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Topic:Prognosis

Prognosis in horses refers to the prediction of the likely outcome or course of a disease or injury in equine patients. It involves assessing various factors such as the nature and severity of the condition, the horse's overall health, and response to treatment. Prognostic evaluations help veterinarians and horse owners make informed decisions regarding treatment options, management strategies, and potential recovery. The process often incorporates clinical assessments, diagnostic tools, and historical data to estimate the chances of recovery or progression. This page compiles peer-reviewed research studies and scholarly articles that explore methodologies, factors influencing prognostic outcomes, and the implications of prognostic evaluations in equine veterinary practice.
Intraosseous regional perfusion for treatment of septic physitis in a two-week-old foal.
Journal of the American Veterinary Medical Association    February 5, 2003   Volume 222, Issue 3 346-316 doi: 10.2460/javma.2003.222.346
Kettner NU, Parker JE, Watrous BJ.A 2-week-old Morgan filly examined because of lameness of 5 days' duration was found, on the basis of clinical and radiographic findings, to have septic physitis of the distal end of the radius. The foal was treated by means of intraosseous regional perfusion with penicillin and amikacin and systemic administration of antimicrobials. Intraosseous regional perfusion was performed 3 times. The foal was anesthetized for the first episode of intraosseous regional perfusion, but was only sedated for the subsequent 2 episodes. Antimicrobials were administered systemically for 22 days. Foals with sep...
Magnetic resonance imaging of the equine foot: 15 horses.
Equine veterinary journal    January 30, 2003   Volume 35, Issue 1 18-26 doi: 10.2746/042516403775467531
Dyson S, Murray R, Schramme M, Branch M.Foot pain is a common cause of equine lameness and there have been significant limitations of the methods available for the diagnosis of the causes of foot pain (radiography, nuclear scintigraphy and ultrasonography). Until recently, magnetic resonance imaging (MRI) in the horse has been limited to examination of cadaver limbs. Objective: Our purpose was to 1) describe MRI of the foot in live horses, 2) describe MRI findings in horses with foot pain in which a definitive diagnosis could not be established by alternative means and 3) correlate MRI findings with other methods of clinical investi...
Megaesophagus in the horse. A short review of the literature and 18 own cases.
The veterinary quarterly    January 24, 2003   Volume 24, Issue 4 199-202 doi: 10.1080/01652176.2002.9695136
Broekman LE, Kuiper D.After giving a descriptive definition of megaesophagus attention is paid to the occurrence, the possible causes and pathogeneses, the clinical history and diagnosis, age, breed and sex of the horses with megaesophagus, and the prognosis. The most important characteristics of megaesophagus are summarized in two tables referring to 11 cases published in the literature and 18 own cases. Finally some conclusions based on published as well as not published own cases are given.
Equine recurrent airway obstruction: pathogenesis, diagnosis, and patient management.
The Veterinary clinics of North America. Equine practice    January 9, 2003   Volume 18, Issue 3 453-vi doi: 10.1016/s0749-0739(02)00026-3
Davis E, Rush BR.Recurrent airway obstruction is a condition that affects some older horses maintained in confinement. Clinical signs range from exercise intolerance with occasional cough to dyspnea at rest. Bronchoalveolar lavage cytology is characterized by neutrophilic leukocytosis (15%-85%) and is recommended for making the diagnosis in horses with mild to moderate disease. Environmental management combined with periodic bronchodilator and antiinflammatory corticosteroid therapy yields the best prognosis for disease remission.
[Colic surgery in the horse: a retrospective study of 272 patients].
Tijdschrift voor diergeneeskunde    December 10, 2002   Volume 127, Issue 22 682-686 
Wiemer P, Bergman HJ, van der Veen H, Pruissen L.In the period from January 1995 until December 2000, 272 horses underwent a laparotomy for gastrointestinal disorders. The results of these surgeries were evaluated. From these 272 patients 176 (= 65%) were discharged in good health from the hospital. When the patients that were euthanized immediately after the start of the surgery, because of a fatal deterioration, were not taken into account, the short time survival rate was 77%. Strangulated small and large intestinal obstructions (48%) had a lower short time survival rate than non-strangulated obstructions (87%). Fatal postoperative compli...
Temporohyoid osteoarthropathy in 33 horses (1993-2000).
Journal of veterinary internal medicine    December 6, 2002   Volume 16, Issue 6 697-703 doi: 10.1892/0891-6640(2002)0162.3.co;2
Walker AM, Sellon DC, Cornelisse CJ, Hines MT, Ragle CA, Cohen N, Schott HC.A retrospective study of the medical records of 33 horses was performed to determine the clinical and diagnostic abnormalities associated with temporohyoid osteoarthropathy. Data collected from medical records included signalment, presenting complaints, history, physical examination findings, laboratory data, results of diagnostic imaging studies, and treatments. Follow-up information was obtained from a review of case records; by telephone conversation with the owner, veterinarian, or trainer; or by both methods. Of 33 horses with temporohyoid osteoarthropathy, 29 presented with facial nerve ...
[The effect of a treatment protocol on the prognosis of equine laminitis].
Tijdschrift voor diergeneeskunde    November 27, 2002   Volume 127, Issue 21 644-649 
Oosterlaan-Mayer B, Back W, Sloet van Oldruitenborgh-Oosterbaan MM.All horses and ponies with laminitis treated at the Department of Equine Sciences, Faculty of Veterinary Medicine, Utrecht University, between 1995 and 1998 were analysed retrospectively (n = 152). Based on the results of this study and on the world-wide knowledge on laminitis a standardised treatment protocol was adopted in 1999. Fifty-eight patients have been treated for laminitis between 1999 and 2001 following the treatment protocol. Compared to our hospital-population (orthopaedic patients), mares and ponies are at higher risk developing laminitis, but the prognosis does not differ betwee...
Clinicopathologic evidence of disseminated intravascular coagulation in horses with acute colitis.
Journal of the American Veterinary Medical Association    November 8, 2002   Volume 220, Issue 7 1034-1038 doi: 10.2460/javma.2002.220.1034
Dolente BA, Wilkins PA, Boston RC.To detect subclinical disseminated intravascular coagulation (DIC) in horses with colitis and to determine any association between the diagnosis of subclinical DIC and outcome or occurrence of complications in horses with colitis. Methods: Prospective study. Methods: 37 horses admitted to a veterinary teaching hospital for treatment of acute colitis. Methods: Coagulation profiles were obtained on each horse 0, 24, and 48 hours after admission. Six tests were performed: platelet count, plasma fibrinogen concentration, prothrombin time, activated partial thromboplastin time, antithrombin activit...
Equine surgical colic: risk factors for postoperative complications.
Equine veterinary journal    October 3, 2002   Volume 34, Issue 5 444-449 doi: 10.2746/042516402776117791
French NP, Smith J, Edwards GB, Proudman CJ.The reason for undertaking this study was that postoperative complications of colic surgery lead to patient discomfort, prolonged hospitalisation and increased cost. Potential risk factors for the 6 most common postoperative complications (jugular thrombosis, ileus, re-laparotomy, wound suppuration, incisional herniation and colic) were evaluated using multivariable models. Jugular thrombosis was associated significantly with heart rate greater than 60 beats/min and with increased packed cell volume (PCV) at admission. The risk of postoperative ileus also increased with increasing PCV at admis...
Chronic pulmonary disease with radiographic interstitial opacity (interstitial pneumonia) in foals.
Equine veterinary journal    October 3, 2002   Volume 34, Issue 6 542-548 doi: 10.2746/042516402776180250
Nout YS, Hinchcliff KW, Samii VF, Kohn CW, Jose-Cunilleras E, Reed SM.Twelve foals, age 3-9 months, examined at The Ohio State University Veterinary Teaching Hospital between 1995 and 2000 were diagnosed with chronic pulmonary disease associated with marked interstitial opacity on radiographic examination. The most characteristic features were a history of respiratory disease of 1-3 months duration, marked clinical signs of respiratory disease, failure to yield a consistent pathogen from tracheobronchial aspirates and a predominantly interstitial pattern on thoracic radiographs. We attributed these signs to chronic interstitial pneumonia. Foals were treated with...
Long-term survival of equine surgical colic cases. Part 2: modelling postoperative survival.
Equine veterinary journal    October 3, 2002   Volume 34, Issue 5 438-443 doi: 10.2746/042516402776117881
Proudman CJ, Smith JE, Edwards GB, French NP.Colic surgery is a frequently performed operation with high postoperative mortality. This study was undertaken to identify variables associated with decreased postoperative survival. We used data from 321 horse years of postoperative survival time to model the probability of survival following recovery from colic surgery. Continuous variables were modelled using a 6 variable, penalised Cox regression model. This demonstrated approximately linear relationships between survival and the following variables: increase in packed cell volume (PCV), intestinal resection length, time to surgery (interv...
Surgical and postoperative factors influencing short-term survival of horses following small intestinal resection: 92 cases (1994-2001).
Equine veterinary journal    October 3, 2002   Volume 34, Issue 5 450-454 doi: 10.2746/042516402776117700
Morton AJ, Blikslager AT.Although short-term survival rates following small intestinal resection reportedly range from 48-88%, there is little information on predicting which horse may or may not survive small intestinal (SI) resection and anastomosis. The aim of this study was to identify factors that contribute to nonsurvival in horses following small intestinal resection. Medical records of horses which recovered from anaesthesia following SI resection were reviewed. Clinical and surgical variables were evaluated for their association with short-term survival using logistic regression and were reported as odds rati...
Long-term survival of equine surgical colic cases. Part 1: patterns of mortality and morbidity.
Equine veterinary journal    October 3, 2002   Volume 34, Issue 5 432-437 doi: 10.2746/042516402776117845
Proudman CJ, Smith JE, Edwards GB, French NP.Postoperative complications and mortality can occur many weeks or months after colic surgery. We are interested in the long-term outcome of these cases. This study documents patterns of mortality and morbidity among 341 horses that recovered from colic surgery March 1998-August 2000. The progress of each horse was rigorously followed by periodic telephone and postal questionnaires. Event time data were recorded for each animal and a total of 321 horse years of survival, together with death from all causes, colic-related death and various postoperative complications. Postoperative survival (of ...
[Direct endoscopic approach improves prognosis of septic-synovitis in the horse].
Tijdschrift voor diergeneeskunde    August 17, 2002   Volume 127, Issue 14-15 444-449 
ter Braake F.The medical records of 71 horses with sepic arthritis, bursitis, or tenosynovitis, treated between 1996 and 2001 at Dierenkliniek Enmeloord, were reviewed. A total number of 81 joints, tendon sheaths and bursae were treated (21 tarsi, 17 digital tendon sheaths, 14 metacarpo/metatarso-phalangeal joints, 12 stifles, 6 carpi, 4 coffin joints, 2 navicular bursae, 1 elbow joint, 1 proximal-interphalangeal joint, 1 tarsal sheath, 1 bursa calcanei subtendineum). The aetiology in 42 cases was a penetrating wound (group 1), in 4 cases an intra-articular injection, and in 2 cases arthroscopic surgery (g...
Conservative management of minimally displaced radial fractures in three horses.
Australian veterinary journal    August 16, 2002   Volume 80, Issue 1-2 44-47 doi: 10.1111/j.1751-0813.2002.tb12832.x
Matthews S, Dart AJ, Dowling BA, Hodgson DR.Minimally displaced, spiral, radial fractures were diagnosed in three adult horses. Two horses had open fractures and in one horse the fracture was closed. A diagnosis was made on radiographs taken 24 h, 5, and 9 days after the fracture. There was minimal displacement of the fracture fragments despite the considerable time which had elapsed between fracture and diagnosis and an unfavourable prognosis with internal fixation, so conservative therapy was the preferred method of treatment. One horse developed a sequestrum and draining sinus, which was treated surgically under general anaesthesia 3...
Actinobacillus sp. bacteremia in foals: clinical signs and prognosis.
Journal of veterinary internal medicine    July 27, 2002   Volume 16, Issue 4 464-471 doi: 10.1892/0891-6640(2002)016<0464:sbifcs>2.3.co;2
Stewart AJ, Hinchcliff KW, Saville WJ, Jose-Cunilleras E, Hardy J, Kohn CW, Reed SM, Kowalski JJ.Medical records of 101 blood culture-confirmed bacteremic foals were reviewed to determine whether foals with Actinobacillus sp. bacteremia are affected at an earlier age, have more severe signs of disease, and have a worse prognosis than do foals with bacteremia of other causes. Thirty percent (30/101) of bacteremic foals had Actinobacillus sp. cultured, and these were 2 times more likely to die (crude odds ratio [OR(CR)] 0.8, 4; P = .14), with a survival rate of 43% (13/30) compared to the overall survival rate of 55% (56/101). When compared to other bacteremic foals, foals with actinobacill...
Clinical assessment and outcome of three techniques for jejunal resection and anastomosis in horses: 59 cases (1989-2000).
Journal of the American Veterinary Medical Association    July 20, 2002   Volume 220, Issue 2 215-218 doi: 10.2460/javma.2002.220.215
Semevolos SA, Ducharme NG, Hackett RP.To compare postoperative complications, short- and long-term survival, and surgical times for hand-sewn end-to-end (EE), stapled functional end-to-end (FEE), and stapled side-to-side (SS) anastomotic techniques for jejunal resection in horses. Methods: Retrospective study. Methods: 59 horses. Methods: Medical records were reviewed to obtain signalment, diagnosis, treatment, and outcome for horses that underwent jejunojejunostomy in our hospital. Only horses that recovered from anesthesia were included in the study. Results: Among the 59 horses, there were 33 EE, 15 FEE, and 11 SS anastomoses. ...
Effect of co-culture with theca interna on nuclear maturation of horse oocytes with low meiotic competence, and subsequent fusion and activation rates after nuclear transfer.
Theriogenology    June 4, 2002   Volume 57, Issue 3 1005-1011 doi: 10.1016/s0093-691x(01)00708-7
Choi YH, Shin T, Love CC, Johnson C, Varner DD, Westhusin ME, Hinrichs K.We conducted this study to examine whether or not co-culture with theca cells improves the maturation rate of horse oocytes with compact cumuli and to evaluate the cytoplasmic competence of oocytes after maturation by assessing fusion, activation and cleavage rates after nuclear transfer. We collected oocytes by scraping follicles from slaughterhouse-derived ovaries and classified them as having an expanded or a compact cumulus. Expanded oocytes were matured in M199 supplemented with 10% FBS and 5 microU/ml FSH for 24 h: compact oocytes were cultured in the same medium, or they were co-culture...
Paecilomycosis in dogs and horses and a review of the literature.
Journal of veterinary internal medicine    June 4, 2002   Volume 16, Issue 3 238-243 doi: 10.1892/0891-6640(2002)016<0238:pidaha>2.3.co;2
Foley JE, Norris CR, Jang SS.We reviewed 14 cases of paecilomycosis in a tertiary care veterinary hospital and all reports of the disease in the veterinary literature. Paecilomycosis is a rare disease primarily of dogs, horses, reptiles, and humans. Clinical manifestations in veterinary patients vary but include disseminated disease and diskospondylitis, particularly in dogs: pneumonia in dogs, horses, and reptiles; keratitis in horses; and miscellaneous local infections. It is important to have an appropriate index of suspicion because the diagnosis can be difficult, particularly in localized disease where it is difficul...
Congestive heart failure in horses: 14 cases (1984-2001).
Journal of the American Veterinary Medical Association    May 23, 2002   Volume 220, Issue 10 1512-1515 doi: 10.2460/javma.2002.220.1512
Davis JL, Gardner SY, Schwabenton B, Breuhaus BA.To identify clinical signs, underlying cardiac conditions, echocardiographic findings, and prognosis for horses with congestive heart failure. Methods: Retrospective study. Methods: 14 horses. Methods: Signalment; history; clinical signs; clinicopathologic, echocardiographic, and radiographic findings; treatment; and outcome were determined by reviewing medical records. Results: All 14 horses were examined because of a heart murmur; tachycardia was identified in all 14. Twelve horses had echocardiographic evidence of enlargement of 1 or more chambers of the heart. Other common clinical finding...
Severe renal hemorrhage caused by pyelonephritis in 7 horses: clinical and ultrasonographic evaluation.
The Canadian veterinary journal = La revue veterinaire canadienne    May 11, 2002   Volume 40, Issue 8 571-576 
Kisthardt KK, Schumacher J, Finn-Bodner ST, Carson-Dunkerley S, Williams MA.Case records of 7 horses diagnosed with pyelonephritis were reviewed to determine common features that might aid in diagnosis, treatment, and prognosis of this disease. All 7 horses had been admitted for evaluation of hematuria. During cystoscopy of 5 horses, hemorrhage was observed from one or both ureters. Renal biopsy of 1 horse, laboratory analysis of ureteral discharge of 2 horses, and renal ultrasonography of all horses indicated that pyelonephritis was the cause of hemorrhage. Sonographic renal changes included decreased length, increased echogenicity, abnormal outline, loss of corticom...
Nd:YAG laser-assisted modified Forssell’s procedure for treatment of cribbing (crib-biting) in horses.
Veterinary surgery : VS    March 9, 2002   Volume 31, Issue 2 111-116 
Delacalle J, Burba DJ, Tetens J, Moore RM.To report an neodymium:yttrium-aluminum garnet (Nd:YAG) laser-assisted modified Forssell's surgical technique and outcome for treatment of cribbing (crib-biting) in horses. Methods: Retrospective clinical study. Methods: Ten adult horses with stereotypic cribbing behavior. Methods: Data were obtained from medical records and telephone conversations with owners, trainers, and veterinarians. Surgical technique involved an approximately 34-cm ventral median skin incision starting rostral to the larynx and extending caudally. A 10-cm section of the ventral branch of the spinal accessory nerve was ...
Evaluation and treatment of an adult quarter horse with an unusual fracture of the humerus and septic arthritis.
The Canadian veterinary journal = La revue veterinaire canadienne    February 15, 2002   Volume 43, Issue 2 120-122 
Mitchell C, Riley CB.Humeral fractures are rare and usually carry a guarded prognosis in adult horses. This paper describes the evaluation and the successful surgical management of a fracture of the lateral supracondyloid crest and part of the epicondyle of the humerus in an adult quarter horse.
Clinical signs and treatment of chronic uterine torsion in two mares.
Journal of the American Veterinary Medical Association    February 7, 2002   Volume 220, Issue 3 349-323 doi: 10.2460/javma.2002.220.349
Doyle AJ, Freeman DE, Sauberli DS, Hammock PD, Lock TF, Rötting AK.Two mares were evaluated because of chronic uterine torsions of 2 and 4 weeks' duration; both were pyrectic, anemic, tachycardic, and anorectic, had signs of depression, and had an abnormal uterus and contents on transrectal examination. Both mares underwent cesarean section for lysis of adhesions from the uterus to the peritoneum, correction of the torsion, and ovariohysterectomy Both mares recovered with only minor complications and returned to be used as riding horses. Chronic uterine torsion should be considered in mares in late stages of gestation that have vague clinical signs and transr...
Bronchoalveolar lavage for the diagnosis and treatment of pneumonia associated with transport in Thoroughbred racehorses.
The Journal of veterinary medical science    January 16, 2002   Volume 63, Issue 12 1263-1269 doi: 10.1292/jvms.63.1263
Ito S, Hobo S, Eto D, Sato H.To evaluate a hypothese that use of bronchoalveolar lavage (BAL) for early treatment of pneumonia would improve their prognosis by reducing bacterial numbers and excessive numbers of neutrophils in the lung, initial experiences with BAL in the diagnosis and treatment of pneumonia were performed in 36 racehorses that became ill within 24 hr of long distance travel (1,200-1,600 km, 26-32 hr) by road. Comparisons were made of the outcomes of the 36 horses and those of 42 horses (81.0% recovered, 50.0% returned to racing) treated for transport associated pneumonia without BAL. The total amount of ...
Determination of a gravity and shock score for prognosis in equine surgical colic.
Journal of veterinary medicine. A, Physiology, pathology, clinical medicine    November 17, 2001   Volume 48, Issue 8 465-473 doi: 10.1046/j.1439-0442.2001.00374.x
Grulke S, Olle E, Detilleux J, Gangl M, Caudron I, Serteyn D.A retrospective study evaluated 200 surgical colic cases. A gravity score (GS) based on four clinical parameters estimating intestinal obstruction (rectal palpation, borborygmi, abdominal distension, pain) and classified into three categories was established and tested to determine if it could evaluate prognosis. A shock score (SS) based on six parameters was also attributed to each case. The overall survival rate was 54%. The statistical analysis showed a significant (P < 0.01) difference in the survival rate in the different categories of the GS, as well as in the categories of the SS. A ...
Comment on the comments to the March 2001 ethical question of the month.
The Canadian veterinary journal = La revue veterinaire canadienne    November 16, 2001   Volume 42, Issue 11 831 
Colquhoun JK.No abstract available
Use of the Accusport semi-automated analyser to determine blood lactate as an aid in the clinical assessment of horses with colic.
Journal of the South African Veterinary Association    September 21, 2001   Volume 72, Issue 1 12-17 doi: 10.4102/jsava.v72i1.602
Schulman ML, Nurton JP, Guthrie AJ.The most useful diagnostic methods in the initial evaluation of horses with colic assess the morphological and functional status of the gastrointestinal tract and cardiovascular status. This evaluation is best achieved using a combination of clinical and laboratory data. Blood lactate concentration (BL) is one of these variables. BL rises mainly due to poor tissue perfusion and anaerobic glycolysis associated with shock, providing an indicator of both the severity of disease and its prognosis. A hand-held lactate meter, Accusport, provides a rapid (60 seconds), inexpensive dry-chemical-based d...
Fractures of the palmar aspect of the carpal bones in horses: 10 cases (1984-2000).
Journal of the American Veterinary Medical Association    September 20, 2001   Volume 219, Issue 6 801-804 doi: 10.2460/javma.2001.219.801
Wilke M, Nixon AJ, Malark J, Myhre G.To determine clinical and radiographic findings, treatment, and outcome of horses with fractures of the palmar aspect of the radial carpal bone, with or without concurrent fractures of the palmar surfaces of the other carpal bones. Methods: Retrospective study. Methods: 10 horses. Methods: Medical records were reviewed to obtain information on history, signalment, clinical and radiographic findings, treatment, and outcome. Follow-up information was gathered from owners and referring veterinarians. Results: 7 horses became lame after recovery from general anesthesia for treatment of an unrelate...
Polymerase chain reaction analysis of the surgical margins of equine sarcoids for bovine papilloma virus DNA.
Veterinary surgery : VS    September 14, 2001   Volume 30, Issue 5 460-467 doi: 10.1053/jvet.2001.25874
Martens A, De Moor A, Demeulemeester J, Peelman L.To examine apparently normal skin around equine sarcoids for evidence of bovine papilloma virus (BPV) DNA, and to relate this finding to the observed recurrence after surgery. Methods: Prospective study. Methods: Forty-one equine sarcoids from 19 horses. Methods: The tumors were surgically excised at a measured distance of 8, 12, or 16 mm. Samples from the tumor and of the entire surrounding skin were taken at 4, 8, 12, and 16 mm from the tumor border and analyzed for the presence of BPV DNA using polymerase chain reaction (PCR) amplification. The samples were grouped per examined sarcoid, and...
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