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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.
Activity type, sex, season, and number of prior starts are associated with proximal sesamoid bone fractures in Thoroughbred racehorses in South Korea. To identify risk factors associated with proximal sesamoid bone fractures in Thoroughbreds in South Korea. Unassigned: A retrospective case-control design with multivariable logistic regression was used. This study included 138 Thoroughbreds diagnosed with proximal sesamoid bone fractures following racetrack activity between 2020 and 2025. Additionally, 580 healthy Thoroughbreds (635 observations) with at least 1 racetrack activity during the same period were included as controls. Unassigned: A total of 7 risk factors were identified. Races or trials had markedly higher fracture risk than race...
Genes Associated With Fracture Risk in Thoroughbred Horses Have Novel Roles in Osteogenesis. Bone fractures in Thoroughbred racehorses are a major welfare problem. Genetic factors contribute to fracture risk. Cell models have previously identified 112 differentially expressed genes in bone-forming osteoblasts derived from horses at high and low genetic risk of fracture. However, 42 of these genes have no published role in bone. In this study, we identified novel roles for a subset of these genes in bone formation. Twenty-six of the 42 genes were expressed in Saos2 cells during basal culture and/or after 21 days of osteogenic culture. Five of these genes (ADSSL1, CABP1, ENO2, SPARCL1...
An Investigation of the Role of Ridden Exercise, Including Application of the Ridden Horse Pain Ethogram, in Pre-Purchase Examinations of Sports Horses. Many horses undergo a pre-purchase examination (PPE) prior to acquisition by a new owner; however, despite evidence that lameness and canter dysfunction may only be apparent during ridden exercise, ridden exercises assessing gait quality is not a routine part of PPEs. The objectives were to determine the influence of the results of ridden exercise on decision-making concerning risk assessment for purchase and to establish the long-term performance of horses. Twenty-five sports horses underwent PPEs including ridden exercises to assess gait quality and to apply the Ridden Horse Pain Ethogram (R...
Prevalence and radiographic features of cyst-like lesions in German Warmblood horses presented for pre-purchase examination. Cyst-like lesions (CLLs) are frequently detected during radiographic examinations of equine limbs. They may represent a potential risk factor during pre-purchase examination (PPE) and are of considerable clinical and economic importance, as they may lead to negative purchase decisions. While affected horses may develop lameness, incidental findings have also been reported. The goal of the study was to describe the prevalence, location and radiographic characteristics of CLLs in a group of sound German Warmblood horses. Unassigned: A retrospective cohort study was conducted on 3863 German Warmb...
Tick-borne bacterial and protozoal pathogens in horses in Austria – A cross-sectional study on current and past infections and potential risk factors. Tick-borne bacterial and protozoal pathogens are a major threat to equine health worldwide. In Austria, studies on pathogens such as piroplasms, Anaplasma phagocytophilum and Borrelia spp. in horses are scarce and do not cover the countrywide horse population. To address this, blood samples from horses without prior record of infection with tick-borne pathogens (n = 588) were tested for the presence of Theileria equi, Babesia caballi or A. phagocytophilum DNA by PCR and for specific antibodies against these pathogens and Borrelia burgdorferi with commercially available assays. While no DNA of ...
Seroprevalence, Risk Factors, and Environmental Correlates of Babesia caballi, Toxoplasma gondii, and Coxiella burnetii in Equids from Southwestern Greece. Equids, primarily horses, are mostly used for recreational purposes, although in some rural areas they also serve as working animals, maintaining close and frequent contact with humans. Their risk of exposure to vector-borne and zoonotic pathogens can be affected by host-related factors, management practices and environmental conditions. This study aimed to investigate the seroprevalence and associated risk factors for infections by , , , and sensu lato in equids from Southwestern Greece. A total of 159 equids were tested using commercial serological assays. Weighted prevalence estimates were...
Prevalence of insulin dysregulation in a sport horse population as determined by traditional and stall-side testing. The prevalence of insulin dysregulation (ID) has not been investigated in sport horses. Stall-side insulin assays offer convenience but need further validation. Objective: To determine the prevalence of and risk factors for ID in a sport horse population using an oral sugar test (OST) and assess agreement between stall-side and validated laboratory assays for insulin quantification. Methods: Prospective cross-sectional study. Methods: One hundred eighty sport horses presenting for orthopaedic evaluation at a university hospital (N = 140) or local farms (N = 40) were tested for ID using...
A point-based laminitis risk scoring system and machine learning framework for prediction of laminitis in horses. Laminitis is a painful and potentially life-threatening inflammatory condition of the equine hoof, and its detection remains a major challenge in veterinary practice. Although several risk factors have been reported, the prediction of the onset of laminitis in a subclinical stage using routine clinical data is still limited. This study aims to address this gap by developing an interpretable machine learning (ML) framework for the prediction of the risk of laminitis in horses. A point-based risk scoring system was first constructed using multivariate logistic regression to quantify the contribu...
Risk factors for post-partum colic in a population of UK and Irish Thoroughbred broodmares. Broodmares are at increased risk of gastrointestinal colic. However, colic risk factors specific to this population have not been investigated. Objective: To investigate horse- and management-level risk factors for post-partum colic in a cohort of Thoroughbred broodmares in the United Kingdom and Ireland. Methods: Prospective, nested case-control study. Methods: Twenty-nine Thoroughbred stud farms in the United Kingdom and Ireland were recruited, and 1044 mares were followed over the 2021 and/or 2022 foaling seasons. Data were collected on signalment, medical and management history for post-pa...
Fatalities within seven days after equine standing sedation: A prospective, multicentre study. Information regarding mortality associated with standing procedures in horses is sparse. Objective: To report data from >12,000 standing sedations. Methods: Confidential, observational, prospective, multicentre, cohort study. Methods: We collected records of horses/ponies undergoing standing sedation for surgery or advanced diagnostic imaging using at least one top-up or controlled rate infusion (CRI). Procedures were either NON-COLIC or COLIC. Outcome at seven days was recorded as (i) ALIVE, (ii) EUTHANASIA or (iii) DEAD. Data were collected with a portable document format (PDF) questionn...
Blood ammonia levels: A potential indicator of high-risk pregnancy in Thoroughbred broodmares. Exposure to high blood ammonia (hyperammonemia) interferes with gestation due to its detrimental effect on hormone levels, fetal development, the immune system, placental integrity, and fertility of broodmares. Increases in ammonia levels are dangerous and elusive, as damage may occur from earlier peaks, resulting in the trapping of ammonia in the amniotic fluid and then disappearing from the blood circulation before clinical symptoms are observed. Thus, it should be recognized early and treated immediately before complications arise. This study aimed to investigate if blood ammonia levels in ...
Rider dislodgement events in U.S. steeplechase racing: participation outcomes in riders and horses. Steeplechase jockeys compete in high-risk races requiring horses and riders to clear fixed obstacles at speed. Although rider dislodgement events are recognized hazards, their incidence and participation consequences are not well characterized. Methods: This retrospective observational study used publicly available race charts from United States National Steeplechase Association races (2023-2025). Dislodgement events were defined as falls or lost rider events. Incidence rates were calculated per 1,000 starts, and timber and hurdle races were compared using Poisson regression. Rider interruptio...
Prevalence, molecular characterization and zoonotic potential of Cryptosporidium spp. in horses from diverse husbandry systems across four provinces of northern and eastern China. Cryptosporidium is an obligate intracellular zoonotic protozoan causing diarrheal disease in humans and animals globally. Horses have more frequent close contact with humans through equestrian sports, breeding, and cross-regional trade. However, comprehensive molecular epidemiological data on diverse equine husbandry systems in China are limited. We tested 412 fecal samples from horses across four Chinese provinces via small subunit ribosomal RNA (SSU rRNA) nested polymerase chain reaction (PCR). C. parvum and C. equi were subtyped using the 60 kDa glycoprotein (gp60) gene, and C. andersoni ...
Signal-averaged electrocardiography in horses: characteristics of ventricular late potentials in healthy Thoroughbreds and horses with cardiac abnormalities. Sudden death in horses, often attributed to lethal arrhythmias, poses significant welfare and economic risks, yet its prediction remains challenging. This study aimed to characterize ventricular micro-potentials using signal-averaged electrocardiography (SAECG) and evaluate their potential for assessing sudden death risk. High-resolution orthogonal X-, Y-, and Z-lead ECGs were recorded in 24 healthy Thoroughbreds (aged 2-31 years), one horse with bupivacaine-induced myocardial injury, and three horses with persistent pathological murmurs. SAECG parameters, including filtered QRS duration (fQRS...
Prevalence of gastrointestinal parasites in horses in the district of Abidjan, Ivory Coast. Gastrointestinal parasitic infections constitute a major constraint to equine health and productivity, particularly in tropical regions where climatic and environmental conditions favor parasite survival and transmission. In Côte d'Ivoire, epidemiological data regarding gastrointestinal parasites in horses remain limited, especially in urban and peri-urban settings such as the district of Abidjan. This study aimed to determine the prevalence, diversity, and associated risk factors of gastrointestinal parasites affecting horses in the study area. A descriptive and analytical cross-sectional st...
Musculoskeletal Burden in German Equestrians: Hip-Specific Symptoms and Risk Factors. Equestrian sport is a major component of German athletics, with broad recreational participation and a strong competitive sector. In 2019, about 2.32 million people identified as active riders, and more than 60,000 competitional licences were issued in 2021, reflecting substantial competitive engagement across the Olympic disciplines and national performance levels. Hip pain is a frequent and clinically relevant complaint among athletes and can stem from structural, degenerative, or overuse-related causes. In riding, the hip joint is crucial for transmitting forces and coordinating rider-horse...
Transfer of passive immunity in foals: Can the plasma transfusion efficacy be predicted? The treatment for failure of transfer of passive immunity (FTPI) in foals with hyperimmune plasma has substantial variability of efficacy. Objective: The aims of the study were to assess the safety and efficacy of plasma transfusion and to investigate factors that may predict transfusion results, thereby allowing estimation of plasma volume requirements prior to transfusion. Methods: A retrospective review was conducted of foals admitted to an equine hospital that received a plasma transfusion for FTPI. Results: The study included 110 foals and 150 hyperimmune plasma transfusions. The median i...
Serum adipokines are useful for predicting hyperinsulinemia secondary to corticosteroid treatment in horses. To evaluate pretreatment biomarkers for predicting the severity of corticosteroid-induced hyperinsulinemia. Unassigned: Oral glucose tests were performed before (day 1) and after (day 8) a dexamethasone course (0.08 mg/kg, q 48 h) in 24 healthy adult Standardbreds. Associations between day 8 oral glucose test insulin parameters (baseline [T0insulin], maximal [Cmaxinsulin], and area under the curve [AUCinsulin]) and day 1 serum markers (insulin, glucose, adiponectin, leptin, and their ratios) were examined using Spearman correlation, log-linked generalized linear models. Relative risk of exceed...
Seroprevalence of Leptospira in Lavradeiro horses, a semi-feral ecotype from the Northern Brazilian Amazon. Leptospirosis is a neglected zoonosis with significant impact on public and veterinary health, with equines acting as potential maintenance hosts of infection. This study aimed to investigate the seroprevalence of Leptospira in Lavradeiro horses under semi-feral conditions in Indigenous communities in the state of Roraima, Brazil. A total of 387 serum samples were subjected to the microscopic agglutination test (MAT), using antigens of Leptospira spp. from 18 serogroups. The overall prevalence was 15.8% (95% CI: 12.3-19.8%), with the most frequent serogroups being Australis, Tarassovi, Autumna...
Cervical spinal cord compression may affect anesthetic recovery quality and seizure incidence in horses after myelography. To compare anesthetic recovery quality and seizure incidence after cervical myelography in horses with or without cervical spinal cord compression. Unassigned: Anesthesia and medical records from January 2017 to December 2022 of horses anesthetized for myelography were retrieved. Patients with incomplete records, equine protozoal myeloencephalitis diagnosis, or an anesthetic protocol outside an established standard were excluded. Demographic analysis, ataxia score, and anesthetic management variables were recorded in an observational retrospective fashion. Each variable was compared between gr...
Morbidity associated with inhalation anesthesia in horses: the role of opioid use in a university teaching hospital. Despite concerns among equine practitioners, the effects of opioid administration on intraoperative complications during inhalation anesthesia remain incompletely characterized. This retrospective study evaluated intraoperative complications and perianesthetic mortality in horses undergoing inhalation anesthesia according to opioid use. Medical records from a university veterinary hospital were reviewed (2014-2025) and grouped based on opioid inclusion in anesthetic protocols and surgery type (colic vs. non-colic). Intraoperative hypotension (MAP < 70 mmHg), hypothermia (temperature 65 mmH...
Evaluation of systemic inflammatory response syndrome criteria in horses with colic associated with acute gastrointestinal disease. Systemic inflammatory response syndrome (SIRS) is a severe clinical condition commonly observed in horses with acute gastrointestinal disease associated with colic and is linked to increased risk of organ dysfunction and mortality. Early identification of SIRS and reliable prognostic indicators are essential to improve clinical management. This study aimed to assess the occurrence of SIRS in adult horses with colic, evaluate its association with outcome, and investigate the prognostic value of selected clinicopathological variables. Unassigned: A total of 41 adult horses admitted for acute gas...
Assessment of knowledge, attitudes, and preventive practices for equine Endoparasite control among livestock owners in South Gondar Zone, Northwest Ethiopia: A community-based cross-sectional study. Endoparasites are a major health concern affecting equine productivity and welfare worldwide. Understanding farmers' knowledge, attitudes, and practices (KAP) toward parasite control is critical for designing effective interventions. This study assessed KAP levels among farmers in South Gondar Zone, Northwest Ethiopia, and identified factors associated with good KAP. A community-based cross-sectional study was conducted among 150 farmers. KAP scores were initially categorized into three levels (low, moderate, and high) and analyzed using chi-square (χ) tests to explore bivariate associations....
Prevalence, risk factors, and antimicrobial resistance of Staphylococcus aureus in equines in Egypt. Staphylococcus aureus is a common commensal organism in both humans and animals, frequently colonizing the skin and nasal cavities of healthy individuals, although it can also cause a wide range of severe infections. The present study investigated the prevalence and risk factors of S. aureus in equines, along with antimicrobial resistance patterns of methicillin-resistant S. aureus (MRSA) isolates. The results revealed a prevalence of 38.6% in nasal samples collected from equines, highlighting the organism's significant presence and potential to cause infections in these animals. A genotypic p...
Research Trends and Emerging Frontiers in Racehorse Genetics: A Bibliometric Analysis. The global horse racing industry relies heavily on elite breeding. Therefore, a molecular understanding of athletic traits is crucial for the industry's advancement. This study utilized Bibliometrix, VOSviewer, and CiteSpace to conduct a comprehensive bibliometric analysis of 869 publications in the Web of Science Core Collection (2011-2025), decoding the academic landscape and evolutionary trajectory of equine genetics. The results indicate a significant upward trend in academic output since 2019, with the United States, South Korea, and the United Kingdom emerging as the primary contributors...
Development of a prognostic scoring system for systemic inflammatory response syndrome in donkeys. Systemic inflammatory response syndrome (SIRS) is associated with increased mortality in horses with gastrointestinal (GI) disease. However, there are no data relating to naturally occurring SIRS in donkeys. Objective: To determine SIRS frequency in donkeys with GI disease. To develop a donkey-specific prognostic SIRS score. Methods: Retrospective case series. Methods: Clinical records from donkeys presenting with GI disease in two independent cohorts (development cohort: n = 400, UK; validation cohort: n = 36, Australia) were reviewed. Age, sex, heart rate, respiratory rate, rectal te...
Retained fetal membranes in light breed mares hospitalized for attended parturition. Retention of fetal membranes (RFM) is well described in draft breeds, whereas data on light breed mares remains limited and inconsistent. Objective: This retrospective study aimed to describe the frequency, associated factors, treatments, and consequences of RFM in light breed mares hospitalized for attended parturition. Methods: Medical records of 321 light breed mares hospitalized for attended parturition at the Veterinary Teaching Hospital, University of Bologna, were retrospectively reviewed. Data collected included: breed, previous history of RFM, age, parity, assisted reproductive techni...
Outcomes and racing performance in thoroughbreds following a long-term injury sustained during a jump race in Great Britain. Limited literature is available about the career outcomes of horses sustaining a long-term injury (LTI) in a jump race. Methods: All Thoroughbreds that sustained an LTI, defined as any non-fatal musculoskeletal injury requiring a minimum 90-day break from racing, in a British jump race between May 2018 and April 2023 were followed up for at least 24 months and outcomes described. Pre-injury racing performance was compared between horses that did and did not return to racing, and post-injury racing performance was compared between horses that sustained tendon/ligament injuries and fractures. R...
Surveillance of equine glanders in India (2019-2023): Prevalence estimate, risk analysis and future strategy. Equine glanders, a notifiable zoonotic disease caused by Burkholderia mallei, continues to pose a significant health and regulatory challenge in India. This study summarizes the outcomes of a nationwide sero surveillance programme conducted between January 2019 and December 2023 to assess the distribution and temporal trends of glanders in equid populations. A total of 158,798 serum samples collected from 391 districts across 19 states and three union territories were screened using Hcp1-based indirect ELISA, followed by confirmatory testing through the complement fixation test. During the fiv...
Management factors associated with abnormal behaviours in rural Chilean working horses. Working horses remain essential for rural livelihoods in Chile and across Latin America. However, housing and management conditions in these systems are poorly characterised, underscoring the need for standardised welfare assessments to generate evidence and guide targeted improvements. Objective: To estimate the prevalence of abnormal behaviours in rural working horses and to examine associations with management and housing related factors. Methods: Cross-sectional observational study. Methods: Seventy-seven working horses from a rural area of the Papudo commune (Valparaíso Region, Chile) we...
