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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.
Equine-related injuries in rural Oklahoma: a 10-year experience emphasizing genitourinary trauma. Equine-related injuries are a significant yet under-researched cause of trauma in rural areas, particularly in high-equine-density states like Oklahoma. This study describes patterns, severity, and outcomes of equine-related injuries over a 10-year period at a Level II trauma center, with emphasis on genitourinary (GU) trauma. Methods: This retrospective cohort study included all patients admitted with equine-related injuries from May 2015 to December 2025 (n = 259). Data were abstracted from the trauma registry, including demographics, injury mechanisms, anatomic locations (with GU injuri...
An epizootic of equine viral arteritis at a Thoroughbred racetrack in Illinois: 223 cases. An epizootic of equine viral arteritis (EVA) occurred over an 8-wk period in the summer of 1993 at a midwestern Thoroughbred (TB) racetrack that ceased operations in 2021. Based on clinical signs, viral isolation, and serology, 223 horses (213 TBs, 10 lead ponies) were affected. Consistent clinical signs included fever (38.3-40.6°C; 101-105°F), depression, inappetence, and diffuse urticaria, including distal limb and preputial edema. Equine arteritis virus (EAV) was cultured from buffy coat samples from 24 of 28 acutely ill horses. Seventeen of 18 convalescent horses and 1 of 92 non-affected...
A 12-year review of equestrian related injuries at a major trauma centre in South Africa. Few studies on equestrian-related injuries have specifically focused on patients in South Africa. The aim of this study was to review the spectrum of injuries and of patients treated at state-funded trauma centres in South Africa. Methods: A retrospective study was conducted over a 12-year period from July 2012 to February 2025 on all patients treated for equestrian-related injuries. Results: A total of 82 patients were included (83% male, median age: 17 years, median injury severity score (ISS): 9). The most common mechanism of injury was a fall ( = 41), followed by a kick ( = 38). Two were t...
Risk assessment of West Nile fever in equines in Europe based on an ecological niche model. West Nile fever is a zoonotic viral disease transmitted by Culex mosquitoes, capable of causing severe neurological illness in humans, equines, and birds. Over the past dozen years, Europe has experienced numerous WNF outbreaks of varying severity, leading to significant public health and economic impacts. Consequently, WNF has emerged as a major concern for both public health and veterinary sectors. In this study, we employed spatiotemporal analysis techniques alongside an optimized ecological niche model to investigate the spatiotemporal distribution patterns of historical WNF outbreaks, pre...
Factors influencing gestation length in Mares in the Tiaret region, Algeria. Gestation length is a key parameter in equine reproductive management, yet its variability remains poorly documented in Barb and Arabian mares under Algerian conditions. Objective: This study aims to determine gestation length in mares and to assess the influence of various factors, including breed, year of mating, mating month, mare age, parity, reproductive status, stallion and the foal's sex on gestation duration. Methods: A total of 133 mares from the National Stud Farm of Tiaret (Algeria) were monitored over the period 2021-2024. Results: The mean gestation length was 332.5 days (range: 3...
Global prevalence and epidemiological determinants of African horse sickness: A systematic review and meta-analysis. African horse sickness (AHS) is a highly fatal, vector-borne viral disease of equids with substantial economic and animal health impacts, particularly in endemic regions. Despite numerous epidemiological studies, reported prevalence estimates remain highly variable, and a comprehensive quantitative synthesis is lacking. This study aimed to systematically evaluate and synthesize the global prevalence of AHS and to identify sources of epidemiological heterogeneity. A systematic review and meta-analysis were conducted following PRISMA 2020 guidelines, with the protocol registered in the Open Scie...
Severe Macular Commotio Retinae Following a Fall from a Horse in a Pediatric Patient. Background and Clinical Significance: Blunt ocular trauma is a significant but often underestimated cause of visual impairment, particularly among adolescents involved in high-risk activities such as horseback riding. While most equestrian injuries affect the head and extremities, ocular trauma, especially commotio retinae, can result in severe visual complications. Case Presentation: We report the case of a 15-year-old girl who sustained blunt ocular trauma to the left eye following a fall from a horse and presented with decreased visual acuity. Multimodal imaging revealed outer retinal abnor...
The incidence of fatal and non-fatal injury in thoroughbred and Quarter Horse racehorses in Louisiana (2014-2022). The objectives of the study were to report the incidence of race-related injuries and equine fatalities in racehorses at the Louisiana racetracks from 2014 to 2022 for both Thoroughbred and Quarter Horse racehorses. Additionally, this study evaluated several factors that may be related to the occurrence of race-related injuries in racehorses in Louisiana. The average rates of equine fatal injuries (euthanized on or off track within 72 h of the race) were 1.70 ± 0.76 and 1.94 ± 0.89 per 1000 starts in Thoroughbred and Quarter racehorses, respectively. The average rates of non-fatal injur...
Age, embryo donor status, and insemination with chilled semen all predispose to persistent breeding-induced endometritis in warmblood mares. Persistent breeding-induced endometritis (PBIE) is a common reason for mares failing to establish pregnancy. Objective: To examine the hypothesis that advancing mare age and embryo donor status predispose to PBIE and compromise fertility. Methods: Retrospective analysis of the impact of mare age, breeding system (embryo donor versus broodmare), and semen type (chilled versus frozen-thawed) on the likelihood of PBIE and subsequent pregnancy/embryo recovery. Methods: Warmblood mares (n = 769) inseminated during 1745 oestrous cycles were divided into three age categories (≤6, 7-13 and ≥14...
Epidemiology of open and closed diastemata in equine cheek teeth and associations with periodontal pathology. Cheek-tooth diastemata are a common dental abnormality in horses and are considered a major predisposing factor for periodontal disease. However, the influence of diastema type and anatomical location on disease severity remains incompletely understood. To determine the prevalence and distribution of open and closed cheek-tooth diastemata and evaluate their association with periodontal disease severity in horses, while assessing the influence of age, sex, jaw location and laterality, fifty equine cadaver heads obtained from an abattoir were examined. Diastemata were identified through visual a...
Exercising electrocardiograms from Thoroughbred racehorses with exercise associated sudden death. Exercise associated sudden death (EASD), defined as a fatal collapse in a closely monitored and previously presumed clinically healthy horse that occurs during exercise or within approximately 1 h after exercise, is disproportionately more common in equine than in human athletes. Objective: To describe ECGs from EASD cases in Thoroughbred racehorses. Methods: Retrospective case series. Methods: An international call for potential cases was made through direct contact with relevant racing authorities requesting that trainers of horses which had experienced EASD consent to researchers gaining ac...
Delphi consensus on Thoroughbred yearling sales endoscopy in Australasia. Concerns regarding the reliability and consistency of yearling sales endoscopy in Australia and New Zealand have led to reduced industry confidence. Recent studies have clarified the relationship between yearling laryngeal function (YLF) grades and future outcomes. Objective: To build expert consensus on the most appropriate method for grading YLF, assess the clinical relevance of each grade on future race performance and prosthetic laryngoplasty risk, and develop guidelines for pre-sale endoscopic technique. Methods: Modified Delphi study. Methods: Anonymous, iterative surveys were distribute...
Comprehensive molecular characterization of Theileria equi: Detection, genetic diversity, and risk factors assessment. Equine piroplasmosis, caused by Theileria equi, has been widely studied globally, but genetic diversity research in India remains limited. Analysis of 306 horse blood samples revealed T. equi infection in 10.78% by microscopy and 21.24% by PCR. Universal primers targeting 18S rRNA of T. equi and Babesia caballi were used, followed by species-specific primers generating 435 bp amplicons. Sequenced PCR-positive samples revealed high homology (99.52-100% in India, 95.89-100% globally), with all Indian isolates classified as genotype A. The EMA-1 gene phylogenetic analysis confirmed the insights f...
Fungal endometritis in broodmares: clinical presentation, prevalence in Ireland and diagnostic performance of cytology. Fungal endometritis is an uncommon uterine condition associated with poor fertility. Objective: This study aimed to 1) provide a descriptive summary of 11 cases of fungal endometritis, 2) assess prevalence trends of fungal endometritis over time, 3) assess fungal species distribution in diagnostic samples, and 4) evaluate the diagnostic accuracy of cytology. Methods: Study 1 reviewed records of 11 mares diagnosed with fungal endometritis for history, presentation, treatment, and outcome. Study 2 analysed 6,727 uterine samples (swabs and lavages; 2019-2024) for factors influencing fungal cultur...
Relationship between prevalence and severity of exercise-induced pulmonary hemorrhage and environmental factors. 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 se...
Preoperative risk assessment in horses: agreement and predictive value of CHARIOT (Combined Horse Anaesthetic Risk Identification and Optimisation Tool). To assess interobserver agreement and predictive value of the Combined Horse Anaesthetic Risk Identification and Optimisation Tool (CHARIOT) compared with the American Society of Anesthesiologists Physical Status (ASA-PS) classification system among five groups of evaluators with different levels of expertise, and to explore the association between risk scores and 7-day postoperative mortality. Methods: Prospective, observational, single-centre pilot study. Methods: A group of 50 client-owned horses. Methods: Each horse was assessed (ASA-PS and CHARIOT) before general anaesthesia by one evalua...
Cardiac arrhythmias during intense exercise in Thoroughbred racehorses: frequency and association with subsequent race performance. 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. Background: 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 (2...
Objective, Longitudinal Computed Tomographic Evaluation of the Metacarpal Condyles in Non-Lame Thoroughbred Racehorses. 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...
Culicoides biting midges (Diptera: Ceratopogonidae) feeding on donkeys in the United Kingdom, with reference to the risk of transmission and persistence of African horse sickness virus. African horse sickness virus (AHSV: Sedoreoviridae; Orbivirus) causes a severe and often fatal disease in horses (African horse sickness: AHS) and is transmitted almost exclusively by Culicoides biting midges (Diptera: Ceratopogonidae). In recent years, unprecedented outbreaks of AHSV have occurred in new geographical foci in Thailand and other related Culicoides-borne viruses continue to emerge unexpectedly, causing disease outbreaks in northern Europe. This study investigated Culicoides abundance and diversity at a donkey (Equus asinus) sanctuary in southern England. The incidence and severi...
Epidemiological study and risk factors of equine (Equus ferus caballus) gastrointestinal helminth infections in the north and northeast of Iran. Understanding the epidemiology of gastrointestinal (GI) helminth infections in equines is critical for investigating drug resistance patterns and developing effective strategies to control and prevent these infections. There is a lack of data regarding horse GI helminths and risk factors in the north and northeast of Iran. Hence, the present study aimed to identify GI helminths in horses in these regions and determine their risk factors. A total of 340 fecal specimens from horses of north ( = 141) and northeast ( = 199) Iran were coprologically examined for GI helminth infections. The poly...
Embryonic vesicle diameter at first pregnancy diagnosis in in vivo- and in vitro-derived pregnancies and its relationship with pregnancy loss in the mare. 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. 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. 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 ...
West Nile Virus in Europe: Epidemiology, Vector Ecology, Environmental Drivers, and the Role of Equine Sentinel Surveillance in a One Health Framework. West Nile virus (WNV) is a mosquito-borne flavivirus that remains an important public and veterinary health concern across Europe. Periodic outbreaks affecting humans, horses, and wildlife highlight the complex ecological interactions underlying viral circulation. This narrative review aims to synthesize current knowledge regarding WNV epidemiology, transmission dynamics, and surveillance strategies in Europe, with particular attention to the Romanian context. Available surveillance data indicate recurrent seasonal transmission in several European regions; however, reported case numbers may be...
Characteristics of horse riding-related falls in patients presenting to emergency departments in manche department, france: a multicenter retrospective analysis. 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...
Spatio-temporal analysis of anthrax in livestock at zonal level in Ethiopia, 2008-2020. Ethiopia has not only one of the largest livestock populations in Africa, but also a substantial growing human population, increasing the risk of zoonotic disease transmission. Anthrax is a priority zoonosis in Ethiopia due to its risks to both human and animal health. Utilising 13 years of retrospective data (2008-2020) from 92 zones, this study investigated the spatio-temporal distribution of livestock anthrax cases in Ethiopia. High variability in annual incidence was observed, with the lowest number of cases (n=2357, 3.73 %) in 2018 followed by the highest number of cases (n=8210, 12.98 %)...
What happened after the epidemic? Equine influenza surveillance sheds light on sources and seasonal risk in the United Kingdom. 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. 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...
