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Topic:Lactate

Lactate is a byproduct of anaerobic metabolism, produced when glucose is broken down for energy in the absence of sufficient oxygen. In horses, lactate levels can increase during intense physical exertion, such as racing or other high-performance activities. Elevated lactate concentrations are often associated with muscle fatigue and can provide insights into a horse's exercise physiology and conditioning status. Monitoring lactate levels can aid in assessing the horse's fitness, recovery, and adaptation to training. This page compiles peer-reviewed research studies and scholarly articles that explore the production, regulation, and implications of lactate in equine exercise physiology and performance.
Regional disturbances in blood flow and metabolism in equine limb wound healing with formation of exuberant granulation tissue. Sørensen MA, Petersen LJ, Bundgaard L, Toft N, Jacobsen S.As in other fibroproliferative disorders, hypoxia has been suggested to play a key role in the pathogenesis of exuberant granulation tissue (EGT). The purpose of this study was to investigate metabolism and blood flow locally in full-thickness wounds healing with (limb wounds) and without (body wounds) formation of EGT. Microdialysis was used to recover endogenous metabolites from the wounds, and laser Doppler flowmetry was used to measure blood flow. Measurements were performed before wounding and 1-28 days after wounding. Blood flow was consistently lower in limb wounds than in body wounds t...
Blood lactate measurement and interpretation in critically ill equine adults and neonates.
The Veterinary clinics of North America. Equine practice    June 10, 2014   Volume 30, Issue 2 399-viii doi: 10.1016/j.cveq.2014.04.006
Tennent-Brown B.Admission blood lactate concentration is widely used as a prognostic indicator in equine medicine and can be a useful indicator of disease severity but typically fails to completely discriminate survivors from nonsurvivors. Increased admission lactate concentrations in adult horses typically return to normal within 12 to 24 hours. Lactate concentrations in neonatal foals are higher than adult concentrations for the first 24 to 72 hours of life. Serial measures reflecting both the magnitude and duration of hyperlactatemia might enable more accurate prognostication and provide insight into dis...
Equine lamellar energy metabolism studied using tissue microdialysis.
Veterinary journal (London, England : 1997)    May 27, 2014   Volume 201, Issue 3 275-282 doi: 10.1016/j.tvjl.2014.05.030
Medina-Torres CE, Pollitt CC, Underwood C, Castro-Olivera EM, Collins SN, Allavena RE, Richardson DW, van Eps AW.Failure of lamellar energy metabolism may contribute to the pathophysiology of equine laminitis. Tissue microdialysis has the potential to dynamically monitor lamellar energy balance over time. The objectives of this study were to develop a minimally invasive lamellar microdialysis technique and use it to measure normal lamellar energy metabolite concentrations over 24 h. Microdialysis probes were placed (through the white line) into either the lamellar dermis (LAM) (n = 6) or the sublamellar dermis (SUBLAM) (n = 6) and perfused continuously over a 24 h study period. Probes were pl...
Protein catabolism and high lipid metabolism associated with long-distance exercise are revealed by plasma NMR metabolomics in endurance horses.
PloS one    March 21, 2014   Volume 9, Issue 3 e90730 doi: 10.1371/journal.pone.0090730
Le Moyec L, Robert C, Triba MN, Billat VL, Mata X, Schibler L, Barrey E.During long distance endurance races, horses undergo high physiological and metabolic stresses. The adaptation processes involve the modulation of the energetic pathways in order to meet the energy demand. The aims were to evaluate the effects of long endurance exercise on the plasma metabolomic profiles and to investigate the relationships with the individual horse performances. The metabolomic profiles of the horses were analyzed using the non-dedicated methodology, NMR spectroscopy and statistical multivariate analysis. The advantage of this method is to investigate several metabolomic path...
The Genome of the Predominant Equine Lactobacillus Species, Lactobacillus equi, Is Reflective of Its Lifestyle Adaptations to an Herbivorous Host.
Genome announcements    January 16, 2014   Volume 2, Issue 1 e01155-13 doi: 10.1128/genomeA.01155-13
O'Donnell MM, Harris HM, O'Toole PW, Ross RP.We report the draft genome sequence of Lactobacillus equi strain DPC6820, isolated from equine feces. L. equi is a predominant Lactobacillus species in the horse hindgut microbiota. An examination of the genome identified genes and enzymes highlighting L. equi adaptations to the herbivorous gastrointestinal tract of the horse, including fructan hydrolases. This genome sequence may help us further understand the microbial ecology of the equine hindgut and the influence lactobacilli have on it.
Physiological response to a breed evaluation field test in Icelandic horses.
Animal : an international journal of animal bioscience    January 6, 2014   Volume 8, Issue 3 431-439 doi: 10.1017/S1751731113002309
Stefánsdóttir GJ, Ragnarsson S, Gunnarsson V, Jansson A.This study examined the response in terms of heart rate (HR), respiratory rate (RR), haematocrit (Htc), rectal temperature (RT), and some plasma variables in Icelandic horses of different sexes and ages performing the riding assessment in a breed evaluation field test (BEFT). The study was conducted in Iceland on 266 horses (180 mares and 86 stallions, divided into four age groups; 4, 5, 6 and ≥7 years old). RT and RR were recorded and blood samples were taken before the warm-up and after the riding assessment. Horse HR, velocity and distance were recorded during the warm-up, the riding asse...
Arterial oxygen tension and pulmonary ventilation in horses placed in the Anderson Sling suspension system after a period of lateral recumbency and anaesthetised with constant rate infusions of romifidine and ketamine.
Equine veterinary journal    December 6, 2013   Volume 46, Issue 5 596-600 doi: 10.1111/evj.12185
François I, Lalèyê FX, Micat M, Benredouane K, Portier K.Some controversy exists over whether or not horses' recovery and cardiopulmonary function are affected by suspension in slings. Objective: To measure arterial oxygen tension and pulmonary ventilation in anaesthetised horses placed in a standing position in an Anderson Sling (AS) after a period of right lateral recumbency (RLR). Methods: Randomised crossover experimental study. Methods: Six Standardbred horses were anaesthetised twice. Catheters were inserted into the right jugular vein and the left carotid artery. After premedication with romifidine, anaesthesia was induced with diazepam and k...
Comparison of transverse facial venous sinus and jugular blood values in healthy and critically ill horses.
Equine veterinary journal. Supplement    December 1, 2013   Issue 45 15-19 doi: 10.1111/evj.12163
Hunter BG, Schlipf JW, Cebra C.The transverse facial venous sinus (TFVS) can be used for blood collection in horses, but information on the validity of blood values from this site is limited. Objective: To determine if packed cell volume (PCV), total solids (TS) and blood lactate concentrations in blood drawn simultaneously from a TFVS and jugular vein of critically ill horses are correlated and determine the effect of serial TFVS sampling on the same parameters in healthy horses. Methods: Prospective observational study. Methods: Critically ill horses had simultaneous blood samples drawn from a TFVS and jugular vein. Blood...
Sequential L-lactate concentration in hospitalised equine neonates: A prospective multicentre study.
Equine veterinary journal. Supplement    December 1, 2013   Issue 45 2-7 doi: 10.1111/evj.12165
Borchers A, Wilkins PA, Marsh PM, Axon JE, Read J, Castagnetti C, Pantaleon L, Clark C, Qura'n L, Belgrave R, Schwarzwald C, Levy M, Bedenice D....Evaluation of serial blood lactate concentrations [LAC] are of prognostic value for morbidity and mortality in critically ill human patients and neonatal foals, but have not been prospectively evaluated in a large multicentre study of critically ill neonatal foals. Objective: To prospectively evaluate the prognostic value of sequential [LAC] analysis in critically ill neonatal foals with risk of mortality. Methods: Prospective, observational study. Methods: Thirteen university and private equine referral hospitals enrolled 643 foals over the 2008 foaling season and [LAC] was measured at admiss...
An in vitro model of the horse gut microbiome enables identification of lactate-utilizing bacteria that differentially respond to starch induction.
PloS one    October 1, 2013   Volume 8, Issue 10 e77599 doi: 10.1371/journal.pone.0077599
Biddle AS, Black SJ, Blanchard JL.Laminitis is a chronic, crippling disease triggered by the sudden influx of dietary starch. Starch reaches the hindgut resulting in enrichment of lactic acid bacteria, lactate accumulation, and acidification of the gut contents. Bacterial products enter the bloodstream and precipitate systemic inflammation. Hindgut lactate levels are normally low because specific bacterial groups convert lactate to short chain fatty acids. Why this mechanism fails when lactate levels rapidly rise, and why some hindgut communities can recover is unknown. Fecal samples from three adult horses eating identical di...
A prospective study on a cohort of horses and ponies selected for participation in the European Eventing Championship: reasons for withdrawal and predictive value of fitness tests.
BMC veterinary research    September 13, 2013   Volume 9 182 doi: 10.1186/1746-6148-9-182
Munsters CC, van den Broek J, Welling E, van Weeren R, van Oldruitenborgh-Oosterbaan MM.Eventing is generally recognized as a challenging equestrian discipline and wastage figures for this discipline are relatively high. There is a need for information that provides insight into the causes of wastage and withdrawal from competition, for animal welfare and economic reasons. The aim of the present investigation was to conduct a prospective study following the entire national selection of event horses (n = 20) and ponies (n = 9) in the Netherlands that prepared for the European Championship in 2010 (ponies) and 2011 (horses), noting causes of withdrawal and monitoring fitness using ...
Short-term whole body vibration exercise in adult healthy horses.
Polish journal of veterinary sciences    August 27, 2013   Volume 16, Issue 2 403-405 doi: 10.2478/pjvs-2013-0057
Carstanjen B, Balali M, Gajewski Z, Furmanczyk K, Bondzio A, Remy B, Hartmann H.The purpose of this study was to analyze the acute effect of whole body vibration exercise (WBVE) on clinical parameters and blood values in horses. Seven horses were exposed to a 10 min WBVE at a frequency of 15-21 Hz. Clinical parameters and venous blood samples were taken before and directly after WBVE. Acute short-term WBVE produced a decrease in serum cortisol (p = 0.02) and creatine-kinase (p = 0.02) values. Clinical parameters, hematology, fibrinogen, lactate, IGF-I, GGT, creatinine, myeloperoxidase activity and bone marker values were not significantly changed by WBVE. In adult sound h...
Young Friesian horses show familial aggregation in fitness response to a 7-week performance test.
Veterinary journal (London, England : 1997)    August 22, 2013   Volume 198, Issue 1 193-199 doi: 10.1016/j.tvjl.2013.07.023
Munsters CC, van den Broek J, van Weeren R, Sloet van Oldruitenborgh-Oosterbaan MM.The aim of this study was to monitor the fitness level of young Friesian horses and to assess whether fitness data are predictive for final performance score and whether familial aggregation of response to training could be detected. Sixty-six young Friesian horses, the offspring of six different stallions (A, B, C, D, E and F), underwent a 7-week performance test. The horses were given a performance score for their ability for dressage (in weeks 5 and 7; 0-110 points) and were evaluated for fitness using standardised exercise tests (SETs) at the beginning (week 2, SET-I) and the end (week 6, ...
Comparison of the lactate minimum speed and the maximal lactate steady state to determine aerobic capacity in purebred Arabian horses.
New Zealand veterinary journal    July 22, 2013   Volume 62, Issue 1 15-20 doi: 10.1080/00480169.2013.815103
Miranda MC, Queiroz-Neto A, Silva-Júnior JR, Pereira MC, Soares OA, Borghi RT, Ferraz GC.To compare five different protocols for estimating the lactate minimum speed (LMS) with that for estimating the maximal lactate steady state (MLSS) in Arabian horses, in order to obtain a more rapid method for monitoring aerobic capacity and prescribing training schedules. Methods: Eight purebred Arabian horses were conditioned to exercise on a treadmill for 12 days then submitted to three to five exercise sessions to determine the MLSS. Blood samples were collected from a jugular catheter at specific intervals for measurement of lactate concentrations. The MLSS was the velocity maintained dur...
Genetic analysis of haematological and plasma biochemical parameters in the Spanish purebred horse exercised on a treadmill.
Animal : an international journal of animal bioscience    May 24, 2013   Volume 7, Issue 9 1414-1422 doi: 10.1017/S1751731113000955
Escribano BM, Molina A, Valera M, Tovar P, Agüera EI, Santisteban R, Vivo R, Agüera S, Rubio MD.The novel aim of this study was to describe the reference values of different haematological and biochemical parameters in the Spanish purebred horse (Andalusian, SPB) in each of the stages of a programmed exercise on a treadmill system, and to establish heritability and genetic correlations for these haematological and biochemical parameters. For this, 94 young SPB male horses (4.22 ± 2.27 years old) were used. An increasing intensity exercise test at 4, 5, 6 and 7 m/s was carried out on a treadmill (6% inclination). Total red blood cells, total white blood cells, neutrophils and lymphocytes...
[Examination of horses with acute colic – clinical pathology and diagnostic imaging].
Tierarztliche Praxis. Ausgabe G, Grosstiere/Nutztiere    April 24, 2013   Volume 41, Issue 2 124-135 
Cavalleri JM, Bienert-Zeit A, Feige K.The article summarizes the relevant clinical pathological assessment of horses with acute colic. A minimal laboratory evaluation should include the patient's haematocrit (or packed cell volume), total protein, and lactate concentration in the blood. Haematocrit and total protein provide an indication of the severity of dehydration (haematocrit < 0.45 l/l is evidence of no to mild dehydration whereas > 0.5 l/l points to a severe dehydration). The degree of dehydration is often associated with the severity of the colic. Additionally, the blood lactate concentration rises with increasing intesti...
Physicochemical interpretation of acid-base abnormalities in 54 adult horses with acute severe colitis and diarrhea.
Journal of veterinary internal medicine    April 3, 2013   Volume 27, Issue 3 548-553 doi: 10.1111/jvim.12071
Gomez DE, Arroyo LG, Stämpfli HR, Cruz LE, Oliver OJ.The quantitative effect of strong electrolytes, pCO2 , and plasma protein concentration in determining plasma pH and bicarbonate concentrations can be demonstrated with the physicochemical approach. Plasma anion gap (AG) and strong ion gap (SIG) are used to assess the presence or absence of unmeasured anions. Objective: The physicochemical approach is useful for detection and explanation of acid-base disorders in horses with colitis. AG and SIG accurately predict hyperlactatemia in horses with colitis. Methods: Fifty-four horses with acute colitis and diarrhea. Methods: Retrospective study. Ph...
Effect of acute exercise on monocarboxylate transporters 1 and 4 in untrained and trained Thoroughbreds.
American journal of veterinary research    March 28, 2013   Volume 74, Issue 4 642-647 doi: 10.2460/ajvr.74.4.642
Kitaoka Y, Endo Y, Mukai K, Aida H, Hiraga A, Takemasa T, Hatta H.To evaluate the effects of a single incremental exercise test (IET) on mRNA expression and protein content of monocarboxylate transporter (MCT) 1 and MCT4 in the gluteus medius muscle of Thoroughbreds. Methods: 12 Thoroughbreds (6 males and 6 females; age, 3 to 4 years). Methods: Horses underwent an IET before and after 18 weeks of high-intensity exercise training (HIT). Horses were exercised at 90% of maximal oxygen consumption for 3 minutes during the initial 10 weeks of HIT and 110% of maximal oxygen consumption for 3 minutes during the last 8 weeks of HIT. Gluteus medius muscle biopsy spec...
Blood lactate concentrations in ponies and miniature horses with gastrointestinal disease.
Equine veterinary journal    March 4, 2013   Volume 45, Issue 6 666-670 doi: 10.1111/evj.12043
Dunkel B, Kapff JE, Naylor RJ, Boston R.Clinical impression suggested that pony and miniature breeds (collectively referred to as ponies) presenting to a referral hospital for investigation of gastrointestinal disease had higher blood lactate concentrations on admission than large breed horses. Objective: The study tested the hypothesis that ponies with gastrointestinal disease had higher blood lactate concentrations on admission than large breed horses with similar disease severity. Methods: Retrospective case-control study. Methods: Medical records from September 2006 to July 2011 were reviewed for ponies with a primary presenting...
The welfare of young Polish Konik horses subjected to agricultural workload.
Journal of applied animal welfare science : JAAWS    January 4, 2013   Volume 16, Issue 1 35-46 doi: 10.1080/10888705.2013.740997
Kȩdzierski W, Pluta M.Every year a new group of young Polish Konik colts are separated from the forest herds to be trained in the stable breeding system. The aim of this study was to evaluate how the young Polish Konik horses who had been born in a forest reserve adapt to and tolerate draft work. Two groups of 6 horses each were studied: (a) 3- to 4-year-old colts and (b) 7- to 13-year-old stallions. An effort response was estimated by heart rate (HR) registration and biochemical analysis of hematocrit; blood lactic acid (LA) level; and plasma concentration of glucose, triacylglycerols, uric acid, total protein, an...
Traditional and quantitative assessment of acid-base and shock variables in horses with atypical myopathy.
Journal of veterinary internal medicine    November 29, 2012   Volume 27, Issue 1 186-193 doi: 10.1111/jvim.12003
van Galen G, Cerri S, Porter S, Saegerman C, Lefere L, Roscher K, Marr C, Amory H, Votion DM.Descriptions of acid-base disturbances in atypical myopathy (AM) are limited. Objective: Describe and compare traditional and quantitative acid-base abnormalities and cardiovascular shock status in horses with AM at admission. Methods: 34 horses with AM, 15 healthy controls. Methods: Retrospective case-control study. Records were searched for shock variables (packed cell volume [PCV], blood urea nitrogen [BUN], heart and respiratory rate) and acid-base variables (venous blood gas analysis, electrolytes, total protein, lactate) on admission. Base excess (BE) of free water (BEfw), chloride (BEcl...
Exogenous L-lactate clearance in adult horses.
Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001)    November 1, 2012   Volume 22, Issue 5 564-572 doi: 10.1111/j.1476-4431.2012.00800.x
De Pedro P, Wilkins PA, McMichael MA, Dirikolu L, Lascola KM, Clark-Price SC, Boston RC.To determine endogenous production of L-lactate and the clearance of exogenous sodium L-lactate (ExLC) in healthy adult horses. Methods: A sodium L-lactate solution (1 mmol/kg body weight qs to 500 mL final volume in 0.9% NaCl) was adminstered IV over 15 minutes. Blood samples for L-lactate concentration [LAC] measurement were collected immediately prior to infusion, at 5, 10, and 15 minutes during infusion and at 1 minute intervals for 15 minutes, at 30, 45, 60, 120, and 180 minutes postinfusion. Disposition modeling and pharmacokinetic analysis was performed using proprietary software. Metho...
Clinicopathologic evidence of myocardial injury in horses with acute abdominal disease.
Journal of the American Veterinary Medical Association    October 20, 2012   Volume 241, Issue 9 1202-1208 doi: 10.2460/javma.241.9.1202
Nath LC, Anderson GA, Hinchcliff KW, Savage CJ.To determine whether there is evidence of myocardial injury in horses with acute abdominal disease. Methods: Prospective case series. Methods: 18 healthy horses and 69 horses with acute abdominal disease. Methods: 18 healthy horses had been admitted to the hospital for investigation and were assigned to group 1. Horses examined for acute abdominal disease were assigned to 3 groups: strangulating obstruction, nonstrangulating obstruction, or inflammatory disease (groups 2, 3, and 4, respectively). Heart rate, Hct, and blood lactate and cardiac troponin I (cTnI) concentrations were measured at i...
Assessing fitness in endurance horses.
The Canadian veterinary journal = La revue veterinaire canadienne    September 4, 2012   Volume 53, Issue 3 311-314 
Fraipont A, Van Erck E, Ramery E, Fortier G, Lekeux P, Art T.A field test and a standardized treadmill test were used to assess fitness in endurance horses. These tests discriminated horses of different race levels: horses participating in races of 120 km and more showed higher values of VLA4 (velocity at which blood lactate reached 4 mmol/L) and V200 (velocity at which heart rates reached 200 beats per min) than horses of lower race levels. Un test sur le terrain et un test sur tapis roulant ont été utilisés pour évaluer la condition physique des chevaux d’endurance. Ces tests ont séparé les chevaux de différents niveaux de course : les cheva...
Amniotic fluid and blood lactate concentrations in mares and foals in the early postpartum period.
Theriogenology    August 13, 2012   Volume 78, Issue 6 1182-1189 doi: 10.1016/j.theriogenology.2012.02.032
Pirrone A, Mariella J, Gentilini F, Castagnetti C.Amniotic fluid (AF) lactate concentration and time-dependent changes in blood lactate concentration in mares after parturition have never been evaluated. In this study, the venous blood lactate concentration of mares and foals during the first 72 h of the postpartum period was assessed, and the concentration of lactate in the AF collected during delivery and the utility of its measurement for evaluating the foal's health were investigated. This prospective observational study was carried out on mares attended at delivery. They were divided into mares delivering healthy (Group 1) and sick (Grou...
Effects of extracellular lactate on production of reactive oxygen species by equine polymorphonuclear leukocytes in vitro.
American journal of veterinary research    August 2, 2012   Volume 73, Issue 8 1290-1298 doi: 10.2460/ajvr.73.8.1290
Echigoya Y, Morita S, Itou T, Sakai T.To evaluate effects of extracellular lactate on viability, shape change, lactate metabolism, and reactive oxygen species (ROS) production in equine polymorphonuclear leukocytes (PMNs). Methods: PMNs isolated from equine venous blood samples. Methods: PMNs were incubated with 0 to 300mM lactate for 30 minutes before each experiment. Viability was assessed via trypan blue exclusion. Shape change was assessed via flow cytometry and light microscopy. Relative quantification of monocarboxylic acid transporter and lactate dehydrogenase lactate dehydrogenase (LDH) isotype mRNAs was performed with a r...
A survey on the feeding of eventing horses during competition.
Journal of animal physiology and animal nutrition    July 19, 2012   Volume 96, Issue 5 878-884 doi: 10.1111/j.1439-0396.2012.01324.x
Brunner J, Wichert B, Burger D, von Peinen K, Liesegang A.This study aims at the comparison of the actual feeding of horses with the recommendations from the literature, and it studies the effects of feeding and exercise on several blood metabolic parameters before and after exercise. Blood samples were collected from 25 horses during one-star eventing competitions and evaluated for blood glucose, insulin, lactate, free fatty acids and triglyceride levels. Questionnaires on the feeding practices of the horses were evaluated. The questionnaires revealed that during training, and on tournament days, horses received on average 4.3 kg of concentrate per ...
Antioxidant status in elite three-day event horses during competition.
Oxidative medicine and cellular longevity    June 26, 2012   Volume 2012 572090 doi: 10.1155/2012/572090
Williams CA, Burk AO.The objective of this study was to determine if competition intensity would have an effect on antioxidant status in horses before and during a three-day event. Body weight, body condition score, and blood was sampled from CCI2* (n = 19) and CCI3* (n = 23) horses before the start of dressage, 20 to 30 min following cross-country, and 18-24 h after cross-county. Data were analyzed using a PROC MIXED in SAS. There were no differences between CCI2* and CCI3* horses during competition for plasma cortisol, lactate, α-tocopherol, retinol, or erythrocyte glutathione peroxidase. After cross-country, C...
Evaluation of L-lactate and cardiac troponin I in horses undergoing emergency abdominal surgery.
Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001)    June 19, 2012   Volume 22, Issue 3 313-319 doi: 10.1111/j.1476-4431.2012.00744.x
Radcliffe RM, Divers TJ, Fletcher DJ, Mohammed H, Kraus MS.To evaluate changes in plasma cardiac troponin I (cTnI) and L-lactate (LLt) as prognostic indicators in horses undergoing emergency abdominal surgery. Methods: Prospective observational study. Methods: Veterinary teaching hospital. Methods: Thirty-four horses undergoing emergency abdominal surgery. Methods: Serial blood sampling during various times during hospitalization (hospital admission, and 12, 24, 48, and 72 h postoperatively) evaluating cTnI and LLt concentrations. Results: All horses required surgery for correction of a strangulating (n = 29) or nonstrangulating obstruction (n = 5) of...
Association of admission L-lactate concentration in hospitalised equine neonates with presenting complaint, periparturient events, clinical diagnosis and outcome: a prospective multicentre study.
Equine veterinary journal. Supplement    May 19, 2012   Issue 41 57-63 doi: 10.1111/j.2042-3306.2011.00509.x
Borchers A, Wilkins PA, Marsh PM, Axon JE, Read J, Castagnetti C, Pantaleon L, Clark C, Qura'n L, Belgrave R, Trachsel D, Levy M, Bedenice D....Admission L-lactate concentration is a useful and commonly measured biomarker not previously prospectively evaluated in a large multicentre study of critically ill neonatal foals. Objective: To evaluate overall outcome and the association of survival and L-lactate concentration at admission ([LAC]ADMIT) by periparturient history, presenting complaint and clinicians' major diagnosis for ill neonatal foals. Methods: Thirteen university and private equine referral hospitals enrolled 643 foals over the 2008 foaling season. Case details, historical, clinical and clinicopathological data were entere...
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