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Topic:Mortality

Mortality in horses refers to the incidence and causes of death within equine populations. Understanding mortality is important for assessing health risks, improving management practices, and guiding veterinary care. Various factors contribute to mortality in horses, including age, breed, health status, and environmental conditions. Common causes of death in horses include colic, injury, infectious diseases, and age-related conditions. Mortality rates and patterns can vary significantly depending on the population and geographic location. This page compiles peer-reviewed research studies and scholarly articles that investigate the epidemiology, causes, and trends of mortality in horses, providing insights into preventive measures and management strategies to reduce mortality rates.
Retrospective Evaluation of Synchronous Diaphragmatic Flutter in Horses: 37 Cases (2004-2022). Faircloth J, Fielding L, Epstein K, Crabtree N, Mochal C, Magdesian G, Major D.To describe the clinical presentation of horses with synchronous diaphragmatic flutter (SDF) and identify clinical and laboratory variables associated with survival. Methods: Retrospective study from January 2004 to September 2022. Methods: Five large animal referral hospitals in the United States. Methods: Thirty-seven horses of various breeds and ages presenting with clinical signs of SDF, excluding animals participating in an endurance competition. All horses were >1 year of age. Methods: None. Results: Variables recorded and analyzed included signalment, clinical and laboratory data, trea...
The magnitude of hyperchloremia in horses is associated with diarrhea and renal function.
American journal of veterinary research    July 16, 2025   1-7 doi: 10.2460/ajvr.25.02.0071
Fielding CL.To describe the signalment, diagnosis, treatment, and laboratory characteristics of horses with hyperchloremia and identify factors associated with the magnitude of the increased chloride concentration. Unassigned: Horses with a chloride concentration greater than 108 mEq/L were included in this retrospective study. Descriptive statistics and multiple linear regression analysis were used to identify associations between diagnosis, treatment, and laboratory variables and the magnitude of hyperchloremia. Unassigned: 134 horses met the inclusion criteria for this study. Creatinine was a significa...
Indicators of mortality risk in ageing horses.
GeroScience    June 25, 2025   doi: 10.1007/s11357-025-01738-y
Kelemen Z, Vogl C, Torres Borda L, Auer U, Jenner F.Clinical care for patients with limited life expectancy often requires adjustments, prioritizing immediate benefits over long-term outcomes, as the relevance of future complications diminishes. This study identifies indicators of mortality risk in horses with chronic orthopaedic conditions to enhance individualized care and welfare. Over 3 years, 123 chronically lame horses and 6 healthy control horses at an animal sanctuary underwent regular (every 3 months) comprehensive health assessments and activity monitoring using wearable sensors. Data collected included body condition scores, muscul...
Donkey and Hybrid Anaesthetic Mortality in an Observational, Prospective, Multicentre Cohort Study.
Animals : an open access journal from MDPI    June 25, 2025   Volume 15, Issue 13 1880 doi: 10.3390/ani15131880
Boocock H, Flyps J, Escobar A, Redondo JI, Taylor PM, Gozalo-Marcilla M, Johnston GM, Bettschart-Wolfensberger R, Sullivan R.Equid anaesthetic mortality is of interest to practitioners. Data for donkey and hybrid mortality have not been specifically described. The main aim of this worldwide observational, prospective, multicentre cohort study was to report on mortality in the 7 days following a general anaesthetic or standing sedation in donkeys and hybrids. This study hypothesised that donkeys and hybrids would have higher mortalities compared to horses. Data were collected as part of the fourth Confidential Enquiry into Perioperative Equine Fatalities (CEPEF4). A total of 825 cases were included, with 757 donkeys ...
The Confidential Enquiry into Perioperative Equine Fatalities: phase 4 (CEPEF4) – a worldwide observational, prospective, multicentre cohort study in 2025.
Veterinary anaesthesia and analgesia    June 16, 2025   S1467-2987(25)00136-9 doi: 10.1016/j.vaa.2025.06.005
Gozalo-Marcilla M, Redondo JI, Bettschart-Wolfensberger R, Domenech L, Doménech J, Johnston GM, Taylor PM.To report on the Confidential Enquiry into Perioperative Equine Fatalities 4 (CEPEF4). Methods: Confidential, observational, prospective, multicentre, cohort study. Methods: 47,396 horses/ponies undergoing general anaesthesia (GA). Methods: Characteristics of each GA (249 variables) were collected. Outcomes after seven days were ALIVE (or discharged), EUTHANASIA or DEAD. Logistic regression analysed patient demographics and the anaesthetic drugs (p < 0.05). Results: Data were collected from 47,396 GAs in 93 centres in 28 countries. Death rates were 1.2% overall, 0.6% for cases classified as NO...
Good response to oxymetholone in adult aplastic anemia.
Annals of hematology    June 14, 2025   doi: 10.1007/s00277-025-06460-5
Chaipokam J, Rojnuckarin P.In Thailand, stem cell transplantation and horse antithymocyte globulin (ATG) are not accessible for most adult aplastic anemia (AA) patients. Alternative therapies are required. We conducted a cohort study of 110 adult AA patients treated with oxymetholone alone for at least 30 days from 2013 to 2023. Response at month 6 and prognostic factors were evaluated. The mean age was 63.4 years old and 58.2% were female. Severe and very severe AA (SAA/VSAA) comprised 64.5% and 3.6%, respectively. The initial oxymetholone daily dose was 150 mg in 66.4%. The overall response was 56.4% (50.7% for SAA/V...
“There’s no blueprint for this kind of loss”: Resilience following the death of an equine in an equine-assisted services program.
Death studies    May 28, 2025   1-11 doi: 10.1080/07481187.2025.2510477
Kaufman SVA, Nieforth LO.For practitioners involved in equine-assisted services (EAS), the death of a horse can be a significant life disruption. This study aims to understand the communicative resilience processes that equine-assisted service practitioners express following the death of an equine in their program. This study analyzed secondary qualitative data from a cross-sectional online survey completed by 84 participants. Analysis revealed practitioners engaged in all five communicative resilience processes following the death of an equine in their program. This research extends current resilience research by exa...
Equine fatalities in equestrian eventing.
Equine veterinary journal    May 15, 2025   Volume 57, Issue 5 1387-1394 doi: 10.1111/evj.14529
Cameron-Whytock HA, O'Brien D, Lewis V, Parkin T, Bennet ED.To date, industry and research outputs that have aimed to improve safety in equestrian eventing have tended to focus on identifying risk factors for horse falls during cross-country, which have been identified as the greatest risk of injury and fatality for riders. There is an absence of research that investigates fatalities of horses within the sport of eventing. Objective: To use a combination of media reports and eventing federation databases to describe and document equine fatalities in equestrian eventing, including their context, location and a basic pathology. Methods: Descriptive study...
Performance horses as a model for exercise-associated cardiac arrhythmias and sudden cardiac death.
Journal of molecular and cellular cardiology plus    May 9, 2025   Volume 12 100452 doi: 10.1016/j.jmccpl.2025.100452
Avison A, Physick-Sheard PW, Pyle WG.This paper reviews the myocardial substrate of horses relative to that of humans and discusses the utility of performance horses as a model of exercise-associated cardiac arrhythmias and sudden cardiac death in athletes. The coronary circulation is similar between the species while coronary artery anomalies and myocardial bridging appear to only be associated with athletic mortality in human athletes and not in performance horses. There are subtle differences in the histology of the sinus and atrioventricular nodes, of unknown clinical significance, while the His bundle is more highly innervat...
Allele Frequencies and Genotypes for the Ryanodine Receptor 1 Variant Causing Malignant Hyperthermia and Fatal Rhabdomyolysis With Hyperthermia in Horses.
Journal of veterinary internal medicine    April 29, 2025   Volume 39, Issue 3 e70081 doi: 10.1111/jvim.70081
Aleman M, McCue M, Bellone RR.Fatal anesthesia-induced malignant hyperthermia (MH) and rhabdomyolysis with hyperthermia documented in Quarter Horses (QH) breeds are caused by a missense variant in the ryanodine receptor 1 gene (RYR1: XP_023505430.1.:p.(R2454G), designated as MH). The reported cases to date have all been heterozygous, and the allele frequency is suspected to be low. Objective: To determine an accurate estimate of MH allele frequency in multiple horse breeds and investigate whether homozygous animals exist in the population. Methods: In total, 159 227 horses from 16 breeds who were either submitted for cli...
The Industrial Residue of Andiroba (Carapa sp.): A Promising Source of Natural Acaricides Against Dermacentor nitens (Acari: Ixodidae).
Veterinary sciences    April 29, 2025   Volume 12, Issue 5 421 doi: 10.3390/vetsci12050421
Bianchi D, Santos RRD, Peleja PL, de Sousa ABB, da Silva Evangelista M, de Almeida Júnior JS, Barata LES, Moraes WP, Minervino AHH. (tropical horse tick) is a tick species commonly found parasitizing horses and other equids in the Amazon region, causing economic losses. Currently, tick control is based on chemical acaricides, usually in a power formulation for topical use. However, its indiscriminate use results in the emergence of resistant tick lineages. Several plant compounds have been tested for their acaricide activity. In the Amazon, several plants are used for oil extraction, resulting in the production of solid residue (waste) that may contain chemical molecules with biological activities. Thus, we aimed to test ...
Equestrian Trauma in an Urban Environment: A Retrospective Analysis in a Level I Trauma Center.
Cureus    April 2, 2025   Volume 17, Issue 4 e81609 doi: 10.7759/cureus.81609
Swezey E, Szydziak E, Angus LDG, Mehta V, Cardozo-Stolberg S.Equestrian trauma is recognized as a high-risk injury mechanism with the potential for significant morbidity and mortality. Although horse-related injuries are more frequently seen in a rural environment, they can also occur in urban settings. Urban physicians should be mindful of these potential cases. Methods: A retrospective review was performed on all patients treated at Nassau University Medical Center, East Meadow, New York, for equestrian-related trauma from January 1, 2000, to December 31, 2024. Results: Twenty-nine equestrian trauma patients ages 10-70 were included, with injuries ob...
Clinical use of antimicrobial regional limb perfusion in adult horses diagnosed with synovial sepsis or penetrating synovial wounds at a single equine referral hospital in the Midwest United States-163 cases (2010-2020).
Frontiers in veterinary science    March 26, 2025   Volume 12 1504486 doi: 10.3389/fvets.2025.1504486
Loppnow Z, Kersh K, Wang C, Spaethe S, Troy J.The clinical outcomes in horses diagnosed with established synovial sepsis (SS) or minimally contaminated synovial wounds (SW)/non-established sepsis, following intravenous regional limb perfusion (IVRLP) treatment, have not been reported since 2010. Additionally, previous reports on this subject were confined to just two clinical retrospective reports. This study aimed to provide an update on the short-term (hospital discharge) and long-term (≥1 year) survival rates in adult horses diagnosed with SS or SW treated with IVRLP at a single institution in the USA from 2010-2020. The study also...
Novel risk factors associated with fatal musculoskeletal injury in Thoroughbreds in North American racing (2009-2023).
Equine veterinary journal    March 25, 2025   doi: 10.1111/evj.14503
Bennet ED, Parkin TDH.The Equine Injury Database (EID) is a census-level record of Thoroughbred racing in North America, currently recording 95.6% of all race starts in 2023, along with partial training and veterinary histories of each horse. Objective: To identify horse-, race- and track-level risk factors associated with race-related fatal musculoskeletal injury (MSI) of Thoroughbred racehorses in North America. Methods: Retrospective cohort study. Methods: The study cohort included all race starts made by horses born after 31 December 2006, at tracks that fully report to the EID and consisted of 3,851,659 race s...
Renal Lipidosis in Horses and Donkeys: 25 Cases (2008-2022).
Journal of veterinary internal medicine    March 20, 2025   Volume 39, Issue 2 e70072 doi: 10.1111/jvim.70072
Slavik K, Bender S, Sharkey L, Nolen-Walston R.Renal lipidosis is a well-documented histologic finding in humans and small animals with renal and metabolic disorders, but it is not well described in equids. Objective: To describe the signalment, clinicopathologic indices, and postmortem findings of equids with a histologic diagnosis of both hepatic and renal lipidosis (HL + RL) and compare them to cases with hepatic lipidosis only (HL). Methods: Equids with necropsy findings of renal or hepatic lipidosis (state diagnostic lab) between 2008 and 2022. Methods: Retrospective case-control study. Signalment, history, necropsy diagnosis, and...
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...
A Retrospective Study on Pre- and Intraoperative Predictors on the Recovery Quality of Horses After General Anesthesia.
Veterinary sciences    March 11, 2025   Volume 12, Issue 3 doi: 10.3390/vetsci12030262
Román Durá B, Dunham O, Grulke S, Salciccia A, Dupont J, Sandersen C.Equine anesthesia is related to high morbidity and mortality rates and recent studies suggested that the period of recovery remains the phase associated with the greatest risk of mortality in horses. Intraoperative hypotension, hypoxemia, and hypercapnia are recognized as potential determinants of recovery quality. This study, conducted at the Equine University Hospital of Liege, aimed to explore how these factors influence recovery outcomes and compare complications between non-emergency and emergency procedures. We analyzed data from 1057 horses, with a mean weight of 498 kg (ranging from 15...
Longitudinal Changes in Fecal Microbiota During Hospitalization in Horses With Different Types of Colic.
Journal of veterinary internal medicine    March 6, 2025   Volume 39, Issue 2 e70039 doi: 10.1111/jvim.70039
Loublier C, Costa M, Taminiau B, Lecoq L, Daube G, Amory H, Cesarini C.Research on fecal microbiota changes during hospitalization of horses with colic is emerging. Objective: Describe changes of the fecal microbiota during hospitalization of horses with colic caused by inflammatory (INFL), simple (SIMPLE), and strangulated (STR) obstructions, and investigate associations with survival. Methods: Twenty-three horses with colic: 9 in INFL, 5 in STR, and 9 in SIMPLE groups. Seventeen horses survived, and 6 were euthanized. Methods: Prospective observational study. Fecal samples were collected on admission (D1), on days 3 (D3) and 5 (D5). Bacterial taxonomy profiling...
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...
Suspected chlorfenapyr poisoning in a horse.
Journal of equine veterinary science    February 7, 2025   Volume 146 105380 doi: 10.1016/j.jevs.2025.105380
Simões BP, Cerri FM, Takahira RK, Borges AS, Oliveira-Filho JP, Amorim RM.Chlorfenapyr is a pesticide that interferes with mitochondrial function, leading to cell death and mortality. Although poisoning is primarily documented in humans and dogs, it can result in severe clinical signs, including sweating, respiratory distress, and neurological dysfunction. This report describes the clinical and laboratory findings of a horse with suspected accidental intoxication with chlorfenapyr. A 4-year-old Quarter Horse mare was referred to the veterinary hospital with signs of excessive sweating, hyperthermia, tachypnea, muscle fasciculation, and fearful facial expression. The...
Severe subcutaneous infection with Clostridium septicum in a herd of native Icelandic horses.
Acta veterinaria Scandinavica    February 6, 2025   Volume 67, Issue 1 8 doi: 10.1186/s13028-025-00792-y
Oddsdóttir C, Sigurðardóttir ÓG, Friðriksdóttir V, Svansson V, Bragason BÞ, Björnsdóttir S.Cellulitis due to infection with clostridia has not been documented in horses in Iceland. However, clostridia are well-known pathogens in Icelandic sheep, which have traditionally shared grazing land with horses. Clostridial infections of equine muscle or subcutis following injection with medicinal products have been described in other countries but have never been reported in Iceland. In this case report, we present the first documented outbreak of subcutaneous clostridial infection in horses in Iceland following subcutaneous injection. Methods: In November 2022, 16 out of 32 horses, that som...
Treatment of traumatic disruption of the suspensory apparatus in Thoroughbred racehorses at risk of proximal interphalangeal joint subluxation using a locking compression-distal femur plate for double arthrodesis.
Veterinary surgery : VS    February 3, 2025   Volume 54, Issue 3 439-452 doi: 10.1111/vsu.14219
Orozco Lopez D, Garcia-Lopez JM, Carpenter R, Bras JJ, Richardson DW, Ortved KF.To describe the outcome of metacarpophalangeal (MCPJ) and proximal interphalangeal joint (PIPJ) arthrodesis using a locking compression-distal femur plate (LCP-DFP) in Thoroughbred racehorses with traumatic disruption of the suspensory apparatus (TDSA) at risk of PIPJ subluxation. Methods: Multicenter retrospective study. Methods: Twenty-six Thoroughbred racehorses. Methods: Records of Thoroughbred racehorses with TDSA that had undergone MCPJ and PIPJ arthrodesis using an LCP-DFP at three referral hospitals between 2020 and 2024 were reviewed for inclusion. The preoperative data collected incl...
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; ...
Complications associated with equine transvaginal ultrasound-guided follicle aspiration: Practitioner survey and field results.
Journal of equine veterinary science    January 27, 2025   Volume 146 105363 doi: 10.1016/j.jevs.2025.105363
Hinrichs K, Schnobrich M, Fernandes CB, Fleury P, Barillari V, Bruggeworth S.Transvaginal ultrasound-guided follicle aspiration (TVA) is being performed commonly in clinical equine practice. There is limited information in the literature about the type and incidence of complications related to TVA. We conducted a survey (Study 1), completed by 23 practicing veterinarians, soliciting information about the types and incidence of minor and major complications and of fatalities they had experienced associated with performance of TVA. In Study 2, data from a large clinical practice in which six veterinarians performed over 14,000 TVAs over a period of 7 years was reviewed t...
From Prediction to Precision: Explainable AI-Driven Insights for Targeted Treatment in Equine Colic.
Animals : an open access journal from MDPI    January 8, 2025   Volume 15, Issue 2 doi: 10.3390/ani15020126
Cetintav B, Yalcin A.Colic is a leading cause of mortality in horses, demanding precise and timely interventions. This study integrates machine learning and explainable artificial intelligence (XAI) to predict survival outcomes in horses with colic, using clinical, procedural, and diagnostic data. Random forest and XGBoost emerged as top-performing models, achieving F1 scores of 85.9% and 86.1%, respectively. SHAP (Shapley additive explanations) was employed to provide interpretable insights, offering both global and local explanations for model predictions. The analysis revealed that key features, such as pulse r...
Clinicopathologic Parameters of Peritoneal Fluid as Predictors of Gastrointestinal Lesions, Complications, and Outcomes in Equine Colic Patients: A Retrospective Study.
Animals : an open access journal from MDPI    December 24, 2024   Volume 15, Issue 1 doi: 10.3390/ani15010012
Martin E, Sarkan K, Viall A, Hostetter S, Epstein K.Neutrophil characteristics in peritoneal fluid (PF) may aid in diagnosing and treating specific colic lesions and complications. The objective of this retrospective study was to evaluate quantitative PF leukocyte values, as well as PF total protein (TP) and lactate, for associations with diagnosis, morbidity, and mortality in horses with acute colic. Three hundred and forty-two horses that presented to one institution between January 2010-2020 for the evaluation of acute colic were included. The PF total nucleated cell count (TNCC), % and total neutrophil counts, total protein (TP), and lactat...
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...
Factors affecting survival of foals with pneumonia in a referral hospital.
BMC veterinary research    December 18, 2024   Volume 20, Issue 1 562 doi: 10.1186/s12917-024-04405-0
Rossi HS, Hyytiäinen HK, Junnila JJT, Rajamäki MM, Mykkänen AK.Pneumonia is a common condition in ailing neonatal foals, and it remains an important cause of morbidity and mortality in this veterinary patient group. Factors affecting the survival of young foals with pneumonia have not been thoroughly investigated. The aim of this study was to explore the potential prognostic factors associated with survival of these foals. Fifty foals under one month of age with pneumonia were included in this retrospective clinical study. The foals were divided into groups based on survival (survived to discharge or died/euthanised during hospitalisation). Multiple clini...
An ongoing concern: 20 years of research on equine atypical myopathy.
The Veterinary record    December 13, 2024   Volume 195, Issue 12 e5039 doi: 10.1002/vetr.5039
François AC, Renaud B, Kruse CJ, Marcillaud-Pitel C, Votion DM.Anne-Christine François, Benoît Renaud, Caroline-Julia Kruse, Christel Marcillaud-Pitel and Dominique-Marie Votion of the Atypical Myopathy Alert Group discuss insights from 20 years of research and surveillance on equine atypical myopathy.
Risk factors for fatality in jump racing Thoroughbreds in Great Britain (2010-2023).
Equine veterinary journal    December 12, 2024   Volume 57, Issue 4 870-877 doi: 10.1111/evj.14450
Allen SE, Taylor S, Given J, Verheyen KL.The British horseracing industry is committed to reducing equine fatalities in jump racing. Race-related fatalities are a major welfare concern and threaten the sport's social licence to operate. Objective: To describe the risk of, and determine risk factors for, fatality in British jump racing. Methods: Retrospective cohort. Methods: Analyses included all starts made in British jump races between January 2010 and April 2023. Available information for each horse, race, racecourse, trainer and jockey was collated and combined with details of all fatalities recorded by official veterinary office...
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