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Journal of veterinary internal medicine2008; 22(4); 1029-1037; doi: 10.1111/j.1939-1676.2008.0136.x

Demographics and costs of colic in Swedish horses.

Abstract: Colic is an important cause of morbidity and mortality in horses. In Sweden, an insurance database with diagnostic medical information is maintained on >30% of the nation's horse population. Objective: The objective was to describe the occurrence of colic, defined by costly veterinary care and life claims, in horses at 1 insurance company during 1997-2002. HORSES: All horses (<21 years of age) with complete insurance for veterinary care and life during the period 1997-2002 were included. Methods: Colic was defined as conditions where the main clinical sign was abdominal pain and the problem was related to the gastrointestinal system. The analyses included measures of incidence by sex, breed group, age categories, geographical location (urban/other), survival to and survival after colic, medical cost for colic, and multivariable modeling of risk factors related to the event of colic. Results: In all, 116,288 horses contributed to 341,564 horse years at risk (HYAR). There were 3,100 horses with a colic diagnosis, of which 27% were settled for life insurance. The median gross cost for veterinary care was 4,729 Swedish Kronor (SEK). The overall occurrence and mortality rate of colic was 91 and 24 events per 10,000 HYAR. Survival after colic at 1 month was 76% (95% confidence interval: 75-78%). Conclusions: The occurrence of colic varied with breed group, age, and season. The mortality rates probably reflected the true mortality of colic. The veterinary care rates most likely underestimated of the risk colic because they represent relatively costly events.
Publication Date: 2008-07-24 PubMed ID: 18647160DOI: 10.1111/j.1939-1676.2008.0136.xGoogle Scholar: Lookup
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  • Journal Article
  • Research Support
  • Non-U.S. Gov't

Summary

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The research article is about a study that was carried out to understand the incidence, demographics, costs, and risk factors associated with colic in Swedish horses through an analysis of insurance data. Colic, as a significant cause of morbidity and mortality, was defined by the need for costly veterinary care or life claims paid out due to the condition.

Research Methods

  • The researchers used the data from one insurance company from 1997 to 2002. They included all horses aged less than 21 years and who had complete insurance for veterinary care and life during that period.
  • The study defined colic as conditions where the main symptom was abdominal pain and related to the horse’s gastrointestinal system.
  • The analysis included measurements such as incidence rates by variables including sex, breed group, age category, and geographical location (urban versus otherwise).
  • In addition to these metrics, the researchers also considered factors like survival after colic diagnosis, medical costs due to colic, and multivariable modeling of risk factors related to the occurrence of colic.

Research Findings

  • The study identified 3,100 horses with a colic diagnosis out of 116,288 horses that contributed to 341,564 horse years at risk (HYAR). Of these diagnosed horses, 27% were settled for life insurance.
  • The median cost of veterinary care for a colic condition was found to be 4,729 Swedish Kronor (SEK).
  • The overall incidence and mortality rates of colic were calculated to be 91 and 24 events per 10,000 HYAR, respectively. One-month survival post colic condition was determined at 76% with a 95% confidence interval standing at 75-78%.
  • The researchers also noted that the incidence of colic varied based on breed group, horse’s age, and seasonality.
  • Finally, they concluded that the mortality incidences probably reflected the true mortality rates due to colic and that the relatively high costs of veterinary care likely underestimated the risk of colic, as they represented only the more costly events.

Cite This Article

APA
Egenvall A, Penell J, Bonnett BN, Blix J, Pringle J. (2008). Demographics and costs of colic in Swedish horses. J Vet Intern Med, 22(4), 1029-1037. https://doi.org/10.1111/j.1939-1676.2008.0136.x

Publication

ISSN: 0891-6640
NlmUniqueID: 8708660
Country: United States
Language: English
Volume: 22
Issue: 4
Pages: 1029-1037

Researcher Affiliations

Egenvall, A
  • Department of Clinical Sciences, Faculty of Veterinary Medicine and Animal Science, Swedish University of Agricultural Sciences, Uppsala, Sweden. agneta.egenvall@kv.slu.se
Penell, J
    Bonnett, B N
      Blix, J
        Pringle, J

          MeSH Terms

          • Animals
          • Colic / economics
          • Colic / epidemiology
          • Colic / mortality
          • Colic / veterinary
          • Female
          • Horse Diseases / economics
          • Horse Diseases / epidemiology
          • Horse Diseases / mortality
          • Horses
          • Male
          • Sweden / epidemiology
          • Time Factors

          Citations

          This article has been cited 10 times.
          1. Straticò P, Varasano V, Palozzo A, Guerri G, Celani G, Revelant O, Petrizzi L. Retrospective Study on Risk Factors and Short-Term Outcome of Horses Referred for Colic from 2016 to 2022. Vet Sci 2022 Oct 3;9(10).
            doi: 10.3390/vetsci9100545pubmed: 36288158google scholar: lookup
          2. Dybkjær E, Steffensen KF, Honoré ML, Dinesen MA, Christophersen MT, Pihl TH. Short-term survival rates of 1397 horses referred for colic from 2010 to 2018. Acta Vet Scand 2022 May 7;64(1):11.
            doi: 10.1186/s13028-022-00631-4pubmed: 35526044google scholar: lookup
          3. Barker I, Freeman SL. Assessment of costs and insurance policies for referral treatment of equine colic. Vet Rec 2019 Oct 26;185(16):508.
            doi: 10.1136/vr.105415pubmed: 31439823google scholar: lookup
          4. Curtis L, Burford JH, England GCW, Freeman SL. Risk factors for acute abdominal pain (colic) in the adult horse: A scoping review of risk factors, and a systematic review of the effect of management-related changes. PLoS One 2019;14(7):e0219307.
            doi: 10.1371/journal.pone.0219307pubmed: 31295284google scholar: lookup
          5. Yngvesson J, Rey Torres JC, Lindholm J, Pättiniemi A, Andersson P, Sassner H. Health and Body Conditions of Riding School Horses Housed in Groups or Kept in Conventional Tie-Stall/Box Housing. Animals (Basel) 2019 Feb 26;9(3).
            doi: 10.3390/ani9030073pubmed: 30813613google scholar: lookup
          6. Curtis L, Trewin I, England GC, Burford JH, Freeman SL. Veterinary practitioners' selection of diagnostic tests for the primary evaluation of colic in the horse. Vet Rec Open 2015;2(2):e000145.
            doi: 10.1136/vetreco-2015-000145pubmed: 26457192google scholar: lookup
          7. Scantlebury CE, Perkins E, Pinchbeck GL, Archer DC, Christley RM. Could it be colic? Horse-owner decision making and practices in response to equine colic. BMC Vet Res 2014;10 Suppl 1(Suppl 1):S1.
            doi: 10.1186/1746-6148-10-S1-S1pubmed: 25238026google scholar: lookup
          8. Wormstrand BH, Ihler CF, Diesen R, Krontveit RI. Surgical treatment of equine colic - a retrospective study of 297 surgeries in Norway 2005-2011. Acta Vet Scand 2014 Jun 16;56(1):38.
            doi: 10.1186/1751-0147-56-38pubmed: 24934123google scholar: lookup
          9. Egenvall A, Nødtvedt A, Penell J, Gunnarsson L, Bonnett BN. Insurance data for research in companion animals: benefits and limitations. Acta Vet Scand 2009 Oct 29;51(1):42.
            doi: 10.1186/1751-0147-51-42pubmed: 19874612google scholar: lookup
          10. Mickevičienė I, Mikalauskienė D, Miknienė Z. The prognostic importance of physiological and biochemical parameters in horses afflicted with colic. Open Vet J 2024 Aug;14(8):1801-1807.
            doi: 10.5455/OVJ.2024.v14.i8.8pubmed: 39308735google scholar: lookup