Evaluation of risk factors, management, and outcome associated with rectal tears in horses: 99 cases (1985-2006).
Abstract: To identify risk factors for rectal tears in horses; assess the effect of initiating cause on tear location, size, and distance from anus; and determine short-term survival rate among horses with various grades of rectal tears. Methods: Retrospective case series. Methods: 99 horses. Methods: Medical records for horses with a rectal tear were reviewed, and data including age; sex; breed; cause, location, and size of the tear and its distance from the anus; tear grade; treatment; and outcome (short-term survival [ie, survival to discharge from the hospital] vs non-survival) were recorded. Data for age, sex, and breed of horses with rectal tears were compared with data for all horses evaluated at the hospital during the same interval to determine risk factors for rectal tears. Results: Arabians, American Miniature Horses, mares, and horses > 9 years of age were more likely to develop a rectal tear than other breeds, males, or younger horses. Dystocia had a significant influence on rectal tear size. Location of a rectal tear and its distance from the anus were not associated with cause. Applied treatments for grade 1, 2, and 3 rectal tears were effective, unlike treatments for grade 4 rectal tears. Irrespective of treatment, the overall short-term survival rate among horses with grade 1, 2, 3, and 4 rectal tears was 100%, 100%, 38%, and 2%, respectively. Conclusions: Accurate identification of risk factors could help practitioners and owners implement adequate measures to prevent the development of rectal tears in horses.
Publication Date: 2008-11-19 PubMed ID: 19014297DOI: 10.2460/javma.233.10.1605Google Scholar: Lookup
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- Journal Article
- Research Support
- Non-U.S. Gov't
Summary
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This is a study that analyzed the risk factors, treatment strategies, and outcomes of rectal tears in horses. The researchers identified specific breeds, genders, and age groups more likely to experience rectal tears and examined the effectiveness of different treatments and their impact on horses’ short-term survival rates.
Study Methodology
- The research was a retrospective case study based on medical records of 99 horses with rectal tears.
- The data examined included the horses’ age, sex, breed, the initiating cause, location, size, and distance of the tear from the anus, grade of the tear, the treatment applied, and the outcome (specifically, whether or not the horse survived until discharge from the hospital).
- The data for age, sex, and breed were compared with that of all horses evaluated at the same hospital during the same time frame. This comparison was used to determine the risk factors for rectal tears.
Key Findings
- Arabians, American Miniature Horses, mares, and horses aged over 9 years were found to be more likely to develop a rectal tear compared to other breeds, males or younger horses.
- Dystocia – a condition defined as difficult labor – had a significant influence on the size of the rectal tear.
- The location of a rectal tear and its distance from the anus showed no association with the initiating cause.
- The treatment techniques applied for grade 1, 2, and 3 rectal tears proved effective, whereas treatment for grade 4 rectal tears did not yield as positive results.
- Regardless of treatment, the short-term survival rate among horses with grade 1 and 2 rectal tears was 100%. This figure decreased dramatically for horses with grade 3 and 4 rectal tears, with survival rates of 38% and 2% respectively.
Conclusion
- The researchers concluded that accurate identification of risk factors could help practitioners and horse owners implement effective measures to prevent the development of rectal tears in horses.
Cite This Article
APA
Claes A, Ball BA, Brown JA, Kass PH.
(2008).
Evaluation of risk factors, management, and outcome associated with rectal tears in horses: 99 cases (1985-2006).
J Am Vet Med Assoc, 233(10), 1605-1609.
https://doi.org/10.2460/javma.233.10.1605 Publication
Researcher Affiliations
- Veterinary Medical Teaching Hospital, School of Veterinary Medicine, University of California, Davis, CA 95616, USA.
MeSH Terms
- Age Factors
- Animals
- Breeding
- Dystocia / veterinary
- Female
- Horses / injuries
- Male
- Postpartum Period
- Pregnancy
- Prognosis
- Rectum / injuries
- Rectum / surgery
- Retrospective Studies
- Risk Factors
- Sex Factors
- Sutures / veterinary
- Trauma Severity Indices
- Treatment Outcome
- Wound Healing
- Wounds and Injuries / etiology
- Wounds and Injuries / surgery
- Wounds and Injuries / veterinary
Citations
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