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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.
Relation between pharmacokinetics of amikacin sulfate and sepsis score in clinically normal and hospitalized neonatal foals.
Journal of the American Veterinary Medical Association    May 1, 1992   Volume 200, Issue 9 1339-1343 
Wichtel MG, Breuhaus BA, Aucoin D.Pharmacokinetic values after IV administration of amikacin sulfate were determined for clinically normal and hospitalized foals during the first week of life. The relations between drug disposition and sepsis score and serum creatinine concentration also were studied. In clinically normal foals, differences in sepsis score, serum creatinine concentration, and pharmacokinetic variables of amikacin were not found between foals 1 to 3 and 4 to 7 days old. In hospitalized foals, sepsis score, serum creatinine concentration, area under the curve, area under the moment curve, and mean residence time...
Equestrian injuries in children and young adults.
American journal of diseases of children (1960)    May 1, 1992   Volume 146, Issue 5 611-614 doi: 10.1001/archpedi.1992.02160170091022
Nelson DE, Bixby-Hammett D.We reviewed the English language scientific literature about equestrian injuries among children and young adults. All studies showed that more females than males were injured, with falls from horses being the most common cause of injury. Fractures were common, and head injuries were associated with the vast majority of deaths (72% to 78%) and hospitalizations (55% to 100%). Although the overall injury rate was low, equestrian athletes are at risk for serious injuries. Pediatricians should know the medical contraindications for participation in equestrian sports and encourage riders to obtain h...
Association between serum cytotoxicity and selected clinical variables in 240 horses admitted to a veterinary hospital.
American journal of veterinary research    May 1, 1992   Volume 53, Issue 5 748-752 
MacKay RJ.A total of 378 serum samples from 240 hospitalized horses and 47 sera from healthy control horses were assayed for growth effects on actinomycin D-treated L929 cells. On average, patient and control sera stimulated cell growth; however, mean percentage of the relative growth index (RGI) of sera from clinical cases was significantly (P less than 0.001) lower than that of control sera. Approximately 35% of patient sera and 6% of control sera had tumor necrosis factor-like cytotoxic activity for L929 cells (ie, RGI less than 100%). Sera from horses with either peritoneal leakage of gastrointestin...
Rabies in horses: 21 cases (1970-1990).
Journal of the American Veterinary Medical Association    April 15, 1992   Volume 200, Issue 8 1133-1137 
Green SL, Smith LL, Vernau W, Beacock SM.The records of 21 horses with rabies were reviewed. Results of fluorescent antibody testing for rabies antigen in brain tissue were positive in each case. According to the histories, 5 of the horses had been vaccinated for rabies between 4 to 24 months prior to the onset of the clinical signs. Bite wounds were not observed on any of the horses, and exposure to a suspected rabid animal was witnessed in only 5 cases. Clinical signs of disease at the time of initial examination included ataxia and paresis of the hindquarters (9/21, 43%), lameness (5/21, 24%), recumbency (3/21, 14%), pharyngeal pa...
Subcutaneous emphysema from an axillary wound that resulted in pneumomediastinum and bilateral pneumothorax in a horse.
Journal of the American Veterinary Medical Association    April 15, 1992   Volume 200, Issue 8 1107-1110 
Hance SR, Robertson JT.A 5-year-old Thoroughbred gelding was examined because of a small axillary wound sustained 5 days earlier and had resulted in extensive subcutaneous emphysema. Three days after admission, the horse's respiratory rate had increased to 72 breaths/min, and the horse appeared anxious and distressed. Thoracic radiography revealed pneumomediastinum and severe bilateral pneumothorax. Tube thoracostomy was performed on both hemithoraxes. The drains were connected to one-way suction valves and suction devices to decompress the thorax. A nasopharyngeal catheter was inserted, and oxygen insufflation was ...
Hypoglycemia and hepatic ischemic necrosis after small intestinal incarceration through the epiploic foramen in a horse.
The Cornell veterinarian    April 1, 1992   Volume 82, Issue 2 173-179 
Davis DM, McClure JR, Bertone AL, Cazayoux CA, Vice JD.A 16-year-old stallion was presented to the Louisiana State University Veterinary Teaching Hospital for evaluation of acute abdominal pain. Physical examination and diagnostic procedures indicated a strangulating obstruction of the small intestine. At exploratory celiotomy, a strangulating incarceration of the jejunum through the epiploic foramen was found. The incarcerated small intestine was reduced, then resection of the nonviable bowel and anastomosis performed. After surgery, the horse exhibited clinical signs and laboratory findings associated with hypoglycemia and died in spite of emerg...
Long-term outcome of tooth repulsion in horses. A retrospective study of 61 cases.
Veterinary surgery : VS    March 1, 1992   Volume 21, Issue 2 145-149 doi: 10.1111/j.1532-950x.1992.tb00033.x
Prichard MA, Hackett RP, Erb HN.The records of 61 horses undergoing tooth repulsion for treatment of alveolar periostitis were reviewed. Seventeen of 36 horses (47%) in which maxillary teeth were removed had serious postoperative complications, such as infection of a second tooth, bone sequestration, chronic sinusitis, draining tracts, retained dental packing, feed impaction of the alveolus or sinus, suture-line dehiscence, or skin-flap sloughs. Eight horses required at least one additional surgical procedure. Eight of 25 horses (32%) in which mandibular teeth were removed had serious postoperative complications, and four ho...
Prognostic variables for survival of neonatal foals under intensive care.
Journal of veterinary internal medicine    March 1, 1992   Volume 6, Issue 2 89-95 doi: 10.1111/j.1939-1676.1992.tb03157.x
Hoffman AM, Staempfli HR, Willan A.The costly nature of intensive care for neonatal foals prompted a study of predictive variables for survival in a referral hospital. Applying stepforward logistic regression to parameters that differed significantly (P less than 0.10) between survivors (S) and nonsurvivors (NS) in a retrospective study (n = 56), two variables retained statistical significance [anion gap (AG, P = 0.0047) and venous PO2 (PvO2, P = 0.0342)], thus forming the basis for a predictive equation for survival: the Pn (probability of NS) = eA/(1 + eA) where A = -1.46 - 0.107 (PvO2) + 0.213 (AG). The predictive equation w...
Disposition of gentamicin administered intravenously to horses with sepsis.
Journal of the American Veterinary Medical Association    February 15, 1992   Volume 200, Issue 4 503-506 
Sweeney RW, Divers TJ, Rossier Y.Plasma concentration of gentamicin was measured 1, 4, and 6 hours after IV administration in 35 hospitalized adult horses on days 1, 3, 5, and 10 of treatment. The mean apparent elimination rate constant beta was 0.53 +/- 0.10 h-1 on day 1 for horses with normal plasma creatinine concentration and 0.41 +/- 0.13 h-1 for horses with abnormally high plasma creatinine concentration. There was no significant difference between beta of the hospitalized horses and of 6 healthy horses treated with gentamicin, but total clearance for the hospitalized horses with normal plasma creatinine concentration w...
[Comparative plasmid profile analysis of Salmonella typhimurium var. Copenhagen strains from a Salmonella outbreak in hospitalized horses].
Berliner und Munchener tierarztliche Wochenschrift    February 1, 1992   Volume 105, Issue 2 38-42 
Bauerfeind R, Wieler LH, Weiss R, Baljer G.From April 1990 through June 1991 clinical salmonellosis and asymptomatic faecal excretion of Salmonella spp. were seen in hospitalized horses at two veterinary hospitals. 76 Salmonella strains from hospitalized horses and 18 strains from horses without any clinical contact were characterized by serotyping and plasmid profile analysis. From April 1990 through January 1991 97.8% of the hospitalized horses were infected with strains of S. typhimurium var. Copenhagen, which were closely related according to their similar plasmid patterns. Other strains of S. typhimurium var. Copenhagen and seroty...
Resection and anastomosis of the small colon in four horses.
Australian veterinary journal    January 1, 1992   Volume 69, Issue 1 5-7 doi: 10.1111/j.1751-0813.1992.tb09849.x
Dart AJ, Snyder JR, Pascoe JR.Resection and anastomosis of the small colon was performed on 4 horses with vascular lesions (strangulating lipoma, mesenteric tear, dissecting haematoma) or functional obstruction (stricture) of this area of the bowel. The anastomoses were performed using a variety of suture materials in 2 layers. An appositional, full-thickness, simple, interrupted pattern was used in the first layer in all cases and oversewn with either a Cushing pattern (3 cases) or a Utrecht pattern (1 case). Post-operative complications associated with suture material and surgical technique were not seen. All horses were...
Medical and surgical management of small-colon impaction in horses: 28 cases (1984-1989).
Journal of the American Veterinary Medical Association    December 15, 1991   Volume 199, Issue 12 1762-1766 
Ruggles AJ, Ross MW.Medical records of 28 horses with impaction of the small colon were reviewed; 20 horses were admitted during the winter months. Diagnosis of small-colon impaction was made in 21 horses by rectal examination, and in 7 horses at exploratory celiotomy. Ten horses were treated medically, and 18 were treated surgically. Horses that were treated surgically were more likely to have abdominal distention than were those that responded to medical treatment (P less than 0.025). Signs of greater degree of abdominal pain and higher heart rate were seen in horses treated surgically, but these values were no...
Probable congenital esophageal stenosis in a thoroughbred foal.
Journal of the American Veterinary Medical Association    August 15, 1991   Volume 199, Issue 4 483-485 
Clabough DL, Roberts MC, Robertson I.Esophageal stenosis was diagnosed in a 7-day-old Thoroughbred foal referred for evaluation of bilateral milky nasal discharge. Double-contrast radiography revealed concentric narrowing of the esophagus at the level of the fifth rib, overlying the base of the heart. Lateral displacement of the esophagus was not apparent. X-ray computed tomography of the cranial portion of the thorax confirmed normal cardiac and great vessel anatomy, ruling out vascular ring anomaly. A nasogastric tube was placed, extending past the stenosis and into the stomach, and the foal was fed mares' milk via this tube. O...
Types of colic and frequency of postcolic abortion in pregnant mares: 105 cases (1984-1988).
Journal of the American Veterinary Medical Association    August 1, 1991   Volume 199, Issue 3 374-377 
Santschi EM, Slone DE, Gronwall R, Juzwiak JS, Moll HD.The records of 105 pregnant mares and 105 nonpregnant horses with colic admitted to an equine hospital were reviewed. The 2 groups had similar types of colic and short-term survivability. Of the 105 pregnant mares, 31 were treated medically and 74 required surgical intervention. Thirty-three of the 105 mares died or were euthanatized. Thirteen (18%) of the 72 remaining mares aborted. Of 4 mares with severe medical cases, 2 died, 1 aborted, and 1 aborted and died. Of 27 horses with medical cases that required less intensive treatment, none died and 2 aborted. Of the 74 horses that required surg...
Woodward center equipped with tools for building veterinary trends … and its equine hospital is setting the pace.
Journal of the American Veterinary Medical Association    July 15, 1991   Volume 199, Issue 2 161-163 
Zuziak P.No abstract available
Injuries caused by animals.
Injury    July 1, 1991   Volume 22, Issue 4 295-298 doi: 10.1016/0020-1383(91)90009-4
Björnstig U, Eriksson A, Ornehult L.Injuries caused by animals and treated at the University Hospital of Umeå were analysed. Dogs caused nearly one-half of the injuries, while horses caused one-third of the injuries and the highest number of fractures. The 'cost' of treatment and sickness benefit was fairly evenly distributed between horse-, cattle-, and dog-related injuries. The average 'cost' per injured person was, however, highest in those injured in cattle accidents and moose-car collisions. The impact of animal-related injuries on the health care and social security systems was similar to occupational accidents and car ac...
Two-dimensional echocardiographically guided pericardiocentesis in a horse with traumatic pericarditis.
Journal of the American Veterinary Medical Association    June 1, 1991   Volume 198, Issue 11 1953-1956 
Vörös K, Felkai C, Szilágyi Z, Papp A.Two-dimensional echocardiographic (2DE) examination was performed on a horse with clinical signs of pericardial effusion. Thickening of the pericardium, excess amount of pericardial fluid, elevation of the cardiac apex, and right ventricular compression, characteristic of cardiac tamponade, could be seen on 2DE recordings. Fibrinous pericarditis was suspected by observation of fibrinous strands in the pericardial fluid and epicardial fibrin deposits. Echocardiographically guided pericardiocentesis was performed, and 4 L of fluid was removed from the pericardial sac. Streptococcus zooepidemicus...
Antithrombin III activity in horses with colic: an analysis of 46 cases.
Equine veterinary journal    May 1, 1991   Volume 23, Issue 3 211-214 doi: 10.1111/j.2042-3306.1991.tb02758.x
Darien BJ, Potempa J, Moore JN, Travis J.Antithrombin-III (AT-III) activity was measured at the time of admission in 46 horses referred with colic. Differences in AT-III activities between animals treated medically or surgically and survivors or non-survivors were compared. The mean AT-III values for the horses treated medically (76.2 per cent), surgical survivors (69.5 per cent) and surgical non-survivors (55.9 per cent) were significantly different from the reference value for healthy adults (92 to 108 per cent). The mean AT-III activity of the survivors was significantly (P less than 0.01) greater than that of the nonsurvivors. Th...
Evaluation of age, breed, and gender as risk factors for umbilical hernia in horses of a hospital population.
American journal of veterinary research    April 1, 1991   Volume 52, Issue 4 637-639 
Freeman DE, Spencer PA.Age, breed, and gender distributions of 168 horses with umbilical hernia treated at the University of Pennsylvania School of Veterinary Medicine were analyzed to determine risk factors for this disease. For the 3 breeds that constituted the largest proportion of hospital and case populations, Thoroughbred, Standardbred, and Quarter Horse, the overall ratio of females to males was 1.63. In a hospital population of the same age group, 0 to 48 months, the female to male ratio was 0.93. Compared with males, females were at significantly higher risk for umbilical hernia after adjustment for breed a...
Clinical relevance of monocyte procoagulant activity in horses with colic.
Journal of the American Veterinary Medical Association    March 1, 1991   Volume 198, Issue 5 843-848 
Henry MM, Moore JN.Endotoxin-activated monocytes express a thromboplastin-like procoagulant activity on the cell surface that may serve as a focal point for formation of microvascular thrombi. Because coagulopathy is a common sequela to endotoxemia in the equine species, we investigated the ability of monocytes, isolated from horses with colic, to express procoagulant activity. On the day of admission, and on the third and fifth day of hospitalization, monocytes were isolated from 30 adult horses with colic. A coagulation profile, including prothrombin time, activated partial thromboplastin time, thrombin time, ...
Use of newly developed assays for protein C and plasminogen in horses with signs of colic.
American journal of veterinary research    February 1, 1991   Volume 52, Issue 2 345-351 
Welles EG, Prasse KW, Moore JN.Protein C content and plasminogen activity were measured in plasma from 100 horses with signs of colic. Data were analyzed by grouping horses 4 ways. Each horse was allotted to 1 of 2 outcome groups (survivors and nonsurvivors), 1 of 3 broad-category diagnosis groups (inflammatory disorders, strangulating obstructions, and all other gastrointestinal disorders), and 1 of 2 clinical management groups (medical and surgical). In a fourth grouping, all horses (although numbers of horses included in each subgroup were small) were assigned either to specific diagnostic groups that had high expectatio...
Poisoning with equine phenylbutazone in a racetrack worker.
Annals of emergency medicine    February 1, 1991   Volume 20, Issue 2 204-207 doi: 10.1016/s0196-0644(05)81225-9
Newton TA, Rose SR.Phenylbutazone is a potent nonsteroidal, anti-inflammatory drug often used by veterinarians to treat racetrack animals. Its use in human beings is limited because of significant adverse effects and the availability of newer, safer drugs. We report the case of a 24-year-old man who ingested 17 g of equine phenylbutazone over a 24-hour period to treat the pain of a toothache. He developed grand mal seizures, coma, hypotension, respiratory and renal failure, and hepatic injury. Serum phenylbutazone concentration obtained approximately eight hours after presentation was 900 micrograms/mL. The pati...
Progestagen, oestrone sulphate and cortisol concentrations in pregnant mares during medical and surgical disease.
Journal of reproduction and fertility. Supplement    January 1, 1991   Volume 44 627-634 
Santschi EM, LeBlanc MM, Weston PG.Plasma cortisol, oestrone sulphate and progestagens were measured in 22 stressed pregnant mares (gestation length 17-336 days) as indicators of fetal viability. Mares were bled every 12 h from time of admission, and plasma was stored at -70 degrees C until assayed. Four normal mares were bled twice weekly from Day 270 to parturition to provide baseline endocrine data. Cortisol and progestagen concentrations were measured by radioimmunoassay and oestrone sulphate was measured by enzyme immunoassay. Mares were grouped according to clinical diagnosis: surgical colic (Group 1, n = 11), medical col...
[The injury pattern in horseback riding]. Dittmer H.Injuries are relatively rare in horse riding compared to other sports, but when they occur they are rather severe and dangerous: about 40% of the injured suffer from fractures, for instance and only 15% from sprains. About 20% have to be admitted to the hospital. Roughly 30% of the injuries involve the arm and 7.5%-10% the spine. The head is injured in 20%, the brain in 8% and the lower extremity in only about 20%. That means that the majority of injuries involve the upper half of the body. One quarter of all lethal sport injuries are caused by horse riding.
Laryngeal hemiplegia in draft horses. A review of 27 cases.
Veterinary surgery : VS    November 1, 1990   Volume 19, Issue 6 456-459 doi: 10.1111/j.1532-950x.1990.tb01233.x
Bohanon TC, Beard WL, Robertson JT.Case records of 27 draft horses with laryngeal hemiplegia were reviewed. Twenty-one horses were treated by ventriculectomy with or without prosthetic laryngoplasty, and 17 owners were contacted to determine the results. Fifteen horses improved after surgery and were able to perform to the owners' expectations. Performance improved significantly and hospitalization was shorter after ventriculectomy alone. Results of this study indicate that the clinical signs of exercise intolerance and excessive inspiratory noise associated with left laryngeal hemiplegia in draft horses can be treated successf...
A computer-derived protocol using recursive partitioning to aid in estimating prognosis of horses with abdominal pain in referral hospitals. Pascoe PJ, Ducharme NG, Ducharme GR, Lumsden JH.In order to determine which variables are useful and accurate in estimating prognosis in horses with abdominal pain, data were analyzed from 231 horses presented at a veterinary teaching hospital. Using multiple stepwise discriminant analysis in a recursive partition model, we obtained a decision protocol that identified survivors and nonsurvivors. The prevalence of survivors was 61% in this population. The sensitivity, specificity, and positive and negative predictive values of this model were 71, 83, 87 and 65%, respectively. This decision protocol was validated by Jackknife classification a...
Epidemiologic study of salmonellae shedding in the feces of horses and potential risk factors for development of the infection in hospitalized horses.
Journal of the American Veterinary Medical Association    May 15, 1990   Volume 196, Issue 10 1617-1622 
Traub-Dargatz JL, Salman MD, Jones RL.A study was designed to identify epidemiologic factors associated with the development and spread of salmonellae in horses in a veterinary teaching hospital, through a case-control study and a longitudinal follow-up prospective study. In the case-control study, 44 horses shedding salmonellae in feces were compared with 99 control horses not shedding salmonellae in feces; regarding breed, sex, age and initial diagnosis, none of the odds ratios for study factors was significant. The factors found to be associated with fecal shedding of salmonellae in the prospective study included diarrhea at th...
Medical treatment and costs of sports-related injuries in a total population.
International journal of sports medicine    February 1, 1990   Volume 11, Issue 1 66-72 doi: 10.1055/s-2007-1024765
de Loës M.A prospective study of acute injuries from sports and physical exercise was carried out during 1 year in a total population of a municipality with 31,620 inhabitants. The medical treatment and the services required for the injuries have been calculated and related to the total consumption of medical care in the municipality. A total of 571 injuries (17% of all injuries) occurred in 28 different sports: 65% of the injured were males. Sports injuries accounted for 3% of all acute visits and there were altogether 1,083 outpatient visits, which yields a mean of 1.9 visits per injury. Related to th...
Equine rabies immune globulin: a product with an undeserved poor reputation.
The American journal of tropical medicine and hygiene    February 1, 1990   Volume 42, Issue 2 175-178 doi: 10.4269/ajtmh.1990.42.175
Wilde H, Chutivongse S.Four hundred nineteen patients exposed to rabies in Thailand were treated with equine rabies immune globulin (ERIG) manufactured by Sclavo of Italy, a product also licensed in the United States of America. They were followed for a minimum of 1 month after ERIG injection and rabies vaccine administration. Adverse serum sickness-like reactions were noted in 15 patients (3.58%). These were clinically acceptable and only 1 of these patients required corticosteroid therapy and short term hospitalization for serum sickness. ERIG is approximately 1/10 of the cost of human rabies immune globulin (HRIG...
Gastric rupture in horses: 50 cases (1979-1987).
Journal of the American Veterinary Medical Association    January 15, 1990   Volume 196, Issue 2 333-336 
Kiper ML, Traub-Dargatz J, Curtis CR.A computer-based search was conducted of medical and necropsy records of horses admitted to the teaching hospital from Jan 1, 1979, to Dec 31, 1987, to obtain the records of all horses admitted to the hospital for colic and subsequently found to have gastric rupture. Fifty cases of gastric rupture were found. The records were reviewed to obtain data regarding peritoneal fluid analysis. Cell counts of these samples were often erroneous because debris and clumps of bacteria were counted when most WBC were lysed. A cross-sectional study of gastric rupture cases versus all other colic cases regard...
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