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Topic:Hospitalization
Hospitalization of horses involves the admission of equine patients to veterinary facilities for the diagnosis, treatment, and management of various medical conditions. This process is typically initiated when a horse requires intensive monitoring, specialized care, or advanced medical interventions that cannot be adequately provided in a non-clinical setting. Common reasons for equine hospitalization include surgical procedures, severe injuries, colic, respiratory disorders, and infectious diseases. During hospitalization, horses are monitored for vital signs, administered medications, and provided with supportive care tailored to their specific needs. This page compiles peer-reviewed research studies and scholarly articles that explore the protocols, outcomes, and advancements in the hospitalization of horses, providing insights into best practices and innovations in equine clinical care.
Equestrian injuries: a five year review of hospital admissions in British Columbia, Canada. To determine the demographics of hospital admissions and mortality associated with equestrian activities in the 33,000 riders in British Columbia (BC). Methods: Analysis of admission data from the Ministry of Health for the years 1991-96, review of information obtained from the Office of the Chief Coroner, and comparison of data from Canadian Hospitals Injury Reporting and Prevention Program. Results: The mean number of admissions per year was 390. Head injury was the most common cause of admission to hospital (20%) in BC. Females most often required admission (62%). Teenagers and children hav...
Arthrodesis of the proximal interphalangeal joint affected with septic arthritis in 8 horses. Arthrodesis was performed to treat septic arthritis of the proximal interphalangeal joint of 8 horses. Records of the horses were reviewed to determine outcome and possible factors that influenced success or failure. All horses were female. Seven horses had 1 joint treated and 1 horse was treated for bilateral pelvic limb involvement. The duration of sepsis before surgery ranged from 1 to 66 days. Bone lysis and production was radiographically apparent in 7 horses before surgery. Six horses had multiple bacterial organisms cultured from bone or synovial tissues; 2 horses had single isolates id...
Limb loading activity of adult horses confined to box stalls in an equine hospital barn. To determine a range of limb loading activity for healthy adult horses confined to box stalls in an equine veterinary teaching hospital and determine the effects of hospital environmental factors on load rates and daily limb loading patterns. Methods: 6 mature healthy horses of various ages, breeds, and sexes, and 1 horse with a repaired metatarsal fracture. Methods: Step monitors were placed on 2 limbs of adult horses confined to box stalls. Relocation steps and weight shifts were recorded, as loading events, for 24 hours. Influence of forelimb versus hind limb and environmental factors on lo...
[Evaluation of intravenous immunotherapy with purified F(ab’)2 fragments (Viperfav)]. To assess early clinical and biological prognosis factors in viper envenomings, and assess efficacy of Viperfav immunotherapy. Viperfav contains purified F(ab')2 fragments of equine antibodies. Methods: A retrospective case review study of viper envenomings collected by two poison centers in France, treated or not treated by Viperfav, was conducted. Two hundred seven cases of viper bites including 119 moderate or severe envenomings (Grade II and III, recorded in adults and children and collected from 1992 to 1997 were included. Before treatment, clinical gradation and early biological severity...
Repeated manual evacuation for treatment of rectal tears in four horses. Horses with tears that involve all layers of the rectum except the mesocolon (grade IIIb) have a poor prognosis for survival because of the difficulty in treating these wounds and the propensity for them to progress to full perforations (grade IV). Most treatments for grade-IIIb rectal tears involve surgery of some kind, but not all grade-IIIb rectal tears require surgical intervention. We report on 4 horses with grade-IIIb rectal tears that were evaluated via palpation per rectum and endoscopy. Two of 4 horses were admitted with signs consistent with shock and endotoxemia, and evaluation of a...
Prognostic factors affecting survival of 507 horses with joint disease: (1983 to 1990). Between July 1, 1983 and December 31, 1990, risk factors were determined for all horses with joint disease presented to a referral center, of being discharged, of ever becoming sound, or of being alive at 3 mo follow-up. Logistic multiple-regression models were done separately for foals (< or = 4 mo), yearlings (> 4-24 mo) and racing or nonracing adult horses (> 24 mo). The breakdown in this study was 53 foals, 87 yearlings, 141 nonracing adults, and 226 racing adults. Thirty-one foals (58%), 68 yearlings (78%), 119 non-racing adults (84%), and 213 racing adults (94%) were discharged. Foals wi...
Factors associated with prognosis for survival and athletic use in foals with septic arthritis: 93 cases (1987-1994). To identify factors affecting the prognosis for survival and athletic use in foals with septic arthritis. Methods: Retrospective study. Methods: 93 foals with septic arthritis. Methods: Medical records were reviewed to obtain clinical findings, laboratory test results, radiographic findings, treatment method, and outcome. Race records for Thoroughbreds and Standardbreds were evaluated to determine whether foals subsequently raced and whether they raced successfully. Results: 43 foals had 1 affected joint, 44 foals had multiple affected joints, and number of affected joints was not recorded for...
Caesarean section and other methods for assisted delivery: comparison of effects on mare mortality and complications. Data from 116 mares that had caesarean section or vaginal delivery at 2 university hospitals were analysed in 5 groups, as follows: dystocia corrected by caesarean section, Group DCS (n = 48); elective caesarean section, Group ECS (n = 10); caesarean section concurrently with colic surgery, Group CCS (n = 8); assisted vaginal delivery, Group AVD (n = 22); and controlled vaginal delivery under general anaesthesia, Group CVD (n = 28). Survival rate in all mares that had caesarean section, excluding Group CCS, was 88% (51/58). All mares in Group ECS survived and Group CCS had the lowest survival ...
Injuries to riders in the cross country phase of eventing: the importance of protective equipment. To determine the distribution of injuries in the eventing discipline of equestrian sports and the effectiveness of the protective equipment worn. Methods: Data on all injuries sustained in the cross country phase over fixed obstacles were collected from 54 days of competition from 1992 to 1997. This involved 16,940 rides. Results: Data on a total of 193 injuries were collected, which included two deaths. This represents an injury rate of 1.1%. Head and facial injuries represented the largest group (31%), with one third of these requiring treatment in hospital. All riders were wearing protectiv...
Fractures of the rostral portion of the mandible and maxilla in horses: 89 cases (1979-1997). To compare fracture locations, repair methods, complications, and outcomes of horses with fractures of the rostral portions of the mandible and maxilla. Methods: Retrospective study. Methods: 89 horses with fractures of the rostral portions of the mandible and maxilla. Methods: Medical records and radiographs were reviewed. Fractures were categorized by fracture location and stability. Postoperative complications and long-term outcome were determined by clinical examination and telephone interviews with horse owners. Results: 4 fracture types were recognized. Fractures involving just the alveo...
Equestrian injuries in the paediatric age group: a two centre study. This study's objective was to examine the nature, cause and frequency of injury resulting from equestrian sport in paediatric patients attending two accident and emergency departments. We recorded the attendances of patients aged less than 16 years with equestrian-related trauma in 1 year. Demographic details, injury, mechanism of injury, rider experience and use of protective equipment were noted. There were 41 attendances (39 female, two male, median age 12 years). Thirty-one were injured while mounted, 10 while dismounted. The commonest group of injuries were soft tissue injuries of the low...
Risk factors for nosocomial Salmonella infection among hospitalized horses. To identify risk factors for nosocomial Salmonella infections among hospitalized horses. Methods: Longitudinal study. Methods: 1,583 horses hospitalized in an intensive care unit between January 1992 and June 1996. Methods: Survivor functions were used to estimate time to shedding salmonellae for various Salmonella serotypes. Survival analysis was then used to determine how variables associated with patient management, environmental conditions, hospital conditions, and other disease processes affected the risk of nosocomial Salmonella infection. Results: 78 horses shed Salmonella organisms: 35...
Methicillin-resistant Staphylococcus aureus outbreak in a veterinary teaching hospital: potential human-to-animal transmission. During a 13-month period, 11 equine patients visiting a veterinary teaching hospital for various diagnostic and surgical procedures developed postprocedural infections from which methicillin (oxacillin)-resistant Staphylococcus aureus (MRSA) strains were isolated. The S. aureus isolates were identified by conventional methods that included Gram staining, tests for colonial morphology, tests for clumping factor, and tests for coagulase and urease activities and were also tested with the API STAPH IDENT system. Antimicrobial susceptibility tests were performed by the disk diffusion method. The b...
Comparison of medical and surgical treatment for impaction of the small colon in horses: 84 cases (1986-1996). To characterize clinical findings and compare effects of treatment and outcome for horses treated medically or surgically for impaction of the small colon. Methods: Retrospective study. Methods: 84 horses with impaction of the small colon. Methods: Medical records were reviewed for history, physical examination findings, laboratory values, treatment, response to treatment, complications, out-come, and necropsy findings. Results: 47 horses were treated medically and 37 horses were treated surgically. Significant differences between groups were not identified for duration of clinical signs, phys...
Characteristics and risk factors for failure of horses with acute diarrhea to survive: 122 cases (1990-1996). To characterize horses with acute diarrhea and determine risk factors for failure to survive. Methods: Retrospective study. Methods: 122 adult horses admitted for acute diarrhea at the teaching hospital between Jan 1, 1990 and Dec 31, 1996. Methods: Medical records of horses with acute diarrhea were reviewed to abstract information regarding signalment, history, physical examination, clinicopathologic testing, treatment, and outcome. Results: 91 of 122 (74.6%) horses lived and were discharged from the hospital. Horses with history of administration of antimicrobials for a problem preceding dia...
Evaluation of enterolithiasis in equids: 900 cases (1973-1996). To identify breed, age, sex, physical findings, history, and outcome of treatment in horses and other equids with enterolithiasis. Methods: Retrospective study. Methods: 900 equids with enterolithiasis. Methods: Medical records from equids with enterolithiasis admitted between 1973 and 1996 were reviewed. Data on signalment, history, physical examination and clinicopathologic findings, surgical findings, and outcome were compiled from records and from telephone interviews with owners. Sex and breed predilections were determined by comparison of the study population with the general hospital po...
Surgical reduction of ileal impactions in the horse: 28 cases. To evaluate the seasonal influence, signalment, type of hay consumed, clinical examination findings, and outcome after surgery for horses with ileal impaction. Methods: A retrospective study. Results: Between 1988 and 1993, 28 horses had surgical correction of ileal impaction. There was a significantly higher rate of ileal impaction during the Fall (September-November, P = .0041 ). Mean duration of clinical signs of abdominal pain before referral was 15 hours. Transrectal palpation was used to localize the impaction in 11 horses. The ileal impaction was reduced by extraluminal massage aided by...
Clostridium difficile associated with acute colitis in mares when their foals are treated with erythromycin and rifampicin for Rhodococcus equi pneumonia. In Sweden, mares sometimes develop acute, often fatal, colitis when their foals are treated orally with erythromycin and rifampicin for Rhodococcus (R.) equi infection. Clostridium (C.) difficile, or its cytotoxin, was demonstrated in faecal samples from 5 of 11 (45%) mares with diarrhoea. By contrast C. difficile was not found in the faecal flora of 12 healthy mares with foals treated for R. equi infection or in 56 healthy mares with healthy untreated foals. No other enteric pathogen was isolated from any diarrhoeic mare. Of 7 investigated treated foals, 4 had a high (1651.0, 1468.3, 273.0 an...
Influence of fecal shedding of Salmonella organisms on mortality in hospitalized horses. To predict mortality of horses by use of clinical data from the first day of hospitalization, to determine whether fecal shedding of Salmonella organisms is related to severity of clinical disease, and to determine the impact of fecal shedding of Salmonella organisms on mortality. Methods: Prospective study. Methods: 1,446 hospitalized horses. Methods: Medical information was obtained from horses hospitalized in an intensive care unit or isolation facility during a 4.5-year period. A model was created to predict mortality, using covariates determined on the day of admission. Predicted mortalit...
[Prevalence of infections caused by Salmonella spp. in cattle and horses at the Veterinary Teaching Hospital of the Faculty of Veterinary Medicine of the University of Montreal]. Bacteriologic detection of Salmonella spp. from feces of animals admitted to Veterinary Teaching Hospital of the Faculty of Veterinary Medicine, University of Montréal, in Saint-Hyacinthe was carried out during a 1-year period to estimate the prevalence of bovine and equine salmonellosis. Prevalence at the time of hospitalization was quite low: 1.4% in cattle and 1.7% in horses. Incidence was 15.1 cases/100 animal/year in cattle and 38.7 cases/100 animal/year in horses. Serotype typhimurium was the most prevalent in both species. In cattle, cases were evenly distributed over the year. In hors...
[Traumatology and sports injuries in equestrian acrobatics in the adolescent].
Sportverletzung Sportschaden : Organ der Gesellschaft fur Orthopadisch-Traumatologische Sportmedizin
The objective of this study was to compile knowledge of athletic injuries and complaint patterns related specifically to equestrian acrobatics (e.a.). A 20-page standardized questionnaire was sent to 114 e.a. participants. The mean age of the participants in e.a. groups was 15 +/- 3 years, that of independent participants 21 +/- 3 years. A total of 489 injuries was reported, mainly to muscles and tendons (35%), skin (33%) and joints and ligaments (25%). Bone injuries (6%) and head injuries (2%) were infrequent. Analysis of the localization showed that the head-face-neck region was involved in ... Evaluation of a portable clinical analyzer in a veterinary hospital setting. Evaluation of a portable clinical analyzer for determination of blood gas tensions, electrolyte and glucose concentrations, and Hct in a hospital setting. Methods: Prospective study. Methods: 50 dogs, 50 cats, and 28 horses, all clinically normal. Methods: Blood samples were analyzed on a portable clinical analyzer to determine concentrations of sodium, potassium, chloride, BUN, glucose, and ionized calcium and values of Hct, pH, PCO2, and PO2. Values obtained were compared with those obtained from the same blood samples, using a standard automatic analyzer (serum sodium, potassium, chloride, ...
Serum gentamicin concentrations in compromised neonatal foals. Twenty-one compromised neonatal foals hospitalised at the Rural Veterinary Centre (RVC) during 1993 were studied to determine i) serum gentamicin concentrations obtained when gentamicin was administered at 3.3 mg/kg bwt twice daily i.m.; ii) factors which contributed to inter-foal variation in serum gentamicin concentrations achieved and iii) clinical efficacy of gentamicin therapy in foals with confirmed septicaemia. Septicaemia was confirmed in 7 foals with positive blood cultures and suspected in 8 foals with a sepsis score > 11. Peak serum concentrations (Ps) were > 6 microg/ml in al...
Use of metronidazole in equine acute idiopathic toxaemic colitis. Sixteen cases of acute idiopathic toxaemic colitis developed in a veterinary hospital over a period of three years. Before the onset of colitis, 15 horses had received antibiotics, 11 had undergone general anaesthesia and various surgical procedures, and 10 had been treated with non-steroidal anti-inflammatory drugs. The horses had acute onset, profuse watery diarrhoea, profound depression, mild to moderate abdominal pain, reduced intestinal borborygmi, tachycardia, dehydration and endotoxic shock. Leucopenia, neutropenia and pyrexia were common early indicators of impending colitis. Metronida...
Enterocolitis associated with Clostridium perfringens infection in neonatal foals: 54 cases (1988-1997). To identify clinical signs, physical examination findings, results of diagnostic tests, treatments administered, and clinical outcome of neonatal foals with enterocolitis associated with Clostridium perfringens infection. Methods: Retrospective study. Methods: 54 neonatal foals. Results: Most foals had acute onset of obtunded mentation, colic, or diarrhea and developed leukopenia, neutropenia, an abnormally high number of band neutrophils, toxic WBC, and hypoproteinemia within 24 hours after admission, despite high serum IgG concentrations (> 800 mg/dl). Abdominocentesis and abdominal radio...
[Contribution to the treatment of displacement of the ascendant colon in the spleen-kidney area]. Objective to this field study was to find an alternative to rolling a colic patient with left dorsal displacement under general anesthesia. For that purpose a total of 49 horses with a complete nephrosplenic entrapment out of 542 colic patients presented at the Tierklinik Kerken in 1996 were retrospectively evaluated. Having performed a preliminary colic examination and initial treatment if needed, horses which did not undergo surgery immediately where left loose in a small sized arena to move and roll themselves under observation. According to the results of further exams, horses were left in...
A retrospective study of mortality associated with general anaesthesia in horses: elective procedures. A retrospective analysis examined mortality associated with all procedures requiring general anaesthetic, performed at the Philip Leverhulme Large Animal Teaching Hospital, during the five-year period from February 1991 to December 1995. The study involved details relating to 2276 equine general anaesthetics and a variety of patient variables were examined. Within a group of 1279 animals undergoing anaesthesia for elective procedures, 46 (3.6 per cent) died or were euthanased owing to a poor prognosis or financial implications. Mortality relating directly to the surgery or anaesthesia occurred...
A modified technique for extensive large colon resection and anastomosis in horses. To describe an alternative technique for large colon resection and anastomosis in horses. Methods: Retrospective study of clinical patients. Methods: 37 horses that had ventral midline celiotomies between July 1, 1990, and July 1, 1994. Methods: Large colon resection and anastomosis was performed using a modification of previously described techniques. Modifications include mesocolon ligation with a stapling device and an end-to-end apposition of the right ventral and right dorsal colon. Results: Twenty-one of the 37 horses were discharged from the hospital without complications. Two horses we...
