Analyze Diet

Topic:Foals

"Foals" encompasses a stage in the lifecycle of equines with distinct physiological and developmental characteristics. Foals are young horses, typically under one year of age, undergoing rapid growth and development. They require specific nutritional, health, and management practices to support their transition to adulthood. This page compiles peer-reviewed research studies and scholarly articles that explore the growth, development, health challenges, and management practices associated with foals and horses, providing insights into their care and welfare across different life stages.
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...
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...
Retrospective investigation of 43 necropsy cases of Tyzzer disease in foals and partial genome sequence of Clostridium piliforme by shotgun metagenomics.
Veterinary microbiology    March 22, 2025   Volume 304 110489 doi: 10.1016/j.vetmic.2025.110489
Uprety T, Swan M, Kennedy L, Bryant U, Cassone L, Loynachan A, Janes J, Evely MM, Calvaruso FC, Quick M, Morgan J, Abdelrazek S, Lahmers K, Carter C....Clostridium piliforme is an obligate intracellular filamentous bacterium that causes Tyzzer disease (TD) in many animals. The disease manifests as severe, multifocal necrotizing hepatitis, with a high fatality rate in foals. Through retrospective investigation, we detected C. piliforme in 43 equine necropsy cases from 2012 to 2024. Positive cases were diagnosed from February to July, peaking in May. The age of affected foals ranged from 4 days to 2 months. Histologically, all cases had necrotizing hepatitis with multifocal, coalescing pinpoint, tan or reddish foci. Since only a partial 16S rRN...
Ex Vivo Pharmacokinetic/Pharmacodynamic Integration Model of Cefquinome Against Escherichia coli in Foals.
Veterinary sciences    March 22, 2025   Volume 12, Issue 4 294 doi: 10.3390/vetsci12040294
Gao T, Liu X, Qiu D, Li Y, Qiu Z, Qi J, Li S, Guo X, Zhang Y, Wang Z, Gao X, Ma Y, Ma T.Cefquinome is used to treat septicemia caused by () and respiratory infections caused by subsp. in foals. However, studies reporting the use of cefquinome to target as pathogens of sepsis are lacking. Therefore, this study aimed to determine the optimal dosage regimen for cefquinome against using a PK/PD model. After the administration of 1 mg/kg cefquinome (intramuscularly or intravenously), blood samples were collected at different time points to determine the serum concentration of cefquinome via HPLC. The pharmacokinetic parameters were evaluated via NCA (WinNonlin 5.2.1 software). Th...
Comparative analysis of gut microbiota in healthy and diarrheic foals.
Microbiology spectrum    March 19, 2025   e0087124 doi: 10.1128/spectrum.00871-24
Zhu D, Li S, Xu Z, Kulyar MF, Bai X, Wang Y, Wang B, Khateeb E, Deng D, Wang L, Chen Y, Guo A, Shen Y.Diarrhea presents a substantial risk of high morbidity and mortality among foals. Although studies have shown connections between gut microbiota and several gastrointestinal diseases, there is still inadequate information on gut microbial alterations in foals during diarrhea. In this study, we conducted 16S rRNA and ITS gene amplicon sequencing to investigate gut bacterial and fungal differences between healthy and diarrheic foals. The results unveiled significant reductions in gut bacterial and fungal diversities among foals experiencing diarrhea, accompanied by notable shifts in the composit...
The diagnostic accuracy of the Brix refractometer in determining mare colostrum with high and low immunoglobulin G concentrations.
Journal of equine veterinary science    March 17, 2025   105417 doi: 10.1016/j.jevs.2025.105417
Akköse M.Foals, that receive poor-quality colostrum, are exposed to a risk of failure of transfer of passive immunity. The Brix refractometer can be used for the estimation of the immunoglobulin (IgG) concentration of mare colostrum, yet there is a scarce literature available on Brix refractometer thresholds for use in the detection of mare colostra with high and low IgG concentrations. Objective: This study aimed to assess the diagnostic accuracy of the Brix refractometer in determining mare colostra with IgG concentrations of <50g/L, <60g/L, >80g/L, >100g/L and >125g/L. Methods: Two hundred and seven...
The Systemic Inflammatory Response Syndrome and Predictors of Infection and Mortality in 1068 Critically Ill Newborn Foals.
Journal of veterinary internal medicine    March 17, 2025   Volume 39, Issue 2 e70004 doi: 10.1111/jvim.70004
Wilkins PA, Wong D, Slovis NM, Collins N, Barr BS, MacKenzie C, De Solis CN, Castagnetti C, Mariella J, Burns T, Perkins G, Delvescovo B, Sanchez LC....Sepsis has been defined in humans as the concurrent proven or suspected presence of microbial infection and the systemic inflammatory response syndrome (SIRS). Sepsis is the leading cause of morbidity and mortality in neonatal foals. The clinical utility of using SIRS or its individual components to predict infection and mortality in critically ill foals is currently unknown. Objective: Assess the ability of history and signalment, clinical findings, laboratory results, and SIRS-related indices to predict infection and mortality in critically ill foals. Methods: Retrospective, multi-center, cr...
Diagnostic Performance of Rapid Antigen Tests to Detect Equine Rotavirus A.
Viruses    March 14, 2025   Volume 17, Issue 3 413 doi: 10.3390/v17030413
Cullinane A, Nelly M, Dayot L, Lukaseviciute G, Garvey M, Healy J, Gallagher R.This study describes a comparison of the detection of rotavirus in clinical samples from foals using two commercially available rapid antigen detection (RAD) kits, with the detection of rotavirus nucleic acid via a laboratory-based, in-house, real-time reverse transcription polymerase chain reaction (RT-PCR) assay. One hundred and forty freeze-thawed samples (70 that were RT-PCR-positive and 70 that were RT-PCR-negative on original tests) submitted to the diagnostic laboratory over a seven-year period were tested in addition to 123 fresh samples (15 RT-PCR-positive and 108 RT-PCR-negative) sub...
Bilateral intraocular choristoma in a 2-day-old foal. Morgan J, Curtis Shaw G, Weisman J, Cecere T, Carvallo-Chaigneau FR.A 2-d-old Warmblood colt was submitted for autopsy with a spectrum of bilateral ocular abnormalities. At postmortem examination, a constellation of lesions within the anterior segment included retention of ectodermal elements, compatible with choristoma. Ocular choristomas can be localized to different intraocular structures and are rare in equids. The morphologic features in our case were suggestive of abnormal corneal differentiation.
Dietary supplementation of new-born foals with free nucleotides positively affects neonatal diarrhoea management.
Irish veterinary journal    March 1, 2025   Volume 78, Issue 1 7 doi: 10.1186/s13620-025-00294-3
Penazzi L, Pagliara E, Nervo T, Ala U, Bertuglia A, Romano G, Hattab J, Tiscar PG, Bergagna S, Pagliasso G, Antoniazzi S, Cavallarin L, Valle E....Foals commonly experience diarrhoea in the first weeks of life. Although this condition is rarely life-threatening, it can have significant health consequences. This study investigated whether new-born foals can benefit from a dietary supplement of nucleotides, as already demonstrated in other species. Dietary nucleotides have positive effects on rapidly proliferating tissues and are considered "semi-essential nutrients" since cells have only a limited capacity to synthesize these compounds. The aim of this study was to investigate whether providing foals with a dietary nucleotide supplementat...
Longitudinal Evaluation of Vitamin D, Parathyroid Hormone, Antimicrobial Peptides, and Immunomodulatory Genes in Hospitalized Foals.
Journal of veterinary internal medicine    February 26, 2025   Volume 39, Issue 2 e70012 doi: 10.1111/jvim.70012
Kamr AM, Bartish C, Summers J, Horton J, Hostnik LD, Orr K, Browne N, Dembek KA, Saliba C, Gomez DE, Toribio RE.Information about the association of antimicrobial peptides with hypovitaminosis D in hospitalized foals is lacking. Objective: We aimed to longitudinally determine the association of serum concentrations of vitamin D metabolites, vitamin D binding protein (DBP), and parathyroid hormone (PTH) with antimicrobial peptides (β-defensin-1 and cathelicidin-1) and the mRNA expression of the vitamin D receptor (VDR), 1α-hydroxylase (CYP27B1), 24-hydroxylase (CYP24A1), toll-like receptor-4 (TLR-4), tumor necrosis factor-α (TNF-α), interleukin-1β (IL-1β), disease severity, and mortality in hospita...
Infections caused by extended-spectrum beta-lactamase-producing Enterobacterales in hospitalized neonatal foals: Can colonization predict infection?
Journal of veterinary internal medicine    February 21, 2025   Volume 39, Issue 2 e17299 doi: 10.1111/jvim.17299
Shnaiderman-Torban A, Meltzer L, Zilberman-Daniels T, Navon-Venezia S, Cohen A, Sutton GA, Blum SE, Amit S, Steinman A.Infections with extended-spectrum beta-lactamase-producing Enterobacterales (ESBL-PE) contribute to morbidity and mortality in human neonates. In foals, data are scarce. Objective: Determine the association between ESBL-PE gastrointestinal colonization on hospital admission and infections in hospitalized neonates. Methods: Sixty-seven foals. Methods: Prospective study of foals admitted to a veterinary hospital. Foals were screened for ESBL-PE colonization and for infections. Risk factors and clinical outcomes were analyzed. Results: Seventy-six percent of foals suffered from at least 1 bacteri...
The change in third metacarpal mid-diaphyseal radiographic dimensions in Thoroughbred foals through growth.
Equine veterinary journal    February 19, 2025   doi: 10.1111/evj.14484
Son JK, De Paz P, Kim J, Sanaei R, Ryu S, Bailey S, Davies HMS.Changes in the third metacarpal (MC3) mid-diaphyseal dimensions were measured radiographically in young Thoroughbred racehorses through race training and found to be associated with a higher risk of shin soreness. However, it is still unclear whether such negative MC3 morphologies are set congenitally or through development. Objective: To quantify MC3 bone dimensional changes through growth. Methods: Longitudinal. Methods: Twenty privately owned Thoroughbred foals were radiographed bimonthly from birth to 14 months of age. Four linear MC3 parameters (proximodistal MC3 length, mid-diaphyseal do...
Cerebellar abiotrophy in a quarter horse foal.
Journal of equine veterinary science    February 16, 2025   Volume 147 105386 doi: 10.1016/j.jevs.2025.105386
Primo ALM, Assis DM, Santos VGS, de Melo LRB, da Nóbrega LD, Medeiros Dantas AF, Maciel TA.Cerebellar abiotrophy is a neurodegenerative disease that affects the Purkinje cells of the cerebellum, resulting in premature neuronal death. In horses, its occurrence has been reported mainly in the Arabian breed as a congenital mutation inherited in an autosomal recessive manner. The objective of this study was to describe the case of cerebellar abiotrophy in a Quarter Horse foal. An 8-day-old foal was treated after presenting signs of ataxia, hypermetria, difficulty maintaining a standing position, and decreased menace response. The foal was hospitalized for 26 days, received treatment wit...
Vitamin E concentrations in hospitalized adult horses and foals.
Journal of the American Veterinary Medical Association    January 31, 2025   1-8 doi: 10.2460/javma.24.09.0590
Palmisano MG, Colmer SF, Saw YL, Xu X, Stefanovski D, Murphy L, Johnson AL.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...
Remodelling of the healthy foal’s conjunctival microbiome in the first two months of life.
Journal of veterinary research    January 31, 2025   Volume 69, Issue 1 131-140 doi: 10.2478/jvetres-2025-0001
Płoneczka-Janeczko K, Armstrong E, Siemieniuch-Tartanus M, Magdziarz M.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...
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.
Equine veterinary journal    January 30, 2025   doi: 10.1111/evj.14480
Helbig H, Berghaus LJ, Venner M, Berghaus R, Hart KA.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 the intrinsic and extrinsic factors on the growth and development of young foals under subtropical conditions of Pakistan.
PloS one    January 30, 2025   Volume 20, Issue 1 e0310784 doi: 10.1371/journal.pone.0310784
Chatha MA, Ahmad N, Abbas MA, Saadullah M, Khan JA.This study was designed to explore the impact of intrinsic (breed of foal, age of dam, and age of foal at weaning) and extrinsic (season of birth and housing type) factors on the growth and survival of foals in the subtropical conditions of Pakistan. For the growth study, retrospective data analysis of foals (n = 150) born from purebred brood mares of Thoroughbred, Arabs, and Percheron breeds (n1, n2, and n3 = 50 each) was made. Six hundred and twenty-four (n = 624) foals born between 2020 to 2022 were observed for the study of foal survival rate. The survival of these foals till the age of on...
Vitamin E and Selenium-Related Manifestations of Muscle Disease.
The Veterinary clinics of North America. Equine practice    January 29, 2025   S0749-0739(24)00094-4 doi: 10.1016/j.cveq.2024.11.001
Finno CJ, McKenzie E.Nutritional deficiencies of vitamin E and selenium can occur alone or concurrently. Prolonged and sustained deficiency of either or both nutrients can lead to profound clinical disease. Selenium deficiency can also result in signs of cardiac disease, upper gastrointestinal dysfunction, and abortion or the birth of weak foals. Deficiencies can usually be readily established by evaluating the dietary intake of individuals and by measurement of blood concentrations of these nutrients. Treatment of clinical disease is not always successful and prolonged morbidity and mortality can be encountered; ...
Characteristics of meconium impaction/retention in newborn foals: From 2006 to 2024.
Equine veterinary education    January 29, 2025   doi: 10.1111/eve.14109
Rivera Maza S, Bishop RC, Austin SM, Foreman JH, Wilkins PA.Meconium impaction/retention is a significant cause of colic in foals. Historically, limitations of both medical and surgical treatment are noted. Outcomes of meconium impaction/retention have not recently been reported. Unassigned: To describe case characteristics and outcomes in foals with meconium impaction/retention. Unassigned: Retrospective, single referral hospital. Unassigned: Medical records from 2006 to 2024 were searched for foals ≤3 days old with a history of straining to defecate, abdominal distention, colic, weakness and/or tail flagging. Signalment, presenting complaint, treat...
Oxidative stress in critically ill neonatal foals.
Journal of veterinary internal medicine    January 24, 2025   Volume 39, Issue 1 e17297 doi: 10.1111/jvim.17297
Wong D, Sahoo DK, Faivre C, Kopper J, Dersh K, Beachler T, Esser M.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...
Pulse oximetry at two sensor placement sites in conscious foals.
Acta veterinaria Scandinavica    January 23, 2025   Volume 67, Issue 1 6 doi: 10.1186/s13028-025-00794-w
Rossi HS, Mykkänen AK, Junnila JJT, Hyytiäinen HK.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...
Fecal microbiota changes associated with pathogenic and non-pathogenic diarrheas in foals.
BMC research notes    January 23, 2025   Volume 18, Issue 1 34 doi: 10.1186/s13104-025-07110-9
Shi Y, Maga EA, Mienaltowski MJ.Diarrhea is a common disease that could threaten the welfare of newborn foals. While there are several forms of foal diarrhea, the etiologies can be considered known pathogenic or non-pathogenic in nature. Moreover, there are likely differences in the composition of microbial populations in the gastrointestinal tracts of foals depending upon the etiology of diarrhea. Our study aims to examine the microbial population in the feces of foals with both pathogenic and non-pathogenic diarrheas to discern differences in their microbial compositions. Results: Foal diarrhea samples tested positive or n...
A Closed Reduction of Cervical Spine Subluxation in an Arabian Foal with an External Neck Stabilizer.
Animals : an open access journal from MDPI    January 23, 2025   Volume 15, Issue 3 doi: 10.3390/ani15030325
Domańska-Kruppa N, Stefanik E, Wierzbicka M, Kleinpeter A.Cervical spine injuries that impact young horses and foals can result in mild to severe neurological signs or even result in sudden death. There are only a few reports on conservative treatment options for this condition in the scientific literature. If the condition is left untreated, it can lead to the development of degenerative joint disease, resulting in chronic neurological symptoms and discomfort. We present the case of a two-day-old Arabian foal that showed signs of ataxia following a neck injury, being the result of cervical spine subluxation. Radiological examination revealed a dislo...
Mare colostrum quality and relationship with foal serum immunoglobulin G concentrations and average daily weight gains.
Equine veterinary journal    January 15, 2025   Volume 57, Issue 4 904-914 doi: 10.1111/evj.14471
Gallacher K, Champion K, Denholm KS.Foals suffer from total failure to transfer passive immunity (TFTPI) when serum immunoglobulin (IgG) is <4 g/L, and partial failure to transfer passive immunity (PFTPI) when serum IgG is 4-8 g/L. Objective: To explore risk factors for poor serum IgG concentration. Methods: Retrospective observational study. Methods: Data from 535 Thoroughbred foals born to 177 mares were analysed and included foal sex, birthweight, month and year of birth and colostrum Brix %. Associations between dam age and colostrum Brix (%); and between foal serum IgG and liveweight gains were also measured. Pre-suckle...
Factors associated with the selling price of sport horses in public auctions in Ireland.
Journal of equine veterinary science    January 3, 2025   105347 doi: 10.1016/j.jevs.2025.105347
Corbally AF, Fahey AG.Sale prices at auction significantly impact the economic return of sport horse production. This study aimed to determine factors associated with auction sales prices of sport horses at four maturity stages: foals, juveniles, young horses, and older horses. A total of 42,799 sales records from 2003 to 2022 were obtained from two Irish equine auction companies. A univariate regression model was used, and significant variables underwent multivariate analysis. Within each maturity category, factors associated with above-mean-priced horses differed from those associated with below-mean-priced horse...
Could Serum Collectin-11, surfactant protein-A and D be suitable biomarkers for assessing pulmonary damage caused by Rhodococcus equi infection in foals on large farms?
Polish journal of veterinary sciences    December 30, 2024   Volume 27, Issue 3 355-362 doi: 10.24425/pjvs.2024.149367
Ekinci G, Deniz O, Tüfekci E, Timur MC, Onmaz AC, Günes V, Citil M, Keles I, Hoven RVD.Rhodococcus equi (R. equi) is a primary cause of pyogranulomatous pneumonia of foals between three weeks and five months of age. Early diagnosis of rhodococcal pneumonia has always been considered a preferable approach as it can lead to more successful treatment and better outcomes. Horse stud farms where the disease is common, neonatal foals are subjected to tests such as complete blood count and fibrinogen analysis at certain intervals. However, new biomarkers are needed in addition to blood count and fibrinogen measurement in this field for early diagnosis of diseases. Based on this need, i...
Foals born alive from mares with ultrasonographically assessed placental abnormalities: Neonatal health and development up to weaning compared to foals from healthy mares.
Theriogenology    December 29, 2024   Volume 235 31-38 doi: 10.1016/j.theriogenology.2024.12.025
Debes L, Venner M, Koether K, Vervuert I, Blanco M, Sieme H, Sielhorst J.Little is known about the health status of foals born alive from mares treated for placental disease. The aims of the present study were (1) to compare the neonatal health status and health development during the rearing period of foals born from mares treated for ultrasonographically assessed placental abnormalities (UPA) to age-matched healthy foals from the same warmblood stud and (2) analyze the influence of mare's placental health on colostrum quality. Foals (n = 127) born from mares with UPA (UPA group; P) in 2017-2019 were compared to 127 foals born from healthy mares (control group; ...
Gestational length of Thoroughbred mares kept in tropical and subtropical climates.
Theriogenology    December 21, 2024   Volume 234 192-197 doi: 10.1016/j.theriogenology.2024.12.017
Silva GC, Nogueira CEW, Scalco R, Pizzi GLBL, Leite TA, Bastos R, Curcio BR.Gestation length (GL) in horses varies widely, influenced by multiple variables, including maternal, fetal, and environmental factors. This study aimed to investigate and quantify the relative contributions of climatic (photoperiod and temperature-humidity index - [THI]), maternal (age and parity), fetal (sex) and environmental (year and month of foaling) variables influencing gestation length in Thoroughbred mares. Retrospective data encompassing 704 pregnancies across nine breeding seasons in tropical and subtropical Brazilian climates were analyzed. Stepwise regression analysis identified f...
Retrospective cohort study on diseases and risk factors associated with death in hospitalized neonatal foals.
Journal of veterinary internal medicine    December 18, 2024   Volume 39, Issue 1 e17269 doi: 10.1111/jvim.17269
Castelain DL, Dufourni A, Pas ML, Bokma J, de Bruijn E, Paulussen E, Lefère L, van Loon G, Pardon B.The care of sick neonatal foals is labor-intensive and costly. Prediction of risk of death upon admission is often difficult but might support decision-making. Objective: To determine diseases and risk factors associated with death in neonatal hospitalized foals. Methods: Two hundred twenty-two hospitalized foals, ≤7 days old. Methods: Retrospective cohort study. Clinical and laboratory variables were evaluated for their association with death by means of Cox survival analysis and by classification and regression tree (CART) analysis. Results: Most prevalent diseases were sepsis (43.9%), e...