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Topic:Risk Factors

Risk factors in horses refer to variables or conditions that increase the likelihood of disease, injury, or other adverse health outcomes in equine populations. These factors can be intrinsic, such as age, breed, and genetic predisposition, or extrinsic, including environmental conditions, management practices, and exposure to infectious agents. Understanding risk factors is important for developing preventive strategies and improving health management in horses. This page aggregates peer-reviewed research studies and scholarly articles that explore the identification, assessment, and mitigation of risk factors in equine health, with the aim of enhancing disease prevention and promoting overall well-being in horses.
Relationship between prevalence and severity of exercise-induced pulmonary hemorrhage and environmental factors.
Journal of veterinary internal medicine    March 29, 2026   Volume 40, Issue 2 aalag052 doi: 10.1093/jvimsj/aalag052
Pinnell E, Shoemaker S, Wang Y, Tang Y, Sellon D, Leguillette R, Gold J, Sanz M, Bayly WM.Environmental risk factors could contribute to the development of exercise-induced pulmonary hemorrhage (EIPH) in racing Thoroughbreds. Objective: To identify environmental risk factors that might contribute to differences in EIPH prevalence and severity across 12 Thoroughbred racetracks in the United States. Methods: Eight hundred fifteen 2-year-old and 122 >2-year-old Thoroughbred racehorses. Methods: Prospective blinded observational study. Videoendoscopy was performed 30-60 min post-race. Three observers independently assigned an EIPH grade to each videorecording, and prevalence and sever...
Cardiac arrhythmias during intense exercise in Thoroughbred racehorses: frequency and association with subsequent race performance.
Journal of veterinary internal medicine    March 24, 2026   Volume 40, Issue 2 aalag044 doi: 10.1093/jvimsj/aalag044
van Erck-Westergren E, O'Connor S, Stewart BD, Dubois G, Morton J, Hinchcliff KW, Ter Woort F.The frequency, characteristics, and relationship with performance of arrhythmias occurring during high-intensity exercise in Thoroughbred racehorses remain poorly understood. Objective: Describe the frequency, characteristics, and association with subsequent race performance of arrhythmias occurring during intense exercise. Methods: Seventy-one racehorses competing in races sanctioned by the Hong Kong Jockey Club. Methods: Risk-based case-control study. Single-lead ECGs were recorded during high-intensity trials using wearable devices. Ectopic depolarizations identified during warm-up, maximal...
Pedigree-Based Assessment of Genetic Structure and Disease-Associated Variants in Friesian Horses in Brazil.
Journal of equine veterinary science    March 20, 2026   105860 doi: 10.1016/j.jevs.2026.105860
Rocha IAB, Araujo F, Rosa LP.Friesian horses are recognized for severe genetic restriction due to intensive selection. Still, the genetic diversity, founder representation, and prevalence of inherited disorders in the Brazilian Friesian population, which is comprised of fewer than 500 individuals, have not been previously investigated AIMS/OBJECTIVES: characterize the genetic diversity, inbreeding, founder representation using pedigree-based tools, and frequency of known pathogenic, behavioral, and white spotting alleles in Friesian horses registered in Brazil METHODS: Pedigree data from 411 Friesian horses (2003-2024) we...
Objective, Longitudinal Computed Tomographic Evaluation of the Metacarpal Condyles in Non-Lame Thoroughbred Racehorses.
Animals : an open access journal from MDPI    March 20, 2026   Volume 16, Issue 6 973 doi: 10.3390/ani16060973
Putnoki V, Pollard D, Dyson S, Boros K, Nagy A.There are limited data on sequential computed tomographic (CT) evaluation and objective CT assessment of the metacarpal condyles in Thoroughbred racehorses. This longitudinal study aimed to document changes in attenuation of the metacarpal condyles during the first two years of training and racing. Fan-beam CT examination of the metacarpophalangeal regions was performed on 40 non-lame Thoroughbred yearlings, and repeated four more times, approximately six months apart. Mean Hounsfield Unit (HU) measurements were obtained on sagittal reconstructions of the dorsal and palmar halves of the medial...
Embryonic vesicle diameter at first pregnancy diagnosis in in vivo- and in vitro-derived pregnancies and its relationship with pregnancy loss in the mare.
Animal reproduction science    March 18, 2026   Volume 289 108173 doi: 10.1016/j.anireprosci.2026.108173
Cuervo-Arango J, Stout TAE, Claes AN.This retrospective study compared the relationship between embryonic vesicle diameter at first pregnancy diagnosis and early embryonic loss (EEL) across three pregnancy types: artificially inseminated broodmares (AI; n = 263), recipients carrying in vivo-derived flushed embryos (IVD-F; n = 312), and recipients carrying in vitro-produced embryos by intracytoplasmic sperm injection (IVP-ICSI; n = 161). Vesicle diameter was recorded at Day 12 post-ovulation in AI, Day 4 post-embryo transfer (ET) for IVD-F, and Day 7 post-ET for IVP-ICSI pregnancies. Mean (±SD) vesicle diameters and E...
Effect of Acer species (red and Freeman maple) and horse characteristics, management, and location on the in vitro oxidation of equine erythrocytes.
Journal of equine veterinary science    March 14, 2026   105856 doi: 10.1016/j.jevs.2026.105856
Wickizer LF, Burk SV, Lehman JS.Red maple toxicosis arises when horses consume wilted maple leaves, resulting in methemoglobinemia and hemolytic anemia due to oxidative damage to erythrocytes. Objective: The objective of this study was to determine how maple species (red versus Freeman maple) and horse characteristics, management, and barn site contributed to in vitro methemoglobin production and hemolysis. Methods: Horse information was obtained through an owner questionnaire. Extracts from red and Freeman maple leaves were separately incubated with washed erythrocytes from each horse (n=120). The in vitro percentage methem...
Trends in the prevalence of Gidoh at Japan Racing Association Training Centers in 2020.
Journal of equine science    March 14, 2026   Volume 37, Issue 1 21-26 doi: 10.1294/jes.37.21
Kuwano A, Kusano K, Mita H, Tamura N, Tokushige H, Iimori M, Kurimoto S, Kawabata M, Ueno M, Okada Y, Kamiya K, Tanaka K.Pathological hoof-wall cavities unrelated to nailing (so called "Gidoh" in Japan) often occur in the feet of horses. In 2001, in facilities managed by the Japan Racing Association (JRA), Gidoh was found to occur most frequently in the toe of the fore-hoof, with no gender predilection, and was more prevalent in older horses. However, it remains unclear whether this trend has continued in recent years, which pathological type of Gidoh predominates, and whether there are differences in prevalence among seasons. Therefore, in spring (April) and autumn (October) of 2020, we surveyed all racehorses ...
Characteristics of horse riding-related falls in patients presenting to emergency departments in manche department, france: a multicenter retrospective analysis.
Scandinavian journal of trauma, resuscitation and emergency medicine    March 10, 2026   doi: 10.1186/s13049-026-01593-6
Lemercier J, Pasco J, Olivier G, Amiot F.Horse riding-related falls are a frequent cause of emergency department (ED) presentations; however, their regional epidemiology in France is poorly described. We aimed to quantify the incidence of ED visits after falling from a horse in the Manche Department and characterize the injury patterns, resource use, and short-term outcomes. Methods: We conducted a multicenter retrospective study across six hospitals in Manche (France), including all patients presenting to the ED after a fall from a horse between May 1, 2021, and October 31, 2024. Demographics, initial clinical status, imaging findin...
CE Module: A Systematic Narrative Review of Stable Staff and Trainers’ Occupational Health and Well-Being in Thoroughbred Horse Racing: An International Perspective.
Workplace health & safety    March 8, 2026   Volume 74, Issue 4 175 doi: 10.1177/21650799251414962
No abstract available
What happened after the epidemic? Equine influenza surveillance sheds light on sources and seasonal risk in the United Kingdom.
Equine veterinary journal    March 5, 2026   doi: 10.1002/evj.70156
Whitlock F, Grewar J, Newton R.The epidemiology of equine influenza (EI) in the United Kingdom has not been systematically described since the 2019 epidemic. Objective: To summarise UK EI surveillance (2020-2024), quantify outbreak seasonality and assess movement-related sources. Methods: Retrospective observational analysis of national surveillance and horse importation data. Methods: Epidemiological data for laboratory-confirmed EI cases in the United Kingdom were collated. Outbreaks (EI-infected premises) were defined as one or more laboratory-confirmed cases on the same premises within a 4-week period. Monthly outbreak ...
Re-emergence of equine glanders in Mongolia based on region-wide serosurveillance. Enkhtuul B, Khurtsbaatar O, Lkham B, Agiimaa T, Unenbat J, Buyanbadrakh B, Ninjbulgan S, Liushiqi B, Suzuki Y, Kimura T, Batbaatar V.Glanders, a zoonotic disease caused by , has re-emerged in Mongolia after decades of control. We conducted nationwide serosurveillance from 2021 to 2024 to assess the prevalence and geographic distribution of glanders. Using random 3-stage cluster sampling, we collected 3,001 horse serum samples from 332 herds. Those herds were in 46 soums (administrative districts equivalent to counties) in 13 provinces and in 3 districts in Ulaanbaatar. Sera were tested using the complement fixation test, and positive results were confirmed by immunoblotting and ELISA. Overall seroprevalence was 1.03% (95% C...
Application of a framework to mitigate the risk of surgical site infection after exploratory celiotomy in horses: A retrospective study.
Veterinary surgery : VS    March 3, 2026   doi: 10.1111/vsu.70061
Lopez Cruz C, Gonzalez LM, McKinney-Aguirre CA, Hepworth-Warren KL, Roessner HA, Burke M, Fogle CA.To describe the methodology used to identify the contributors to a perceived sudden increase in exploratory celiotomy surgical site infections (SSI) and complications at the North Carolina State University Veterinary Teaching Hospital (NCSU VTH) between 2019 and 2020 and evaluate the effect of the designed intervention up to 4 years after its implementation. Methods: Case-control retrospective study over a five-year period. Methods: A total of 448 horses that underwent exploratory celiotomy for the treatment of acute abdominal pain were included. Methods: Medical records of horses that under...
Gaps Between Awareness and Prevention of West Nile Virus Among Horse Owners in an Endemic Country: A Cross-Sectional Study from Romania.
Veterinary sciences    March 1, 2026   Volume 13, Issue 3 239 doi: 10.3390/vetsci13030239
West Nile virus (WNV) circulates endemically in Romania, yet prevention of WNV infection in horses largely depends on owner-driven decisions that require accurate risk perception and veterinary guidance. A cross-sectional online survey was carried out between May and November 2025 to evaluate the knowledge, attitudes, and preventive practices (KAP) regarding WNV among 227 horse owners from various Romanian regions. In total, 67.4% of respondents had previously heard of WNV. The main transmission route was correctly identified as mosquito bites by 49.8% of participants, while 32.2% answered "do...
Assessment of baseline adrenocorticotropic hormone and insulin concentrations in healthy horses in Saskatchewan over a 1-year period.
Journal of veterinary internal medicine    February 26, 2026   Volume 40, Issue 1 aalaf056 doi: 10.1093/jvimsj/aalaf056
Viviani P, Ragno VM, Parker S, Montgomery JB.Endocrine disorders in horses, such as pituitary pars intermedia dysfunction and equine metabolic syndrome, rely on hormone testing for diagnosis, but seasonal and regional variabilities highlight the need for locally generated data. Objective: To characterize monthly blood concentrations of ACTH and insulin over 1 year in healthy horses in Saskatchewan. A secondary objective was to assess the association between these outcomes and the following factors: sex, age, breed, pregnancy status, level of exercise, body condition score, and cresty neck score. Methods: Sixty-eight clinically healthy, c...
Environmental Occurrence of Potentially Pathogenic Bacteria in the Equine Anesthetic Induction and Recovery Box: A Single-Center Study.
Animals : an open access journal from MDPI    February 25, 2026   Volume 16, Issue 5 712 doi: 10.3390/ani16050712
Rinnovati R, Meistro F, Ralletti MV, D'Angelo P, Spadari A, Zingariello E, Pollera C, Stancampiano L.In horses, surgical site infections (SSIs) are multifactorial complications influenced by patient-related, procedural, and environmental factors. While perioperative contamination has been extensively studied in the operating theater, the anesthetic induction and recovery environment has received limited attention. The aim of this study was to characterize bacterial contamination within an equine anesthetic induction and recovery stall and to evaluate its spatial and temporal distribution. Environmental samples were collected from four predefined locations within the stall at three time points...
Joint dislocations due to equestrian activity: what can a sports physician anticipate?
The Physician and sportsmedicine    February 24, 2026   1-7 doi: 10.1080/00913847.2026.2636506
Loder RT, Walker AL, Blakemore LC.Horse riding is a common sport, but no study specifically addresses joint dislocations. The purpose of this study is to describe joint dislocations due to equines using a national emergency department (ED) database. Such data can be helpful in injury prevention strategies. Unassigned: The National Electronic Injury Surveillance System (NEISS) database for the years 2000-2023 was used. The NEISS database is a statistically representative sample of injuries seen in EDs across the US giving national estimates. Mechanism of injury was tabulated into groups: 1) did the patient fall from the horse 2...
Equine dental destructive disorders: an epidemiological survey in northern Germany.
Frontiers in veterinary science    February 17, 2026   Volume 13 1706621 doi: 10.3389/fvets.2026.1706621
Häussling MPP, Steinberg T, Büttner K, Hannig C, Hannig M, Lemke L, Zierau O, Staszyk C.Destructive lesions of the peripheral and infundibular cementum are increasingly recognized in equine dentistry. While similarities to human caries have been noted, current evidence does not conclusively support this classification. This study aims to assess the prevalence, distribution, and potential risk factors associated with these lesions in a defined horse population. Unassigned: A total of 114 horses from northern Germany underwent standardized oral examination between 2021 and 2023. Clinical data on peripheral and infundibular lesions, diastemata, and influencing factors such as age an...
Radiographic findings of candidate stallions presented for licensing at all German Warmblood horse-breeding associations in 2018-2020.
Journal of equine veterinary science    February 16, 2026   Volume 159 105809 doi: 10.1016/j.jevs.2026.105809
Folgmann MS, Stock KF, Feige K, Delling U.Current studies on the health status of young German Warmblood stallions are lacking. Objective: To evaluate the prevalence of radiographic findings at licensing examinations of Warmblood candidate stallions and quantify the environmental influences on the distribution of recorded findings. Methods: In this retrospective observational study, records of 1693 radiographic examinations performed on 1678 German Warmblood stallions presented for licensing in 2018-2020 were reviewed. Data were provided by all German Warmblood horse-breeding associations and their official veterinarians. The collecti...
“Synthetic gp90 peptide ELISA for equine infectious anemia virus: Improved sensitivity and risk factor insights”.
Preventive veterinary medicine    February 16, 2026   Volume 250 106811 doi: 10.1016/j.prevetmed.2026.106811
Acevedo-Jiménez GE, Morales-González C, Akbarin MM, Rodríguez-Murillo C, González-Fernández VD, Avila-De la Vega LM, García-Flores MM....Equine infectious anemia virus (EIAV) is a globally significant equine pathogen, and its control relies on effective serological surveillance. The agar gel immunodiffusion (AGID) test, the WOAH-prescribed method, has limitations in sensitivity. This study developed and validated an indirect ELISA using a synthetic peptide derived from a conserved region of the EIAV gp90 surface glycoprotein. The assay was evaluated using 773 horse sera from the Metropolitan Zone of the Valley of Mexico and compared to the AGID test. The gp90-EIAV ELISA demonstrated a sensitivity of 85.3 % and a specificity o...
The majority of proximal sesamoid and condylar fractures occurred in horses identified as high risk by inertial measurement unit sensors.
Journal of the American Veterinary Medical Association    February 13, 2026   1-10 doi: 10.2460/javma.25.08.0556
Hall NP, Sweeney DM, Holmströem M, Kim W, Wang Y, Donahue KD, Palmer SE, Lambert DH, Bayly WM.To determine whether targeted lesion-specific algorithms developed from data collected with accelerometer-based inertial measurement units worn by racing Thoroughbreds could retrospectively identify horses at high risk of incurring forelimb condylar or proximal sesamoid fractures. Unassigned: Fracture-specific algorithms were generated from July 2021 to December 2024 with accelerometer data from 42,623 races by 15,755 horses, including 54 races by 23 horses that subsequently suffered condylar fractures and 90 races by 31 horses that later sustained proximal sesamoid fractures. Fracture-specifi...
Mental health challenges in the Irish thoroughbred horse breeding industry: Prevalence and associated risk factors.
Acta psychologica    February 12, 2026   Volume 264 106436 doi: 10.1016/j.actpsy.2026.106436
McDonald C, Cullen S, O'Connor S, Warrington G, Pugh J, McGoldrick A, Nolan C, Losty C.The thoroughbred horse breeding industry contributes significantly to the Irish economy. However, staff shortages threaten the economic sustainability of the industry, as well as the welfare of both horses and workers. Previous research on the staffing crisis faced by the broader horseracing industry has highlighted mental health concerns as a factor. Furthermore, the influence of workplace context on mental health has been widely recognised in organisational psychology. The aim of this study was to assess prevalence rates of Common Mental Disorders (CMDs) in Irish thoroughbred horse breeding ...
In-Depth Analysis of the Prognostic Factors Associated with Short-Term Outcome in Equine Colic Patients: Multicentric Retrospective Study.
Animals : an open access journal from MDPI    February 5, 2026   Volume 16, Issue 3 496 doi: 10.3390/ani16030496
Nocera I, Cingottini D, Di Franco C, Sala G, Bindi F, Spadari A, Rinnovati R, Vitale V, Jose-Cunilleras E, Sgorbini M.Several studies investigated risk and prognostic parameters for horses with colic; however, the consensus is still debated. The present work aimed to investigate colic outcomes and to identify risk factors in horses referred for colic. In this multicenter retrospective study, 236 clinical records of equids referred for colic at three different equine centers were reviewed. The following data were collected: history, signalment, physical examination at the time of admission, hematological and biochemical analysis, diagnosis, SIRS status and 0-6 point-scale SIRS score, colic type, treatment atte...
Relationship Between Mean Faecal Gastrointestinal Nematode Egg Excretion in Horses and Its Variability: Implications for Control.
Pathogens (Basel, Switzerland)    February 2, 2026   Volume 15, Issue 2 156 doi: 10.3390/pathogens15020156
Cabaret J, Guerrero Molina C, Martínez-Ortiz-de Montellano C, Alcala Canto Y.Faecal egg counts (FECs) are used to assess the intensity of gastrointestinal nematode (GIN) infections in herbivores. FEC distribution is aggregated, meaning that approximately 20% of animals harbour 80% of infections. In times of escalating anthelmintic resistance, it may be necessary to restrict treatment to the animals with the heaviest infections. This strategy is called targeted selective treatment (TST) and is relevant to GIN, for example. The difficulty lies in identifying which animals to treat. One solution is to select potentially at-risk animals based on age (for example, treating ...
Feasibility and acceptability of meticillin-resistant Staphylococcus aureus biosecurity measures in equine facilities: A cross-sectional study.
The Veterinary record    January 31, 2026   doi: 10.1002/vetr.70338
Planes P, Arsenault J, Allano M, Sauvé F.Biosecurity measures are recommended in stables housing meticillin-resistant Staphylococcus aureus (MRSA)-positive horses, but their feasibility and acceptability, as well as their implementation barriers, remain unclear. Methods: A cross-sectional study was conducted among clients of a veterinary teaching hospital using an online questionnaire. Information on horse activities, stable characteristics and perceptions (feasibility and acceptability scores) of recommended biosecurity measures for MRSA-positive horses was collected. Results: Fifty-seven horse and/or stable owners completed the que...
Identifying Host-Characteristics and Management Risk Factors in a California Equine Herpesvirus Myeloencephalopathy (EHM) Outbreak.
Veterinary sciences    January 27, 2026   Volume 13, Issue 2 121 doi: 10.3390/vetsci13020121
Gordon S, Pusterla N, Finno CJ, Young A, Martínez-López B.Equine alphaherpesvirus-1 (EHV-1) is a highly contagious virus that can cause the neurological form, equine herpesvirus myeloencephalopathy (EHM). Understanding transmission-related risk factors is crucial for improving prevention strategies and guiding effective control measures. In this study, we collected data from 63 horses that had previously participated in the February 2022 winter horse show season at the Desert International Horse Park (DIHP) (26 cases and 37 controls) to identify host and management factors associated with EHV-1 infection and/or EHM development during the February 202...
Development of an Explainable Machine Learning Computational Model for the Prediction of Severe Complications After Orchiectomy in Stallions.
Animals : an open access journal from MDPI    January 25, 2026   Volume 16, Issue 3 377 doi: 10.3390/ani16030377
Tyrnenopoulou P, Kalatzis D, Kiouvrekis Y, Flouraki E, Folias L, Loukopoulos E, Starras A, Chalvatzis P, Tsioli V, Mavrogianni VS, Fthenakis GC.The objective of the present study was to apply supervised Machine Learning to predict severe complications after equine orchiectomy. A dataset of 612 cases of orchiectomies in stallions was used for the development of a computational model, among which in 8.5% of cases severe complications (colic, continued stallion-like behaviour, evisceration, funiculitis, haemorrhage, and scrotal infection) were diagnosed post-orchiectomy. Three supervised Machine Learning tools were employed: Logistic Regression (12 different models evaluated), Random Forest (64 models), and Gradient Boosting (8 models). ...
Complications Following Orchiectomy in Stallions in Field Conditions: Descriptive Results and Predictors in a Study of 612 Cases.
Animals : an open access journal from MDPI    January 21, 2026   Volume 16, Issue 2 326 doi: 10.3390/ani16020326
Tyrnenopoulou P, Flouraki E, Folias L, Loukopoulos E, Starras A, Chalvatzis P, Tsioli V, Mavrogianni VS, Fthenakis GC.The objectives of this work were (i) to evaluate the incidence of complications in male horses after orchiectomy performed in the field, i.e., away from a veterinary hospital, (ii) to describe the post-operative complications that occurred in these animals and (iii) to study the potential predictors for the development of such complications. This study involved 612 animals, on which orchiectomy was performed. The operative part of the study was carried out by one of three experienced veterinary surgeons. Standard pre-operative procedures were followed. Orchiectomy was performed using one of th...
Evaluation of long-term postoperative morbidity and survival after equine colic surgery using a complication severity classification.
The Veterinary record    January 17, 2026   doi: 10.1002/vetr.70174
Gandini M, Giusto G.Most studies on colic surgery outcome focus on short-term survival and complications. Long-term outcomes, particularly post-discharge morbidity, are poorly characterised despite their relevance. No standardised system has previously integrated both short- and long-term postoperative complications with survival outcomes. Therefore, this study aimed to evaluate long-term survival and morbidity in horses after colic surgery using the equine postoperative complication score (EPOCS), and to assess the association between complications and survival. Methods: The medical records of horses undergoing ...
Prevalence and risk factors of stress urinary incontinence among female horseback riders in Poland.
Scientific reports    January 17, 2026   Volume 16, Issue 1 5606 doi: 10.1038/s41598-026-36444-y
Zalewski M, Kołodyńska G, Piątek A, Mucha A, Misztela W, Andrzejewski W.Stress urinary incontinence (SUI) is usually associated with aging and parity, but repetitive intra-abdominal pressure during physical activity can also trigger its onset in young women. Horseback riding, despite potential benefits for pelvic floor strengthening, may also contribute to pelvic floor strain and urinary symptoms. The study included 100 Polish women aged 21-54 engaged in horse riding, both recreational (85%) and professional (15%). Participants were divided into three age groups and screened for urinary incontinence symptoms. Quality of life was assessed with validated questionnai...
Returning after a lay-up and absence of recent starts are associated with complete humerus fractures in Thoroughbred racehorses in South Korea (2009-2022).
Journal of the American Veterinary Medical Association    January 16, 2026   1-8 doi: 10.2460/javma.25.08.0567
Choi Y, Rosanowski SM, Parkin TD.To identify risk factors associated with complete humerus fractures in Thoroughbreds in South Korea. Unassigned: A retrospective case-control design with multivariable logistic regression was used. This study included 131 Thoroughbreds diagnosed with complete humerus fractures following racetrack activity between 2009 and 2022 (inclusive). Additionally, 660 healthy Thoroughbreds (699 observations) with at least 1 racetrack activity during the same period were included as controls. Unassigned: A total of 8 variables were associated with the risk of complete humerus fractures. Notably, horses wi...
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