Evidence of an association between inflammatory airway disease and EIPH in young Thoroughbreds during training.
Abstract: In an epidemiological study of risk factors for exercise-induced pulmonary haemorrhage (EIPH) in young Thoroughbreds in the UK, in which 148 horses contributed 1614 horse-months of data, there were 64 (4%) episodes of endoscopically visible tracheal bleeding and 824 (51%) episodes of increased quantities of haemosiderophages in tracheal washes. There were increases in prevalence and risk of EIPH by both definitions with age from or = 4 years, season of sampling from winter (Nov-Jan) to autumn (Aug-Oct) and several different measures of airway inflammation, including tracheal mucus, neutrophil proportion, inflammation score and fungal material in tracheal washes. There was considerable variability in the prevalence of EIPH between trainers. EIPH in the preceding month significantly increased the risk of the condition the following month. There was no evidence that EIPH was associated with infection of the airways with even large numbers of Streptococcus zooepidemicus or Pasteurella-like spp., which are significantly associated with airway inflammation in younger racehorses. Multiple logistic regression modelling that took account of random variability between horses and the effects of each trainer and an episode the preceding month, confirmed that after controlling for the other risk factors, EIPH was still significantly associated with increasing age, different seasons, airway inflammation and evidence of airway fungal material.
Publication Date: 2002-10-31 PubMed ID: 12405727DOI: 10.1111/j.2042-3306.2002.tb05459.xGoogle Scholar: Lookup
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- Journal Article
Summary
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The paper investigates the link between inflammatory airway disease and exercise-induced pulmonary haemorrhage (EIPH) in young Thoroughbreds. It suggests an increased prevalence and risk of EIPH with age, season, and different measures of airway inflammation.
Study Participants and Data Collected
- 148 young Thoroughbred horses contributed to the study, providing 1614 horse-months of data.
- A total of 64 instances of visible tracheal bleeding were recorded, representing 4% of the cases.
- Increased quantities of haemosiderophages were found in tracheal washes in 824 occasions, which accounted for 51% of the cases.
Prevalence and Risk of EIPH
- The findings indicated an increased prevalence and risk of EIPH as horses aged from 2 to 4 years.
- The season was also found to impact the prevalence of EIPH, increasing from winter to autumn.
- Several measures of airway inflammation including mucus, neutrophil proportion, inflammation score, and the presence of fungal material in tracheal washes were linked to the increase of EIPH risks.
Inter-horse and Inter-trainer Differences
- The study revealed significant variation in the prevalence of EIPH among different trainers.
- Horses that had EIPH in the preceding month were found to have significantly increased risks of experiencing the condition in the following month.
Associations with Infections
- The study found no evidence linking EIPH with airway infections caused by Streptococcus zooepidemicus or Pasteurella-like spp., which are known to cause airway inflammation in younger racehorses.
Multivariate analysis
- After adjusting for random variability among horses and the impacts of different trainers and preceding month episodes, multivariate logistic regression confirmed that age, season, airway inflammation, and airway fungal material are associated significantly with EIPH.
Cite This Article
APA
Newton JR, Wood JL.
(2002).
Evidence of an association between inflammatory airway disease and EIPH in young Thoroughbreds during training.
Equine Vet J Suppl(34), 417-424.
https://doi.org/10.1111/j.2042-3306.2002.tb05459.x Publication
Researcher Affiliations
- Epidemiology Unit, Animal Health Trust, Newmarket, Suffolk.
MeSH Terms
- Age Factors
- Animal Husbandry / methods
- Animals
- Female
- Hemorrhage / epidemiology
- Hemorrhage / etiology
- Hemorrhage / veterinary
- Horse Diseases / epidemiology
- Horse Diseases / etiology
- Horse Diseases / microbiology
- Horses
- Logistic Models
- Longitudinal Studies
- Male
- Mycoses / complications
- Mycoses / epidemiology
- Mycoses / veterinary
- Physical Conditioning, Animal / adverse effects
- Prevalence
- Respiratory Tract Infections / complications
- Respiratory Tract Infections / epidemiology
- Respiratory Tract Infections / veterinary
- Risk Factors
- Seasons
- Thoracoscopy / veterinary
- Trachea / microbiology
- Trachea / pathology
- Tracheal Diseases / epidemiology
- Tracheal Diseases / etiology
- Tracheal Diseases / veterinary
- Tracheitis / complications
- Tracheitis / epidemiology
- Tracheitis / veterinary
Citations
This article has been cited 14 times.- Lo Feudo CM, Stucchi L, Conturba B, Stancari G, Zucca E, Ferrucci F. Medical causes of poor performance and their associations with fitness in Standardbred racehorses. J Vet Intern Med 2023 Jul-Aug;37(4):1514-1527.
- Sugiyama F, Takahashi Y, Nomura M, Ebisuda Y, Mukai K, Yoshida T. Risk Factors for Epistaxis in Thoroughbred Flat Races in Japan (2001-2020). Animals (Basel) 2023 Apr 14;13(8).
- Bertram CA, Marzahl C, Bartel A, Stayt J, Bonsembiante F, Beeler-Marfisi J, Barton AK, Brocca G, Gelain ME, Gläsel A, Preez KD, Weiler K, Weissenbacher-Lang C, Breininger K, Aubreville M, Maier A, Klopfleisch R, Hill J. Cytologic scoring of equine exercise-induced pulmonary hemorrhage: Performance of human experts and a deep learning-based algorithm. Vet Pathol 2023 Jan;60(1):75-85.
- Lo Feudo CM, Stucchi L, Alberti E, Stancari G, Conturba B, Zucca E, Ferrucci F. The Role of Thoracic Ultrasonography and Airway Endoscopy in the Diagnosis of Equine Asthma and Exercise-Induced Pulmonary Hemorrhage. Vet Sci 2021 Nov 15;8(11).
- Brankston G, Greer AL, Marshall Q, Lang B, Moore K, Hodgins D, Hennessey JTG, Beeler-Marfisi J. Increased Weekly Mean PM(2.5), and NO(2) Are Associated With Increased Proportions of Lower Airway Granulocytes in Ontario Horses. Front Vet Sci 2020;7:185.
- Blott S, Cunningham H, Malkowski L, Brown A, Rauch C. A Mechanogenetic Model of Exercise-Induced Pulmonary Haemorrhage in the Thoroughbred Horse. Genes (Basel) 2019 Nov 1;10(11).
- Poole DC, Erickson HH. Exercise-induced pulmonary hemorrhage: where are we now?. Vet Med (Auckl) 2016;7:133-148.
- da Silva KM, Otaka JNP, Gonçalves CAP, Silva EGA, de Alencar NX, Lessa DAB. Association between exercise-induced pulmonary hemorrhage and inflammatory airway disease in polo ponies. J Equine Sci 2017;28(2):55-59.
- Barton AK, Gehlen H. Pulmonary Remodeling in Equine Asthma: What Do We Know about Mediators of Inflammation in the Horse?. Mediators Inflamm 2016;2016:5693205.
- Couëtil LL, Cardwell JM, Gerber V, Lavoie JP, Léguillette R, Richard EA. Inflammatory Airway Disease of Horses--Revised Consensus Statement. J Vet Intern Med 2016 Mar-Apr;30(2):503-15.
- Hinchcliff KW, Couetil LL, Knight PK, Morley PS, Robinson NE, Sweeney CR, van Erck E. Exercise induced pulmonary hemorrhage in horses: American College of Veterinary Internal Medicine consensus statement. J Vet Intern Med 2015 May-Jun;29(3):743-58.
- Perez-Moreno CI, Couëtil LL, Pratt SM, Ochoa-Acuña HG, Raskin RE, Russell MA. Effect of furosemide and furosemide-carbazochrome combination on exercise-induced pulmonary hemorrhage in Standardbred racehorses. Can Vet J 2009 Aug;50(8):821-7.
- Bozzola C, Sala G, Stancari G, Ferrucci F, Zucca E. Comparison Between Tracheal Wash and Bronchoalveolar Lavage Cytology for the Assessment of Airway Inflammation in Racehorses Affected by Exercise-Induced Pulmonary Hemorrhage. Animals (Basel) 2025 Sep 5;15(17).
- Bayly WM, Leguillette R, Sides RH, Massie S, Guigand C, Jones KB, Warlick LM, Thueson EL, Troudt TA, Slocombe RF, Jones JH. Equine exercise-induced pulmonary hemorrhage: the role of high left-heart pressures secondary to exercise-induced hypervolemia, and high inspiratory pressures. J Appl Physiol (1985) 2024 Nov 1;137(5):1359-1373.
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