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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.
Phenotypic, hormonal, and clinical characteristics of equine endocrinopathic laminitis.
Journal of veterinary internal medicine    January 29, 2019   Volume 33, Issue 3 1456-1463 doi: 10.1111/jvim.15419
de Laat MA, Sillence MN, Reiche DB.Equine endocrinopathic laminitis is common and can be associated with an underlying endocrinopathy, such as equine metabolic syndrome (EMS), pituitary pars intermedia dysfunction (PPID), pasture consumption, or any combination of these factors. Objective: The aim of the study was to improve the risk assessment capabilities of clinicians, and to inform management strategies, for acute endocrinopathic laminitis by prospectively examining the phenotypic, hormonal, and clinical characteristics of the disease in a large cohort. Methods: Privately owned horses and ponies (n = 301) of any age, se...
Equestrian-related injuries, predictors of fatalities, and the impact on the public health system in Sweden.
Public health    January 25, 2019   Volume 168 67-75 doi: 10.1016/j.puhe.2018.11.023
Meredith L, Thomson R, Ekman R, Kovaceva J, Ekbrand H, Bálint A.Horse riding is a popular activity but has also been found to lead to many injuries and even fatalities. No reduction in the numbers of those being admitted to hospital for equestrian-related injuries have been seen in Sweden in recent years. The aim of this work was to examine injuries, fatalities, and predictors of fatalities in equestrian-related activities and to investigate the cost of these injuries to the public health system. Methods: The study is a retrospective analysis of hospital data. Methods: National Swedish hospital and mortality registers were retrospectively examined, inclusi...
Synovial sepsis is rare following intrasynovial medication in equine ambulatory practice.
Equine veterinary journal    January 18, 2019   Volume 51, Issue 5 595-599 doi: 10.1111/evj.13063
Smith LCR, Wylie CE, Palmer L, Ramzan PHL.There are few observational studies regarding the potentially serious complication of synovial sepsis following intrasynovial medication in general equine practice. Quantification of risk is fundamental to fully inform decision-making and owner consent prior to undertaking procedures. Objective: To describe the occurrence of synovial sepsis following intrasynovial injections in a large ambulatory equine practice between 2006-2011. Methods: Retrospective cohort study. Methods: Medication records were cross-referenced against synovial cytology submissions and hospital admissions for synovial sep...
Prevalence, risk factors, and characterization of multidrug resistant and extended spectrum β-lactamase/AmpC β-lactamase producing Escherichia coli in healthy horses in France in 2015.
Journal of veterinary internal medicine    January 15, 2019   Volume 33, Issue 2 902-911 doi: 10.1111/jvim.15415
de Lagarde M, Larrieu C, Praud K, Schouler C, Doublet B, Sallé G, Fairbrother JM, Arsenault J.Although antimicrobial resistance is increasingly common in equine medicine, molecular and epidemiological data remains scarce. Objective: We estimated the prevalence of, and risk factors for, shedding of multidrug resistant (MDR), extended spectrum β-lactamase (ESBL)-producing, and AmpC β-lactamase-producing, or some combination of these in Escherichia coli in horses in France. We characterized ESBL/AmpC isolates for antimicrobial susceptibility and the presence of virulence and ESBL/AmpC-associated resistance genes. Methods: Fecal samples from healthy adult horses at 41 premises were colle...
Managing the risk of Hendra virus spillover in Australia using ecological approaches: A report on three community juries.
PloS one    December 31, 2018   Volume 13, Issue 12 e0209798 doi: 10.1371/journal.pone.0209798
Degeling C, Gilbert GL, Annand E, Taylor M, Walsh MG, Ward MP, Wilson A, Johnson J.Hendra virus (HeV) infection is endemic in Australian flying-fox populations. Habitat loss has increased the peri-urban presence of flying-foxes, increasing the risk of contact and therefore viral 'spillovers' into horse and human populations. An equine vaccine is available and horse-husbandry practices that minimize HeV exposure are encouraged, but their adoption is suboptimal. Ecological approaches-such as habitat creation and conservation-could complement vaccination and behavioural strategies by reducing spillover risks, but these are controversial. We convened three community juries (two ...
Fungi in respiratory samples of horses with inflammatory airway disease.
Journal of veterinary internal medicine    December 21, 2018   Volume 33, Issue 2 968-975 doi: 10.1111/jvim.15397
Dauvillier J, Ter Woort F, van Erck-Westergren E.Fungi contribute to the inflammatory response of lungs in horses with recurrent airway obstruction and in some forms of asthma in humans. The role of fungi in inflammatory airway disease (IAD) has not been assessed. Objective: Evaluate the prevalence of fungi in the respiratory samples of horses diagnosed with IAD, describe clinical signs associated with the presence of fungi in respiratory samples, and assess the risk factors associated with IAD and with the presence of fungi in the airways. Methods: Seven-hundred thirty-one active horses referred to a specialized ambulatory practice for sign...
Heritability of metabolic traits associated with equine metabolic syndrome in Welsh ponies and Morgan horses.
Equine veterinary journal    December 15, 2018   Volume 51, Issue 4 475-480 doi: 10.1111/evj.13053
Norton EM, Schultz NE, Rendahl AK, Mcfarlane D, Geor RJ, Mickelson JR, McCue ME.Equine metabolic syndrome (EMS) is a complex clinical disorder with both environmental and genetic factors contributing to EMS phenotypes. Estimates of heritability determine the proportion of variation in a trait that is attributable to genetics. Objective: To provide heritability estimates for nine metabolic traits associated with EMS in two high-risk breeds. Methods: Retrospective cohort study. Methods: High-density single-nucleotide polymorphism (SNP) genotype data was used to estimate the heritability (h ) of nine metabolic traits relevant to EMS in a cohort of 264 Welsh ponies and 286 M...
Meta-analysis of risk factors for racehorse catastrophic musculoskeletal injury in flat racing.
Veterinary journal (London, England : 1997)    December 1, 2018   Volume 245 29-40 doi: 10.1016/j.tvjl.2018.11.014
Hitchens PL, Morrice-West AV, Stevenson MA, Whitton RC.Studies of racehorse injury or fatality in various countries have identified common, and in some cases conflicting, risk factors. We conducted a systematic search of the relevant literature published from 1990 to 2017. Peer-reviewed articles were included if they reported the incidence of fatal or catastrophic musculoskeletal injury (CMI) in Thoroughbred flat races (n=21) or risk factors for CMI (n=65). Pooled effect sizes were estimated using the random-effects DerSimonian-Laird model. The pooled incidence of CMI was 1.17 (95% confidence interval 0.90, 1.44) per 1000 race starts. Almost 300 f...
Management factors and clinical implications of glandular and squamous gastric disease in horses.
Journal of veterinary internal medicine    November 29, 2018   Volume 33, Issue 1 233-240 doi: 10.1111/jvim.15350
Sykes BW, Bowen M, Habershon-Butcher JL, Green M, Hallowell GD.To date, risk factors for equine glandular gastric disease (EGGD) have not been described in Thoroughbred racehorses. Objective: To determine management factors associated with EGGD, identify clinical signs in affected horses, and compare these to equine squamous gastric disease (ESGD). Methods: The study was carried out on 109 Thoroughbred racehorses from 8 training yards (3 in the United Kingdom and 5 in Australia). Methods: Gastroscopic examination alongside a questionnaire regarding management, feeding, exercise, and health. Results: Management factors and clinical signs were different for...
A Survey-Based Investigation of Human Factors Associated With Transport Related Injuries in Horses.
Frontiers in veterinary science    November 22, 2018   Volume 5 294 doi: 10.3389/fvets.2018.00294
Padalino B, Rogers CW, Guiver D, Thompson KR, Riley CB.Injuries resulting from road transport are common in horses and are a potential welfare concern, as well as, a source of economic loss. An online cross sectional survey was used to determine the prevalence of road transport related injuries to horses in New Zealand and the association of human factors including demographics, industry background, training and the horse handling experience of the respondents with transport related injury. The survey generated 1133 valid responses that were analyzed using descriptive statistics, univariate and multivariate logistic regression analysis. At least o...
Colic in the British military working horse population: a retrospective analysis.
The Veterinary record    November 19, 2018   Volume 184, Issue 1 24 doi: 10.1136/vr.104956
Tannahill VJ, Cardwell JM, Witte TH.Colic is a common and potentially life-threatening condition of horses. Multiple risk factors have been previously identified and it is known that a careful management routine can help reduce colic rates. The British military working horse population represents a unique cohort of horses that are intensively managed with a strict regimen. This retrospective study examined the incidence and mortality rate of colic within this population, as well as the signalment of affected horses, and compared these with the general population. Data for 717 horses over a five-year period (2008-2012) were analy...
Effects of body protection vests and experience levels in prevention of equestrian injuries.
BMJ open sport & exercise medicine    November 16, 2018   Volume 4, Issue 1 e000426 doi: 10.1136/bmjsem-2018-000426
Andres SA, Bushau-Sprinkle AM, Brier ME, Seger YR.To investigate the risk reduction and benefit of wearing body protection/safety vests in equestrian sports. Methods: A comparison of equestrians wearing body protective vests and those not wearing vests was performed using incident report data of 718 participants in the United States Pony Clubs during 2011-2017. Data obtained included age, gender, certification level of member, type of activity, description of incident, description of injuries, what protective equipment was worn and other possible contributing factors. Results: While wearing body protective vests when riding on the flat or for...
Foal-Level Risk Factors Associated With Development of Rhodococcus equi Pneumonia at a Quarter Horse Breeding Farm.
Journal of equine veterinary science    November 3, 2018   Volume 72 89-96 doi: 10.1016/j.jevs.2018.10.023
Coleman MC, Blodgett GP, Bevevino KE, Ivanek R, Cummings KJ, Carter GK, Cohen ND.The occurrence of Rhodococcus equi at farms varies, with disease occurring endemically at some farms, but only sporadically, or not at all at other farms. Only some foals residing on endemic farms develop clinical signs of disease. Limited evidence is available regarding foal-level risk factors for the development of R. equi pneumonia. The purpose of this study was to identify foal-level risk factors associated with the development of R. equi pneumonia among foals at a large breeding farm in Texas with a recurrent problem of R. equi pneumonia. A retrospective cohort study was conducted usin...
Very long-term outcome of coronary covered stents: a report from the SCAAR registry. Harnek J, James SK, Lagerqvist B.Covered stents are mostly used for coronary perforations with a high risk of early adverse events; however, their long-term outcome is unknown. The aim of this study was to elucidate the short- and long-term outcome of patients treated with covered stents compared to all other stented patients. Results: The Swedish national registries from 2005-2017 disclosed 265 patients who had received 366 covered stents. Their outcomes were compared to all other stented patients (197,948) who had received 320,784 stents. Compared to regular stents, covered stents showed significant differences (p<0.001)...
A 9-Year Epidemiologic Study (2007-2015) on Race-Day Jockey Fall and Injury Incidence in Amateur Irish Horse Racing.
Journal of athletic training    October 30, 2018   Volume 53, Issue 10 950-955 doi: 10.4085/1062-6050-339-17
O'Connor S, Warrington G, Mb AM, Cullen S.Point-to-point racing may place jockeys at risk of serious injuries due to the high incidence of falls as previously reported. Despite many advances in health and safety strategies, the incidence of falls and injuries in point-to-point racing has not been reported since 2006. Objective: To provide a longitudinal analysis of the fall and injury incidence in point-to-point horse racing jockeys in Ireland from 2007 to 2015 and compare these findings with the previous literature. Methods: Descriptive epidemiologic study. Methods: All injuries that occurred due to a fall at every official point-to-...
Seroprevalence, frequency of leptospiuria, and associated risk factors in horses in Kansas, Missouri, and Nebraska from 2016-2017.
PloS one    October 29, 2018   Volume 13, Issue 10 e0206639 doi: 10.1371/journal.pone.0206639
Trimble AC, Blevins CA, Beard LA, Deforno AR, Davis EG.Leptospirosis is a worldwide veterinary and public health concern, and well recognized infectious disease of horses. Seroprevalence rates vary with geography, but many studies have confirmed a high exposure rate. The correlation between seropositivity and shedding status has not been made in horses, however. The aims of this study were to use semi-nested PCR on urine from apparently healthy horses to determine period prevalence of leptospiral shedding and to correlate these findings with MAT results to establish associations with client based survey data regarding horse management and environm...
Complications associated with closed castration using the Henderson equine castration instrument in 300 standing equids.
Veterinary surgery : VS    October 27, 2018   Volume 48, Issue 1 21-28 doi: 10.1111/vsu.12960
Racine J, Vidondo B, Ramseyer A, Koch C.To describe a closed castration technique in standing equids, report associated complications, and identify potential risk factors. Methods: Prospective cohort study of 300 standing equids that were castrated with the Henderson Equine Castrating Instrument. Methods: Thirteen participating veterinarians recorded intraoperative difficulties and postoperative complications. Descriptive statistics, univariate analyses with Fisher's exact tests, and logistic regressions were used to evaluate intraoperative difficulties and postoperative complications and to assess risk factors for postoperative com...
SNP-based heritability and genetic architecture of tarsal osteochondrosis in North American Standardbred horses.
Animal genetics    October 24, 2018   Volume 50, Issue 1 78-81 doi: 10.1111/age.12738
McCoy AM, Norton EM, Kemper AM, Beeson SK, Mickelson JR, McCue ME.Osteochondrosis is a common developmental orthopedic disease characterized by a failure of endochondral ossification. Standardbred horses are recognized as being predisposed to tarsal osteochondrosis. Prior heritability estimates for tarsal osteochondrosis in European Standardbreds and related trotting breeds have been based on pedigree data and range from 17-29%. Here, we report on genetic architecture and heritability based on high-density genotyping data in a cohort of North American Standardbreds (n = 479) stringently phenotyped for tarsal osteochondrosis. Whole-genome array genotyping d...
Assessing the risk for major injuries in equestrian sports.
BMJ open sport & exercise medicine    October 16, 2018   Volume 4, Issue 1 e000408 doi: 10.1136/bmjsem-2018-000408
Krüger L, Hohberg M, Lehmann W, Dresing K.Horse riding is a popular sport, which bears the risk of serious injuries. This study aims to assess whether individual factors influence the risk to sustain major injuries. Methods: Retrospective data were collected from all equine-related accidents at a German Level I Trauma Centre between 2004 and 2014. Logistic regression was used to identify the risk factors for major injures. Results: 770 patients were included (87.9% females). Falling off the horse (67.7%) and being kicked by the horse (16.5%) were the two main injury mechanisms. Men and individuals of higher age showed higher odds for ...
Multivariable analysis to determine risk factors associated with early pregnancy loss in thoroughbred broodmares.
Theriogenology    October 9, 2018   Volume 124 18-23 doi: 10.1016/j.theriogenology.2018.10.008
de Mestre AM, Rose BV, Chang YM, Wathes DC, Verheyen KLP.Early pregnancy loss (EPL) between days 15-65 after breeding has been shown to occur in 7.9% of equine pregnancies with substantial economical, welfare and safety implications. Whilst maternal age has been recognised as an important risk factor in relation to the incidence of EPL, few other risk factors have been conclusively identified. Further, multivariable data analysis of risk factors for EPL is sparse. A prospective cohort investigation of thoroughbred broodmares in the United Kingdom was conducted over the 2013 and 2014 breeding seasons. Information relating to 28 factors including mare...
Distal limb pathologic conditions in horses treated with sleeve-style digital cryotherapy (285 cases).
Research in veterinary science    October 2, 2018   Volume 121 12-17 doi: 10.1016/j.rvsc.2018.09.008
Proctor-Brown L, Hicks R, Colmer S, Guilfoyle D, Dallap-Schaer B, Johnson AL, Tomlinson J.Digital cryotherapy (DC) is frequently used as laminitis prophylaxis for horses. While DC with ice-water slurries is reported to be safe for up to 48 h, the safety of sleeve-style digital cryotherapy (SSDC) with ice in direct contact with the distal limb has not been evaluated. Our objective was to determine the incidence of distal limb pathologic conditions (DLPC) among horses treated with SSDC. A retrospective study of cases from 2011 to 2015 identified 285 horses treated with SSDC for a minimum of 12 h. Data collected from medical records included demographic, treatment, diagnostic, and...
Short-term outcome and risk factors for post-operative complications following umbilical resection in 82 foals (2004-2016).
Equine veterinary journal    October 1, 2018   Volume 51, Issue 3 323-328 doi: 10.1111/evj.13021
Reig Codina L, Werre SR, Brown JA.Umbilical remnant infection and patent urachus are an important cause of morbidity for the equine neonate. Left untreated, fatal complications can develop. Identifying risk factors for post-operative complications after surgery are important for estimating prognosis. Objective: To identify risk factors associated with post-operative complications in foals undergoing umbilical remnant resection due to patent and/or infected umbilical remnants. Methods: Retrospective case series. Methods: Foals undergoing umbilical remnant resection due to patent urachus or infected remnants at the Marion duPont...
Epidemiological situation of vesicular stomatitis virus infection in cattle in the state of Paraíba, semiarid region of Brazil.
Preventive veterinary medicine    September 29, 2018   Volume 160 68-75 doi: 10.1016/j.prevetmed.2018.09.027
Bezerra CS, Cargnelutti JF, Sauthier JT, Weiblen R, Flores EF, Alves CJ, Clementino IJ, Santos CSAB, Azevedo SS.The aim of this survey was to estimate the apparent herd-level and animal-level prevalences, as well as to identify risk factors and spatial clustering of vesicular stomatitis virus (VSV) positive herds in the state of Paraíba, semiarid of Brazil. The state was divided into three sampling strata: Sertão, Borborema and Zona da Mata/Agreste. For each sampling stratum, herd-level and animal-level prevalences were estimated by a two-stage sampling survey. First, a pre-established number of herds (primary sampling units) were randomly selected; second, within each herd, a pre-established number o...
Injuries in equestrian vaulting: results of a prospective study.
The Journal of sports medicine and physical fitness    September 27, 2018   Volume 59, Issue 3 476-480 doi: 10.23736/S0022-4707.18.08250-6
Zarghooni K, Hub L, Bredow J, Yagdiran A, Hackenberg RK, Scheyerer M, Westermann L, Eysel P, Siewe J.Equestrian vaulting is a sport, particularly popular among children and adolescents, in which gymnastic and dance routines are performed on horseback. Current data regarding injuries and thus, the risks of this sport, is meager and based only on retrospective studies. Methods: In the current prospective study, 233 active members of a vaulting club were questioned monthly from November 2014 until October 2015. In addition to general information (training, competitions), the questionnaire collected the number of competitions, the competitive class, the discipline (single, team, Pas-de-Deux), and...
Prevalence of antibodies against Toxoplasma gondii and Neospora spp. in equids of Western Pará, Brazil.
Acta tropica    September 27, 2018   Volume 189 39-45 doi: 10.1016/j.actatropica.2018.09.023
Moreira TR, Sarturi C, Stelmachtchuk FN, Andersson E, Norlander E, de Oliveira FLC, Machado Portela J, Marcili A, Emanuelson U, Gennari SM....The present study aimed to determine the prevalence of antibodies against Toxoplasma gondii and Neospora spp. in equids raised for distinct purposes in the western state of Pará, Brazil, and to identify potential risk factors associated with parasite infection. A cross-sectional study was conducted with cluster sampling in 101 farms from 18 municipalities (farm horses). In visited municipalities, samples from sport and cart horses were included. Serum was obtained for detecting antibodies against T. gondii and Neospora spp. using indirect fluorescent antibody test, with a cut-off point of 1:6...
Anatomy of the vestibulum esophagi and surgical implications during prosthetic laryngoplasty in horses.
Veterinary surgery : VS    September 19, 2018   Volume 47, Issue 7 942-950 doi: 10.1111/vsu.12944
Brandenberger O, Martens A, Robert C, Wiemer P, Pamela H, Vlaminck L, Barankova K, Haspeslagh M, Perkins JD, Ducharme N, Rossignol F.To describe the anatomy of the entry to the equine esophagus (vestibulum esophagi) and to assess the risk of penetrating its adventitia and/or lumen during laryngoplasty. Methods: Ex vivo cadaveric study. Methods: Five isolated equine larynges and 39 equine head and neck specimens. Methods: The anatomy of the vestibulum esophagi was studied by dissection of 5 cadaver specimens. Then, a bilateral laryngoplasty was performed, including 5 suture placements through the muscular processes, caudal, rostral, and sagittal, with straight and curved needles. Two of the 3 surgeons performing the implanta...
Concussion History, Reporting Behaviors, Attitudes, and Knowledge in Jockeys.
Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine    September 14, 2018   Volume 30, Issue 6 578-584 doi: 10.1097/JSM.0000000000000658
O'Connor S, Warrington G, Whelan G, McGoldrick A, Cullen S.To examine concussion history, knowledge, and attitudes among Irish professional and amateur jockeys. Cross-sectional survey. Questionnaire was distributed through e-mails sent to all licensed jockeys, over social media and during professional and amateur race meetings. An average of 23.6% (12%-44%) Irish professional and amateur jockeys (n = 119) holding a license in 2017. Jockeys reported their previous concussion history, actions after their most recent concussion and responded to questions examining their knowledge and attitudes toward concussion. Amateur (32.4%) and professional (19.6%) j...
Prevalence and risk factors for IgG antibodies to Neospora spp. in three types of equids from Southern Punjab, Pakistan.
Acta tropica    September 13, 2018   Volume 188 240-243 doi: 10.1016/j.actatropica.2018.09.007
Nazir MM, Ayaz MM, Ahmed AN, Rasheed I, Faraz A, Akram Q, Akhtar S, Maqbool A, Tabassum S, Zheng Y, Lindsay DS.Equine hosts suffer from neurological disease, congenital infection, and reproductive problems associated with Neospora spp. infection. We conducted a cross sectional study using sera from 631 equids (324 horses, 218 donkeys and 89 mules) from the southern region of Punjab province, Pakistan to determine the prevalence of antibodies against Neospora spp. in this diverse group of equines. Fisk factors associated with seropositivity were evaluated statistically based on equine type, breed, age, husbandry, breeding methods, and reproductive history. Prevalence of antibodies to Neospora spp. was d...
Relationship Between Historical Lameness, Medication Usage, Surgery, and Exercise With Catastrophic Musculoskeletal Injury in Racehorses.
Frontiers in veterinary science    September 7, 2018   Volume 5 217 doi: 10.3389/fvets.2018.00217
Hitchens PL, Hill AE, Stover SM. The rate of catastrophic musculoskeletal injuries (CMI) in racehorses is high in the United States compared to other countries. Few modifiable risk factors related to lameness, medication, and surgery history have been identified. To detect management factors that increase risk of CMI by comparing medical histories between horses that sustained, and horses that did not sustain, a CMI. Case-control. Racehorse necropsy data (May 2012-June 2013) were obtained through the California Horse Racing Board Postmortem Program. Attending veterinarians of Thoroughbreds (TB) and Quarter Horses (QH) tha...
Comparative seroprevalence and risk factor analysis of Trypanosoma evansi infection in equines from different agro-climatic zones of Punjab (India).
Revue scientifique et technique (International Office of Epizootics)    August 31, 2018   Volume 36, Issue 3 971-979 doi: 10.20506/rst.36.3.2729
Sumbria D, Singla LD, Kumar R, Bal MS, Kaur P.As parasitaemia is low and fluctuating during the chronic stage of infection, accurate detection of Trypanosoma evansi in blood is difficult. The primary aims of this investigation were to assess for the first time the seroprevalence of T. evansi in all agro-climatic zones of Punjab, by indirect enzyme-linked immunosorbent assay (iELISA) and card agglutination test (CATT/T. evansi), and to evaluate the risk factors associated with latent trypanosomosis. A total of 319 equine serum samples collected from 12 districts of Punjab (India) belonging to different agro-climatic zones revealed 39 (12.2...
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