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Equine veterinary journal2013; 45(6); 681-687; doi: 10.1111/evj.12047

A cohort study of equine laminitis in Great Britain 2009-2011: estimation of disease frequency and description of clinical signs in 577 cases.

Abstract: A previous systematic review highlighted a lack of good evidence regarding the frequency of equine laminitis in Great Britain. Objective: To estimate the frequency of veterinary-diagnosed active laminitis in the general horse population of Great Britain and to describe the clinical signs present in cases. Methods: Prospective cohort study. Methods: Data on active episodes of equine laminitis were collected from veterinary practitioners. Results: The prevalence of veterinary-diagnosed active laminitis was 0.47% (95% confidence interval [CI] 0.42-0.52%) for the veterinary-attended population and 0.49% (95% CI 0.43-0.55%) for the veterinary-registered population, suggesting that active episodes of laminitis accounted for nearly one in 200 equine visits and occurred in nearly one in 200 horses registered with veterinary practices. The incidence of veterinary-diagnosed active laminitis was 0.5 cases per 100 horse-years at risk (95% CI 0.44-0.57). Laminitis occurred in all limbs, but most commonly affected the forelimbs bilaterally (53.5%, 95% CI 49.4-57.7%) and was most severe in the front feet. The most common clinical signs were increased digital pulses, difficulty turning and a short, stilted gait at walk. Conclusions: The frequency of veterinary-diagnosed active laminitis was considerably lower than previously published estimates, which is probably due to differences in geographical setting, study period, case definition, study design and study populations.
Publication Date: 2013-03-12 PubMed ID: 23489181DOI: 10.1111/evj.12047Google Scholar: Lookup
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  • Journal Article
  • Research Support
  • Non-U.S. Gov't

Summary

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This research estimated the frequency of laminitis, a painful hoof disease, in the horse population of Great Britain between 2009 and 2011, and described the clinical signs of the condition in 577 cases.

Frequently of Laminitis and Study Methodology

  • The study followed a prospective cohort study design and gathered data on active episodes of laminitis from the reports of veterinary practitioners.
  • They found that the prevalence of veterinary-diagnosed active laminitis was 0.47% for the horse population that was attended to by veterinary practitioners and 0.49% for those registered with veterinary practices.
  • In simpler terms, an active case of laminitis was found during roughly one in every 200 equine visits and occurred in nearly one in every 200 horses registered with veterinary practices.
  • An estimation of the occurrence of active laminitis among the horses indicated an incidence of 0.5 cases per 100 horse-years at risk.

Clinical Signs of Laminitis

  • The study found that laminitis can affect any of the horse’s limbs, but it most commonly affected the front limbs on both sides (53.5% of cases).
  • The front feet generally experienced the most severe symptoms.
  • Common clinical signs of laminitis in horses included increased pulses in the digits (toes), difficulty turning, and a short, stiff gait at walking.

Comparison with Previous Research

  • The recorded frequency of laminitis in this study was much lower than the estimates provided in previous studies.
  • The researchers suggest that this discrepancy might be attributed to differences in the geographical location of the study, the timeframe of the study, the defined cases, the study design followed and the populations of horses studied.

Cite This Article

APA
Wylie CE, Collins SN, Verheyen KL, Newton JR. (2013). A cohort study of equine laminitis in Great Britain 2009-2011: estimation of disease frequency and description of clinical signs in 577 cases. Equine Vet J, 45(6), 681-687. https://doi.org/10.1111/evj.12047

Publication

ISSN: 2042-3306
NlmUniqueID: 0173320
Country: United States
Language: English
Volume: 45
Issue: 6
Pages: 681-687

Researcher Affiliations

Wylie, C E
  • Epidemiology Department, Centre for Preventive Medicine, Animal Health Trust, UK.
Collins, S N
    Verheyen, K L P
      Newton, J R

        MeSH Terms

        • Animals
        • Cohort Studies
        • Foot Diseases / veterinary
        • Hoof and Claw / pathology
        • Horse Diseases / epidemiology
        • Horse Diseases / pathology
        • Horses
        • Incidence
        • Inflammation / diagnosis
        • Inflammation / epidemiology
        • Inflammation / veterinary
        • Prevalence
        • Risk Factors
        • United Kingdom / epidemiology

        Citations

        This article has been cited 7 times.