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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.
Rupture of an aortic sinus aneurysm in a 15-year-old broodmare.
Journal of the American Veterinary Medical Association    August 1, 1986   Volume 189, Issue 3 305-308 
Roby KA, Reef VB, Shaw DP, Sweeney CR.A 15-year-old, Standardbred broodmare with an aortic sinus aneurysm developed rupture of the aneurysm with subsequent rupture of a tricuspid valve chorda tendinae, tricuspid regurgitation, acute right-sided congestive heart failure, and pulmonary thromboembolism. Shunting of blood from the aorta through the ruptured aneurysm into the right ventricle resulted in decreased renal perfusion and acute renal failure. Initially, treatment of the mare with analgesics, fluids, and digoxin resulted in clinical improvement, but the mare's condition deteriorated after 8 days and the mare was euthanatized ...
Study of variables commonly used in examination of equine colic cases to assess prognostic value.
Equine veterinary journal    July 1, 1986   Volume 18, Issue 4 275-277 doi: 10.1111/j.2042-3306.1986.tb03626.x
Puotunen-Reinert A.In a retrospective study, the prognostic value and individual merit of seven variables, used in routine examination of colic cases, were tested. The following variables proved to be significant in discriminating between horses which survived and those which died: heart rate (P less than 0.00005), packed cell volume (P less than 0.00005) and intensity of colic signs (P less than 0.0001).
Haemostatic abnormalities in horses with colic–their prognostic value.
Equine veterinary journal    July 1, 1986   Volume 18, Issue 4 271-274 doi: 10.1111/j.2042-3306.1986.tb03624.x
Johnstone IB, Crane S.The incidence and nature of coagulation abnormalities in horses presented with colic and the possible prognostic value of these abnormalities was investigated. A coagulogram was performed on each of 24 adult Thoroughbred or Standardbred horses. A coagulogram consisted of measurements of eight parameters; platelet count, plasma fibrinogen, plasma antithrombin III (AT), partial thromboplastin time (PTT), prothrombin time (PT), thrombin clotting time (TCT), soluble fibrin monomer (SFM) and fibrin-fibrinogen degradation products (FDP). Retrospective determination of the cause of the colic and outc...
Assessing success of surgery.
Equine veterinary journal    May 1, 1986   Volume 18, Issue 3 165-166 doi: 10.1111/j.2042-3306.1986.tb03583.x
McIlwraith CW, Turner S.No abstract available
Assessment of prognosis for racing after carpal surgery in 210 Thoroughbreds.
Equine veterinary journal    May 1, 1986   Volume 18, Issue 3 187-192 doi: 10.1111/j.2042-3306.1986.tb03592.x
Speirs VC, Anderson GA, Bourke JM.The efficacy of treating carpal lesions by arthrotomy was evaluated in 210 Thoroughbred racehorses, using survival analysis to compare their racing performances and earnings with those of 840 control horses. The treated horses were significantly inferior with respect to races contested, and wins plus places (P less than 0.001) and races won (P less than 0.01). There was no difference with respect to earnings (P less than 0.1); after adjusting for other factors, arthritis, site of fracture and presence of a displaced chip had no effect on racing performance in horses with a single-site lesion i...
Diseases of the kidneys.
The Veterinary clinics of North America. Equine practice    April 1, 1986   Volume 2, Issue 1 89-103 doi: 10.1016/s0749-0739(17)30734-4
Rantanen NW.Ultrasound examination offers important diagnostic and prognostic information in renal disease of the horse. Differentiation between acute nephrosis and chronic renal disease can usually be made because of the advanced degree of morphologic change usually prevalent in chronic conditions. Dilatations of the recesses and pelvis (hydronephrosis) as well as the relative thickness of the renal cortex and medulla are readily determined. Mineral densities (calculi) are recognizable by their characteristic acoustic shadowing.
Ultrasonographic appearance and correlative anatomy of the soft tissues of the distal extremities in the horse.
The Veterinary clinics of North America. Equine practice    April 1, 1986   Volume 2, Issue 1 127-144 doi: 10.1016/s0749-0739(17)30737-x
Hauser ML.The diagnostician should be familiar with the normal ultrasound appearance (size, shape, position, and textural quality) of each structure examined. With these factors as reference points, one can describe lesions in the structure involved, the precise location and extent of the lesions, and the degree of structural compromise that is manifested. Documentation of lesions of tendons and ligaments enables one to make an accurate diagnosis and a more precise prognosis. Serial examination during the healing phases allows for a more accurate prediction as to when the structure in question can withs...
Antithrombin III activity in horses with large colon torsion.
American journal of veterinary research    April 1, 1986   Volume 47, Issue 4 897-900 
Holland M, Kelly AB, Snyder JR, Steffey EP, Willits N, McNeal D.A chromogenic peptide substrate assay was used to determine serially plasma antithrombin III (AT III) activity in 4 groups of horses. Group I consisted of healthy, mature horses in which AT III activity was determined twice daily for 7 consecutive days. Groups 2 and 3 contained healthy horses in which AT III activity was monitored for 7 days after controlled, but varying, conditions of general anesthesia and surgery (median celiotomy). Group 4 was made up of patients with a presurgical diagnosis of colonic torsion. In healthy awake horses (group I), there was no difference in AT III values ove...
Histologic findings in the gastrointestinal tract of horses with colic.
American journal of veterinary research    March 1, 1986   Volume 47, Issue 3 598-606 
Meschter CL, Tyler DE, White NA, Moore J.Thirty horses were admitted to the University of Georgia Veterinary Medical Teaching Hospital with colic severe enough to warrant surgery and/or euthanasia. Gastrointestinal tracts of these 30 horses were histologically examined for morphologic changes. The horses were grouped according to cause of the colic (ie, simple obstruction, strangulation obstruction, thromboemboli, and inflammation). Lesions were graded as to severity, and grade scores were correlated with survival or nonsurvival. Mucosal changes developed distal and proximal to the primary lesion site and, although there were some di...
Arthroscopic surgery for osteochondral fractures of the proximal phalanx of the metacarpophalangeal and metatarsophalangeal (fetlock) joints in horses.
Journal of the American Veterinary Medical Association    February 1, 1986   Volume 188, Issue 3 273-279 
Yovich JV, McIlwraith CW.Arthroscopic surgery for osteochondral fractures of the proximal phalanx was performed on 74 fetlock joints of 63 horses for a total of 87 fractures during a 2-year period. The medial dorsal proximal aspect of the proximal phalanx of the forelimbs was most commonly involved (59 fractures), followed by the lateral aspect (26 fractures), and 2 fractures occurred in the fetlock joint of the right hindlimb. At surgery, 82 fragments were removed and 5 fragments that had healed or were embedded in the joint capsule were not removed. Of the fragments removed, 15 were fixed firmly to the proximal phal...
Equine sarcoid: BCG immunotherapy compared to cryosurgery in a prospective randomised clinical trial.
Cancer immunology, immunotherapy : CII    January 1, 1986   Volume 21, Issue 2 133-140 doi: 10.1007/BF00199861
Klein WR, Bras GE, Misdorp W, Steerenberg PA, de Jong WH, Tiesjema RH, Kersjes AW, Ruitenberg EJ.A total of 30 horses with single or multiple sarcoid tumors of the skin were randomly divided into three treatment groups: (i) cryosurgical treatment, (ii) intralesional immunotherapy with a live BCG vaccine, (iii) intralesional immunotherapy with a BCG cell wall preparation. Complete tumour regression was obtained in all 10 cryosurgically treated horses, in 6 of 10 live BCG treated horses, and in 7 of 10 BCG cell wall treated horses. One live BCG and 2 BCG cell wall treated horses showed partial tumour regression of more than 50% of the tumour area. Eleven horses with sarcoid tumours were not...
Survival of rabbit and horse erythrocytes in vivo after changing the fatty acyl composition of their phosphatidylcholine.
Biochimica et biophysica acta    October 10, 1985   Volume 819, Issue 2 170-178 doi: 10.1016/0005-2736(85)90171-3
Kuypers FA, Easton EW, van den Hoven R, Wensing T, Roelofsen B, op den Kamp JA, van Deenen LL.The phospholipid composition and the distribution of phospholipids over the two leaflets of the membrane have been investigated for rabbit and horse erythrocyte membranes. Phosphatidylcholine (PC) comprises 39.4% and 41.3% of the total phospholipid complement of the rabbit and horse erythrocytes, respectively. In both membranes the distribution of this phospholipid is asymmetric: 70% of the PC is present in the outer layer of the rabbit membrane and 60% in that of the horse. The major species of this phospholipid class are the (1-palmitoyl-2-oleoyl)- and the (1-palmitoyl-2-linoleoyl)PC. The di...
Closed reduction and blind cross-pinning for repair of a proximal tibial fracture in a foal.
Journal of the American Veterinary Medical Association    October 1, 1985   Volume 187, Issue 7 743-745 
Juzwiak JS, Milton JL.A 4-day-old foal underwent repair of a proximal metaphyseal fracture of the tibia. After closed reduction, fixation was achieved by use of blind cross-pinning. Thirty-five days after surgery, radiography demonstrated complete healing. The foal was mildly lame 4 months after repair of the fracture. Blind cross-pinning may be considered as a method of repair for certain long bone fractures in small foals.
Larval cyathostomiasis (immature trichonema-induced enteropathy): a report of 15 clinical cases.
Equine veterinary journal    May 1, 1985   Volume 17, Issue 3 196-201 doi: 10.1111/j.2042-3306.1985.tb02469.x
Giles CJ, Urquhart KA, Longstaffe JA.Clinical and laboratory findings are recorded from a series of 15 cases (aged one to 16 years) of sudden-onset chronic diarrhoea with weight loss, progressing in many cases to emaciation and death, associated with the emergence of fourth stage cyathostome (trichoneme) larvae in large numbers through the colonic and caecal mucosae. Apart from a single incident in mid-October, disease only occurred in winter and spring (January to May). Characteristic features included hypoalbuminaemia, increased alpha and beta plasma globulin levels and neutrophilia without left shift. Faecal egg counts were fr...
Neonatal ophthalmology.
The Veterinary clinics of North America. Equine practice    April 1, 1985   Volume 1, Issue 1 235-259 doi: 10.1016/s0749-0739(17)30779-4
Latimer CA, Wyman M.This discussion of normal and abnormal findings on routine ophthalmic examination of the foal should prove useful to the equine practitioner who must provide counsel to the concerned owner and/or breeder. Early diagnosis and treatment of ocular abnormalities improve the prognosis for continued function and aid determination of the significance of lesions observed in later life.
Ileal impaction in the horse.
Journal of the American Veterinary Medical Association    March 15, 1985   Volume 186, Issue 6 570-572 
Embertson RM, Colahan PT, Brown MP, Peyton LC, Schneider RK, Granstedt ME.Twelve cases of ileal impaction in the horse were reviewed. Clinical features of the disease included evidence of mild abdominal pain, reduced or absent intestinal sounds, rectally palpable distended small intestine, gastric reflux, and in the early stages, normal peritoneal fluid. Surgical correction of the impaction was accomplished in 10 horses. Of 8 horses discharged from the hospital, 7 returned to full function. It was concluded that the shorter the duration of colic before surgical intervention, the better the prognosis.
Noncomminuted fractures of the proximal phalanx in 69 horses.
Journal of the American Veterinary Medical Association    March 15, 1985   Volume 186, Issue 6 573-579 
Markel MD, Richardson DW.In a retrospective study, we examined the case records for 69 horses with noncomminuted fractures of the proximal phalanx, excluding proximal chip fractures. Forty-nine of the horses sustained the fracture while racing or training for racing. Radiographic examination of all affected limbs was performed, and fractures were classified into 6 noncomminuted types: midsagittal fractures, including short incomplete midsagittal fractures, long incomplete midsagittal (LIMS) fractures, and complete midsagittal (CMS) fractures; dorsal frontal fractures; distal joint fractures; plantar process fractures;...
A retrospective study of head fractures in 21 horses.
Australian veterinary journal    March 1, 1985   Volume 62, Issue 3 89-91 doi: 10.1111/j.1751-0813.1985.tb14146.x
Little CB, Hilbert BJ, McGill CA.The clinical features of 21 horses which sustained head fractures are reviewed. There was a higher incidence of fractures in males and Standardbred horses. Surgical treatment was practical and successful in most cases when the fractures involved the bones of the jaws and the face. Fractures which involved the cranial cavity or the cranial nerves were difficult to treat and usually held a poor prognosis.
Axial sesamoid injuries associated with lateral condylar fractures in horses.
Journal of the American Veterinary Medical Association    February 1, 1985   Volume 186, Issue 3 278-279 
Barclay WP, Foerner JJ, Phillips TN.Axial sesamoid injuries were found in 4 of 18 horses with lateral condylar fractures of the metacarpus or metatarsus. The injuries appeared as axial sesamoid fractures or progressive demineralization of the axial border of one of the sesamoids. None of the horses with axial sesamoid injuries returned to performance soundness. Axial sesamoid injury appeared to be an indication of severe fetlock trauma due to condylar fracture. Such injuries appeared to indicate a poor prognosis for return to performance soundness.
Diagnostic procedures, prognosis and therapeutic approaches of chronic respiratory diseases in horses.
The Canadian veterinary journal = La revue veterinaire canadienne    January 1, 1985   Volume 26, Issue 1 33-35 
Viel L.No abstract available
[Plasma fibrinogen as a parameter of the presence and severity of inflammation in horses and cattle].
Tijdschrift voor diergeneeskunde    November 1, 1984   Volume 109, Issue 21 869-872 
van Wuijckhuise-Sjouke LA.Determination of the plasma fibrinogen concentration was found to be particularly useful in detecting inflammatory diseases. The highest levels were observed in inflammatory lesions of serous surfaces and in endocarditis. Plasma fibrinogen levels correlated with the severity of the disease: levels of 1,000 mg per 100 ml or more reflected a prognosis ranging from poor to bad.
Medial condylar fractures of the third metatarsal bone in horses.
Journal of the American Veterinary Medical Association    October 1, 1984   Volume 185, Issue 7 761-765 
Richardson DW.Fifteen longitudinal fractures involving the medial condyle of the third metatarsal bone were diagnosed in racing Thoroughbreds and Standardbreds. Twelve were repaired surgically with lag screws placed through stab incisions. Two of the horses suffered catastrophic fracture of the third metatarsal bone during recovery from anesthesia, and 3 more sustained complete fractures within 4 days of the repair. Of 3 horses with fractures treated without surgery, 2 healed without complication. Preoperative radiography did not demonstrate a nonlongitudinal fracture component in any of the horses that sus...
Heparin anticoagulant therapy in equine colic.
Modern veterinary practice    August 1, 1984   Volume 65, Issue 8 601-605 
Duncan SG, Reed SM.In horses with large bowel disease, those with circulating endotoxins but no evidence of altered hemostasis had a good prognosis for survival. Those with circulating endotoxins and evidence of altered hemostasis (fibrin degradation products) had a poor prognosis. Portal vein infusion of endotoxins over 24 hours caused hoof discomfort, evidenced by shifting of weight and standing with all 4 feet together, and a decreased hoof temperature. Clinical signs appeared within 30 minutes of initiation of infusion and subsided within 4 hours despite continued infusion. Long-term heparin therapy results ...
Management of proximal sesamoid bone fractures in the horse.
Journal of the American Veterinary Medical Association    August 1, 1984   Volume 185, Issue 3 282-284 
Fretz PB, Barber SM, Bailey JV, McKenzie NT.The case records of 49 horses with proximal sesamoid bone fracture were studied. The population consisted of 20 Thoroughbreds, 20 Standardbreds, 5 Quarter Horses, 2 Arabians, and 2 grade horses. The fractured bones were classified into 5 categories: apical fractures, basilar fractures, abaxial fractures, middle one-third fractures, and bilateral comminuted-distracted fractures. Apical fractures occurred most frequently in the Standardbred, with the prevalence of medial fracture being equal to that of lateral fracture. Basilar fractures occurred predominantly in the Thoroughbred, with the highe...
Successful treatment of pericarditis in a horse.
Journal of the American Veterinary Medical Association    July 1, 1984   Volume 185, Issue 1 94-98 
Reef VB, Gentile DG, Freeman DE.No abstract available
Seasonal variation of histomorphologic features of equine endometrium.
Journal of the American Veterinary Medical Association    June 1, 1984   Volume 184, Issue 11 1379-1382 
Gross TL, LeBlanc MM.The effect of seasonal morphologic variation of equine endometrium on histologic interpretation of periglandular fibrosis was investigated in 5 mares. Endometrial tissue was procured monthly and examined microscopically for the degree of periglandular fibrosis. A prognostic category for each mare was based on the mean number of fibrotic foci per linear field of 5.5 mm. It was found that seasonal changes reflected in endometrial glands and stroma influenced quantitative assessment of fibrosis. This occasionally resulted in a change in the assigned prognostic category. Marked nonseasonal variati...
Lacerations of the equine eye: a review of 48 cases.
Journal of the American Veterinary Medical Association    May 15, 1984   Volume 184, Issue 10 1243-1248 
Lavach JD, Severin GA, Roberts SM.Perforating corneal wounds in horses have a better prognosis than wounds that involve both cornea and sclera. Sharp objects tend to produce more isolated corneal wounds and have a better prognosis than do wounds produced by blunt objects. The records of 43 horses that sustained penetrating wounds of the cornea were reviewed. In addition, the surgical approach and postoperative wound management is described. The report attempts to provide more information regarding the management of ocular trauma in horses.
Studies on the pathogenesis of equine tendonitis following collagenase injury.
Research in veterinary science    May 1, 1984   Volume 36, Issue 3 326-338 
Williams IF, McCullagh KG, Goodship AE, Silver IA.The histological and morphological characteristics of the scar tissue formed during healing after traumatic equine tendon injury have been compared with those of scar tissue produced in response to an enzyme-induced pony tendon injury. Several techniques are currently in use in the treatment of equine tendon sprain and this work formed part of a study of their respective efficacy. It was concluded that the enzyme-induced lesion is resolved by a reparative process very similar in its prognosis and extent to that following a naturally occurring tendon sprain. It may therefore justifiably be used...
Cancellous bone screws for repair of proximal growth plate fractures of the tibia in foals.
Journal of the American Veterinary Medical Association    March 15, 1984   Volume 184, Issue 6 688-691 
Wagner PC, DeBowes RM, Grant BD, Kaneps AJ, Watrous BJ.Proximal growth plate fractures of the tibia in 4 foals were treated surgically. A medial approach was utilized in 3 cases and a lateral approach in the fourth. Bone screw fixation was achieved with cancellous screws and washers. In 3 cases, the screw shaft crossed the proximal tibial growth plate with no adverse effects. In all animals, there was rapid and cosmetic healing. At 8 to 18 months after surgery, all horses were sound at a walk, trot, and canter.
Prognosis in equine colic: a study of individual variables used in case assessment.
Equine veterinary journal    October 1, 1983   Volume 15, Issue 4 337-344 doi: 10.1111/j.2042-3306.1983.tb01818.x
Parry BW, Anderson GA, Gay CC.The individual merit of the use of 43 variables to assess the prognosis of equine colic cases was examined. The following variables revealed highly significant (P less than 0.001) differences between cases which survived and those which died: blood pressure; heart rate; oral mucosal capillary refill time; degree of mental depression; venous haemoglobin concentration, haematocrit, erythrocyte count, urea concentration and lactate concentration; peritoneal fluid lactate concentration; and haematocrit/plasma protein and serum protein concentration ratios. Thus, in general, variables which assesse...