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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.
Race type and race distance as determinants of unseat events in U.S. steeplechase racing, 2023-2025. Unseat events in steeplechase racing, including falls and lost-rider incidents, affect equine welfare and jockey safety. Timber races are often perceived as higher risk than hurdle/fence races, but are also longer. Methods: This retrospective observational study analyzed 3070 U.S. National Steeplechase Association hurdle/fence and timber starts from 2023 to 2025. Flat, steeplethon, training, and apprentice/amateur-apprentice starts were excluded. Crude rates of falls, lost-rider incidents, and combined unseat events were compared between race types. Multivariable Poisson regression examined ...
Seroprevalence, risk factors and hematological parameters associated with Equine Infectious Anemia from Casanare, Colombia. Equine infectious anemia (EIA) is a persistent lentiviral disease with important sanitary and economic implications in tropical regions; however, epidemiological information in Colombia remains limited. Objective: To estimate seroprevalence, identify risk factors, and evaluate hematological alterations associated with EIA in horses from Casanare, Colombia. Methods: A cross-sectional study including 1,228 horses from 204 production units across 121 rural districts. Serological diagnosis was performed using agar gel immunodiffusion. Demographic and management data were obtained through an epidem...
Retrospective endoscopic assessment of complications associated with nasogastric intubation in horses at a referral hospital. To characterize the incidence of complications confirmed via endoscopy following nasogastric intubation in horses at a referral institution and determine associated risk factors. Unassigned: Medical records of patients having received ≥ 1 nasogastric intubation within 3 days prior to endoscopic examination between March 2021 and March 2025 were identified. Signalment, history, clinicopathologic data, nasogastric intubation procedures, reason for endoscopy, treatment, and outcome were recorded. Complications were categorized by region (nasopharyngeal, esophageal, gastric). Clinical complicati...
Factors associated with equine influenza during the 2025 outbreak in a draft horse population at the Obihiro Racecourse, Japan. In April 2025, equine influenza re-emerged in Japan for the first time in 17 years, resulting in an outbreak at a horse racecourse for Ban'ei racing, a unique form of horse racing in which draft horses pull heavy sleds. This study aimed to describe the epidemiological characteristics of the outbreak and identify individual- and management-level factors associated with equine influenza cases in order to develop improved control programs. A retrospective analysis was conducted using clinical records reported to the racecourse authority between April 21 and June 18, 2025. Cases were defined based...
Risk factors for horse falls in British jump racing (2010-2023). Horse falls are an important safety and welfare concern in jump racing, as they are associated with an increased risk of equine fatality and injury, as well as jockey injury. Objective: To identify risk factors for horse falls in British jump racing. Methods: Retrospective cohort. Methods: All jump race starts made on British racecourses between January 2010 and April 2023 were considered. Available horse, race, racecourse, trainer and jockey data were collated and combined with faller data recorded in official databases. Horses that were 'brought down' by another horse were not considered a f...
Longitudinal and spatial declines in equine Hendra virus vaccination despite continued risk. Hendra virus is an emerging zoonosis endemic to Australia with high fatality of infection in horses and humans. The role of infected domestic horses as amplifying bridge hosts for onward transmission to humans led to the creation of an equine vaccine as a One Health solution against spillover. Despite the risk this disease represents, previously reported equine vaccination rates were low. This study explored vaccination trends between 2012 and 2023 at fine spatial scales and identified demographic and ecological predictors of vaccination against emerging zoonoses. Over 1 million doses of Equiv...
Phenotypic and genetic factors that affect the likelihood of Standardbred foals achieving a race start. This study was conducted to quantify the probability of a Standardbred foal attaining early career milestones and to estimate some environmental and genetic factors that influence achievement of those milestones. Data for all Standardbred foals registered at birth in New Zealand from 1995 to 2018 were used to estimate variance components and fixed effects influencing attainment of three early-career traits; registered with trainer (REG), starting in a trial (TRIAL) and starting in a race (RACE). The study population comprised 65,256 foals. Of these, 65.5% attained REG, 55.4% progressed to TRIA...
The Peridental Structures of Equine Cheek Teeth: An Age-Dependent Anatomical Study of Maxilla and Mandible. Sequestration is the most common complication following equine cheek tooth extraction, occurring predominantly in the mandible of younger horses. Extraction-related trauma to the peridental region may impair healing. Despite its clinical relevance, detailed knowledge of peridental anatomy remains limited. This study investigated age-related differences in the peridental region of maxillary and mandibular equine cheek teeth 07 to 09. The peridental region of 24 cheek teeth rows from six cadaver heads was sectioned horizontally at approximately 10 mm intervals. Sections were photographed and the...
Prevalence of equine lungworm (Dictyocaulus arnfieldi) infection and associated risk factors in Egypt. infection is a common parasitic respiratory disease of equines that can adversely affect animal health, welfare, and productivity. However, epidemiological information on this infection remains limited in many regions of Egypt. This study aimed to determine the prevalence of and identify associated risk factors among equines in three Egyptian governorates. Unassigned: A cross-sectional study was conducted on 415 equines, including 150 donkeys, 55 mules, and 210 horses. Animals were examined for , and data on species, age, body condition, and deworming history were collected. Associations bet...
Hoist failure during recovery transfer in an anaesthetised horse: a near miss analysed through a Safety-II lens. A 660 kg, 11-year-old Irish Sport Horse gelding underwent general anaesthesia for an out-of-hours emergency exploratory laparotomy. After approximately 5 hours of anaesthesia, transfer to the recovery box began, using a ceiling-mounted hoist. As the horse crossed the theatre-recovery interface, the hoist failed due to mechanical disengagement. This resulted in loss of electrical power, leaving the anaesthetised horse suspended approximately 150 cm above the floor for approximately 10 minutes. The horse could not be advanced, reversed, or lowered using standard controls. Activity was paused, an...
Improving concussion assessment in jockeys: normative benchmarks and web-based tool for ImPACT interpretation. Despite horse racing's exceptionally high concussion risk, there is no jockey-specific ImPACT study. This work aimed to develop demographically adjusted, jockey-specific ImPACT norms and to evaluate complementary approaches to clinical classification. Unassigned: Retrospective baseline data from 663 Irish jockeys (2021-2024) were analyzed. Two normative methods were applied: (i) a univariate regression-based approach estimating expected scores for each cognitive domain independently, adjusting for age, sex, and education, with percentile-based classification; and (ii) a multivariate regression...
Surveillance on African Horse Sickness Virus in China’s Southern Border Regions. African horse sickness (AHS) is a vector-borne and noncontagious disease caused by African horse sickness virus (AHSV) that poses a severe threat to the global equine industry. As a country historically free from AHS, China faces elevated risks due to recent outbreaks in Southeast Asia in 2020 and its ecological suitability of its border regions for AHSV vectors. Therefore, we conducted consecutive molecular and serological surveillance for AHSV in high-risk border regions from 2020 to 2024. A total of 3203 equine serum samples, 2909 whole-blood samples, and 1037 collections of blood-sucking...
Seroprevalence and risk factors of African horse sickness in equines in central Gondar, Ethiopia. African horse sickness is a severe vector-borne viral disease of equines, associated with high mortality and substantial economic losses. In Ethiopia, where equines are essential for transport and agriculture, the disease remains endemic, yet epidemiological data are limited in many areas. This study aimed to estimate the seroprevalence of African horse sickness virus (AHSV) and describe variation in seropositivity across selected factors in equines in the Central Gondar Zone, Ethiopia. A cross-sectional study was conducted from December 2024 to August 2025, during which 384 serum samples were...
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...
Seroprevalence and risk factor analysis of Toxoplasma gondii and Neospora caninum in small ruminants, camels, and equines in northwest Egypt. Toxoplasma gondii and Neospora caninum infections are major causes of abortion and associated economic losses in the global livestock industry, particularly among ruminants. In Egypt, maintaining high levels of livestock production is a priority due to ongoing economic challenges. However, data on animal toxoplasmosis are limited in certain regions, such as Matrouh governorate, and studies on neosporosis remain scarce nationwide. This study aimed to estimate the seroprevalence and evaluate associated risk factors of T. gondii and N. caninum in small ruminants, camels, and equines from Matrouh ...
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...
