of anti-L. intracellularis antibodies in horses from southern Brazil using the flow cytometry antibody test (FCAT). Unassigned: A total of 12 ...
Comparison of Rein Forces and Pressure Beneath the Noseband and Headpiece of a Snaffle Bridle and a Double Bridle.
Animals : an open access journal from MDPI    April 5, 2025   Volume 15, Issue 7 doi: 10.3390/ani15071058
MacKechnie-Guire R, Clayton H, Williams J, Marlin D, Fisher M, Fisher D, Walker V, Murray RC.Information describing forces applied to the horse are needed to inform regulatory decisions regarding equine health and wellbeing. This study compares forces exerted beneath the noseband and headpiece of a snaffle bridle (SB) and a double bridle (DB). Horses were fitted with the same type of SB and DB. Forces were measured by pressure mats under the noseband (nasal/mandibular) and headpiece (occipital) of the bridle and by force sensors inserted bilaterally between the bit(s) and reins. The noseband was adjusted to 2 finger-equivalents using a tightness gauge. Data were recorded for eleven hi...
Incidence of complications from perioperative urinary catheterisation in horses.
Australian veterinary journal    April 5, 2025   doi: 10.1111/avj.13445
Quinn CT.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...
Genetic influence of a STAU2 frameshift mutation and RELN regulatory elements on performance in Icelandic horses.
Scientific reports    April 4, 2025   Volume 15, Issue 1 11641 doi: 10.1038/s41598-025-95593-8
Sigurðardóttir H, Eriksson S, Niazi A, Rhodin M, Albertsdóttir E, Kristjansson T, Lindgren G.Selection for performance in horse breeding benefits from precise genetic insights at a molecular level, but knowledge remains limited. This study used whole-genome sequences of 39 elite and non-elite Icelandic horses to identify candidate causal variants linked to previously identified haplotypes in the STAU2 and RELN genes affecting pace and other gaits. A frameshift variant in linkage disequilibrium with the previously identified haplotypes in the STAU2 gene (r2 = 0.85) was identified within a predicted STAU2 transcript. This variant alters the amino acid sequence and introduces a prema...
Education and Licensing of Horse Owners: Addressing Poor Horse Welfare in the UK.
Animals : an open access journal from MDPI    April 3, 2025   Volume 15, Issue 7 1037 doi: 10.3390/ani15071037
Hall-Bromley A, Dixon L.Horse welfare is a subject of ongoing discussion and scientific investigation. Several solutions to combat poor horse welfare have been suggested by existing research; however, each of these has its limitations. In 2022, it was announced that France was introducing new legislation requiring all horse owners to be licensed on completion of particular horse-care education. This development raises an interesting discussion about whether such a framework could be applied in the UK. This systemised literature review analysed the prevalence of horse welfare concerns in the developed world and the UK...
Papillary Renal Cell Carcinoma With Widespread Metastases in an Arabian Mare.
Veterinary medicine and science    April 2, 2025   Volume 11, Issue 3 e70281 doi: 10.1002/vms3.70281
Azari O, Ghamsari SM, Roustaei A, Golchin D, Baharloo F, Javaheri M, Valizadeh N.This report describes a case of massive renal cell carcinoma (RCC) causing mild chronic colic in a 20-day-postpartum Arabian mare. The mare presented with deteriorating abdominal pain following normal parturition. Clinical examination revealed tachycardia, tachypnoea, weak intestinal motility and pale mucosal membranes. Rectal examination identified a very large mass in the caudal part of the abdominal cavity, and abdominal ultrasound examination revealed a huge space-occupying mass with renal architecture. During midline exploratory laparotomy, a massive tumour was observed in the anatomical ...
Survey of the antimicrobial susceptibility of Escherichia coli isolated from horses admitted to the Western College of Veterinary Medicine, Saskatoon, Saskatchewan.
The Canadian veterinary journal = La revue veterinaire canadienne    April 2, 2025   Volume 66, Issue 4 435-439 
Polo MC, Huby FD, Uehlinger FD, Rubin JE.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...
MARCKS protein is a potential target in a naturally occurring equine model of neutrophilic asthma.
Respiratory research    April 2, 2025   Volume 26, Issue 1 126 doi: 10.1186/s12931-025-03194-w
Conley HE, Davis KU, Adler KB, Lavoie JP, Sheats MK.Asthma is a chronic inflammatory airway disease that affects millions of people worldwide. Horses develop asthma spontaneously and serve as a relevant model for multiple phenotypes and endotypes of human asthma. In horses with equine asthma (EA), environmental organic dust triggers increased inflammatory cytokines, excess airway mucus, reversible bronchoconstriction, and airway inflammation. In horses with severe EA (sEA), lower airway inflammation is invariably neutrophilic, making sEA a potential model for severe neutrophilic asthma in humans. Alveolar macrophages (AM) and airway neutrophils...
Haemaphysalis longicornis ticks are unable to transstadially transmit Theileria haneyi to horses.
Frontiers in veterinary science    April 2, 2025   Volume 12 1572944 doi: 10.3389/fvets.2025.1572944
Poh KC, Oyen K, Onzere CK, Kappmeyer LS, Bastos RG.The recent discovery of , a tick-borne hemoparasite that causes mild clinical signs of equine piroplasmosis, has added complexity to the diagnosis of this reportable disease, which is prevalent among equids globally. Knowledge gaps regarding competent tick vectors that can transmit and the recent outbreak of in the US has prompted us to conduct this study. Our objective was to investigate whether can transstadially transmit to horses. Unassigned: larvae (0.5 g) and nymphs ( = 500) were fed on a splenectomized -infected horse for parasite acquisition. During the tick feeding period, ...
Effects of Wharton’s jelly mesenchymal stromal/stem cells-derived conditioned medium and platelet-rich plasma on in vitro induced equine endometrial inflammation.
Theriogenology    April 2, 2025   Volume 241 117423 doi: 10.1016/j.theriogenology.2025.117423
Del Prete C, Gaspari G, Kosior MA, Merlo B, Iacono E, Longobardi C, Martino NA, Dell'Aquila ME, Damiano S, Cocchia N, Gasparrini B, Lange-Consiglio A.Over the years, regenerative therapies have emerged as promising alternatives for persistent breeding-induced endometritis. In vitro studies testing the effects of these therapies on equine endometrial cells are still scarce. This study aimed to evaluate in vitro the effect of Wharton's jelly (WJ) mesenchymal stromal/stem cell (MSCs)-derived conditioned medium (WJ-CM) and platelet-rich plasma (PRP) on equine endometrial cells, with or without lipopolysaccharide (LPS)-induced inflammation. The WJ-CM was obtained after 24 h of starvation in Ringer's lactate of WJ-MSCs and PRP was prepared using...
Intratumoural tigilanol tiglate in the multicentre treatment of equine sarcoids and cutaneous melanomas.
Equine veterinary journal    April 2, 2025   doi: 10.1111/evj.14502
Labens R, Saba C, Williams J, Hollis A, Ensink J, José-Cunilleras ELV, Jordana-Garcia M, Bergvall K, Ruppin M, Condon F, Spelta C, Elce Y....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...
Expert commentary on HORSE/MITO18 and CHIPOR.
Journal of gynecologic oncology    April 1, 2025   Volume 36, Issue 2 e87 doi: 10.3802/jgo.2025.36.e87
Karabeg E, Harter P.No abstract available
Equine Blood Microbiome in a Cohort of Clinically Healthy Trail Riding Horses.
Journal of veterinary internal medicine    April 1, 2025   Volume 39, Issue 3 e70082 doi: 10.1111/jvim.70082
Simms N, Bertone JJ, Melgarejo T, O'Shea C, Linde A.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.
Journal of veterinary internal medicine    April 1, 2025   Volume 39, Issue 3 e70064 doi: 10.1111/jvim.70064
Franzen V, Reisbeck D, Leibl Y, Schoster A, May A.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...
Equine colic: A comprehensive overview of the sonographic evaluation, diagnostic criteria, and management of different categories.
Open veterinary journal    March 31, 2025   Volume 15, Issue 3 1116-1139 doi: 10.5455/OVJ.2025.v15.i3.5
Tharwat M, Al-Sobayil F.Colic or acute abdominal pain is the most prevalent cause of emergency intervention in veterinary medicine, and it has been considered the principal reason for collapse and/or euthanasia in a wide range of studies. The condition may be initiated by a number of different disorders affecting the abdominal viscera, but acute gut disease is the most common etiology in equines showing colic symptoms. of the main goals of colic management is to distinguish between surgical and medical causes, as prompt surgical intervention can significantly improve outcomes for those requiring surgery. Despite the ...
Combining in vivo and in vitro approaches to investigate the effect of sainfoin on strongyle infection, immunity and large intestine ecosystem of horses.
Journal of animal science    March 31, 2025   skaf100 doi: 10.1093/jas/skaf100
Laroche N, Grimm P, Julliand S, Sorci G.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...
Equine Rotavirus A Outbreaks in Ireland (2023-2024): An Epidemiological Investigation and Virus Genotyping.
Viruses    March 31, 2025   Volume 17, Issue 4 511 doi: 10.3390/v17040511
Cullinane A, Garvey M, Dayot L, Lukaseviciute G.Equine rotavirus A (RVA) is a major cause of debilitating diarrhoea in neonatal foals globally. The aim of this study was to characterise RVA viruses currently circulating in Ireland and to identify risk factors associated with disease outbreaks. Of the 377 samples submitted during 2023 and 2024, 48 foals from 36 outbreaks were confirmed to be RVA-positive by real-time PCR. The viruses detected were genotyped by VP7 and VP4 gene sequencing. In 2024, the attending veterinary surgeon was contacted, and epidemiological data were collected. These included the vaccination status of the foal's dam a...
Morphine and codeine in racing horse feed: is there reason for concern?
Arhiv za higijenu rada i toksikologiju    March 31, 2025   Volume 76, Issue 1 60-66 doi: 10.2478/aiht-2025-76-3888
Karačonji IB, Jelača T, Jurič A, Vrdoljak AL.Opiates such as morphine and codeine are substances often misused to improve the performance of racing horses during competitions and are therefore on the International Federation for Equestrian Sports' list of prohibited substances. However, a positive antidoping test may be due to the consumption of feed (mainly lucerne or oats) contaminated by opium poppy containing the alkaloids morphine and codeine. In order to determine whether a positive antidoping test is the result of an intentional abuse of opiates or consumption of feed contaminated by poppies, we optimised conditions for the extrac...
Effect of Management System on Fecal Microbiota in Arabian Horses: Preliminary Results.
Veterinary sciences    March 28, 2025   Volume 12, Issue 4 doi: 10.3390/vetsci12040309
Curadi MC, Vallone F, Tenuzzo M, Gazzano A, Gazzano V, Macchioni F, Vannini C.The gut microbiota plays a basic role in maintaining the psychophysical health and well-being of horses. Understanding the complex interactions among microbial communities in relation to age, management, and health is a topic of growing interest. The equine microbiota, given its complexity, is subject to variations caused by internal or external stressors that can lead to metabolic problems and pathologies, i.e., obesity and laminitis. The aim of this study was to characterize the fecal microbiota of 12 purebred Arabian horses and to compare the microbial communities in two distinct management...
Running a genetic stop sign accelerates oxygen metabolism and energy production in horses.
Science (New York, N.Y.)    March 28, 2025   Volume 387, Issue 6741 eadr8589 doi: 10.1126/science.adr8589
Castiglione GM, Chen X, Xu Z, Dbouk NH, Bose AA, Carmona-Berrio D, Chi EE, Zhou L, Boronina TN, Cole RN, Wu S, Liu AD, Liu TD, Lu H, Kalbfleisch T....Horses are among nature's greatest athletes, yet the ancestral molecular adaptations fueling their energy demands are poorly understood. Within a clinically important pathway regulating redox and metabolic homeostasis (NRF2/KEAP1), we discovered an ancient mutation-conserved in all extant equids-that increases mitochondrial respiration while decreasing tissue-damaging oxidative stress. This mutation is a de novo premature opal stop codon in KEAP1 that is translationally recoded into a cysteine through previously unknown mechanisms, producing an R15C mutation in KEAP1 that is more sensitive to ...
Comparison of prevalence and strongyle egg counts per gram of feces in horses at pasture and in stables following ivermectin/praziquantel treatment.
Parasitology international    March 28, 2025   103072 doi: 10.1016/j.parint.2025.103072
Ryu SH, An SJ, Forbes E, Kim BS, Choe S.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...
Seroprevalence of IgG Antibodies Against Borrelia burgdorferi Sensu Lato, Anaplasma phagocytophilum, and Tick-Borne Encephalitis (TBE) Virus in Horses in Southern Norway.
Microorganisms    March 28, 2025   Volume 13, Issue 4 771 doi: 10.3390/microorganisms13040771
Kloster H, Stormo C, Haaland AH, Stuen S, Kjelland V. ticks play a crucial role as carriers of diseases, transmitting pathogens to vertebrate hosts, including horses. This study aimed to investigate the seroprevalence of IgG antibodies against sensu lato (s. l.), , and tick-borne encephalitis virus (TBE-virus) in equine sera collected in southern Norway. In total, sera from 331 horses stabled in four counties (Agder, Vestfold and Telemark, Vestland, and Viken) were analyzed by immunoblot. In total, 66% of the horses were IgG-seropositive for antibodies against one or multiple tick-borne pathogens. The highest seroprevalence was detected against...
Misidentification of Raoultella spp. (R. terrigena, R. planticola) and Klebsiella spp. (K. variicola, K. grimontii) as Klebsiella pneumoniae: Retrospective study of a necropsy-associated bacterial collection from horses.
Veterinary microbiology    March 28, 2025   Volume 304 110497 doi: 10.1016/j.vetmic.2025.110497
Gravey F, Sévin C, Langlois B, Maillard K, Foucher N, Duquesne F, Léon A, Le Hello S, Petry S.Misidentifications as Klebsiella pneumoniae were observed during a French retrospective study of a necropsy-associated K. pneumoniae bacterial collection from horses. Accordingly, the present study aimed to further characterise the 12 Raoultella spp. and Klebsiella spp. strains involved in these misidentifications. The strains were identified and characterised using the Api 20E system, K. pneumoniae PCR detection, matrix-assisted laser desorption/ionisation time-of-flight mass spectroscopy and whole-genome sequencing. Antimicrobial susceptibilities were tested by the disc diffusion method with...
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.
Animals : an open access journal from MDPI    March 28, 2025   Volume 15, Issue 7 doi: 10.3390/ani15070981
Buzon-Cuevas A, Duaso J, Sanchez de Medina A, Sierra JM, Perez-Ecija A, Mendoza FJ.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...
Cardiopulmonary effects of oral trazodone administration prior to isoflurane anesthesia in healthy horses.
American journal of veterinary research    March 28, 2025   Volume 86, Issue 6 doi: 10.2460/ajvr.25.01.0029
Kazama T, Hector RC, Hess AM, Rezende ML.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...
Collecting equine whole blood in glass tubes does not decrease adrenocorticotropic hormone concentration compared to plastic tubes.
Journal of the American Veterinary Medical Association    March 27, 2025   1-5 doi: 10.2460/javma.25.02.0122
Stapley ED, Bertin FR.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...
Research Progress on Influencing Factors of Gastrointestinal Microbial Diversity in Equine.
Veterinary medicine and science    March 27, 2025   Volume 11, Issue 3 e70271 doi: 10.1002/vms3.70271
Zhang W, Guo R, Sulayman A, Sun Y, Liu S.Microbiota in the gastrointestinal tract play a crucial role in nutrient digestion, health and so forth in equines. As the research attention on gut microbes has increased, several studies have investigated the composition of the gastrointestinal microbial flora in equines. This article reviews the effects of breed, age, intestinal site, nutritional management and diseases on the gastrointestinal microbiota of horses and donkeys, thus offering references for improving the gastrointestinal microecological environment in these animals and preventing and controlling disease occurrence in them.
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).
Frontiers in veterinary science    March 26, 2025   Volume 12 1504486 doi: 10.3389/fvets.2025.1504486
Loppnow Z, Kersh K, Wang C, Spaethe S, Troy J.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...