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The Veterinary record2018; 184(8); 251; doi: 10.1136/vr.104138

Factors associated with prolonged treatment days, increased veterinary visits and complications in horses with subsolar abscesses.

Abstract: There is a lack of epidemiological studies about equine subsolar (hoof) abscesses even though they are among one of the most common causes of acute, severe lameness. The goals of this study were to (1) describe the equine subsolar abscess patient population of the University of Pennsylvania's New Bolton Center's Field Service and (2) to determine the factors that are associated with increased veterinary visits, prolonged treatment and complications. Descriptive statistics were performed on data collected from 160 cases of equine subsolar abscess. Inferential statistics were performed on a subset of those cases. No significant results were identified in relation to an increased number of veterinary visits. Poisson regression of days of treatment revealed that abscesses diagnosed in the summer (incidence rate ratio (IRR)=9.42, P<0.001) and abscesses found at the coronary band (IRR=3.21, P<0.001) were more likely to be treated for longer. Presence of a draining tract (IRR=0.73, P=0.017) and a higher lameness (IRR=0.30, P=0.01 for grade 3, IRR=0.1, P<0.001 for grades 4 and 5) score at presentation resulted in shortened treatment times. Abscesses affecting multiple portions of the digit were associated with an increased chance of complication. The study presented here is the first retrospective study on subsolar abscesses to the authors' knowledge.
Publication Date: 2018-12-04 PubMed ID: 30514742DOI: 10.1136/vr.104138Google Scholar: Lookup
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  • Journal Article

Summary

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This research aimed to study the factors associated with prolonged treatment, increased veterinary visits, and complications in horses suffering from subsolar abscesses, a common cause for severe lameness. The results revealed certain factors, such as abscess diagnosed in the summer and presence at the coronary band, that led to longer treatment times, and some other factors, like presence of a draining tract and higher lameness score, that shortened treatment times. Additionally, it was found that abscesses affecting several parts of the digit increased the risk of complications.

Objective of the research

  • The study was conducted to analyze the key factors linked with increased veterinary visits, prolonged treatment and complication in cases related to equine subsolar abscesses – one of the most prevalent causes of acute, severe lameness in horses.
  • The study also aimed to present a detailed description of the patient population of the University of Pennsylvania’s New Bolton Center’s Field Service.

Methodology

  • The researchers performed descriptive statistics on data collected from 160 cases of equine subsolar abscesses.
  • Next, inferential statistical analysis was carried out on a sub-set of the recorded cases.

Key Findings and Implications

  • The analysis did not produce any significant findings in terms of factors leading to an increased number of veterinary visits.
  • As per a Poisson regression on length of treatment, abscesses diagnosed in the summer and abscesses present at the coronary band were identified as factors that increased the treatment duration.
  • In contrast, the existence of a draining tract and a higher lameness grade at the date of presentation resulted in a reduction in treatment times.
  • Complications were most likely to arise in cases where abscesses were found affecting multiple portions of the horse’s digit.
  • Overall, this insightful study can be used as a basis for future research to further investigate the various aspects and influencing factors linked with equine subsolar abscesses and its treatment, enabling more effective and efficient treatment strategies.

Significance of the Research

  • This study is unique as it represents the first known retrospective analysis of subsolar abscesses in horses.
  • The findings could offer valuable insights to practitioners in equine medicine and assist in diagnosing and treating equine subsolar abscesses more effectively.

Cite This Article

APA
Cole SD, Stefanovski D, Towl S, Boyle AG. (2018). Factors associated with prolonged treatment days, increased veterinary visits and complications in horses with subsolar abscesses. Vet Rec, 184(8), 251. https://doi.org/10.1136/vr.104138

Publication

ISSN: 2042-7670
NlmUniqueID: 0031164
Country: England
Language: English
Volume: 184
Issue: 8
Pages: 251

Researcher Affiliations

Cole, Stephen D
  • Department of Pathobiology, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Stefanovski, Darko
  • Department of Clinical Studies, New Bolton Center, University of Pennsylvania, School of Veterinary Medicine, Kennett Square, Pennsylvania, USA.
Towl, Simon
  • Jurox Animal Health, Kansas City, Missouri, USA.
Boyle, Ashley G
  • Department of Clinical Studies, New Bolton Center, University of Pennsylvania, School of Veterinary Medicine, Kennett Square, Pennsylvania, USA.

MeSH Terms

  • Abscess / complications
  • Abscess / therapy
  • Abscess / veterinary
  • Animals
  • Duration of Therapy
  • Female
  • Foot Diseases / complications
  • Foot Diseases / therapy
  • Foot Diseases / veterinary
  • Hoof and Claw
  • Horse Diseases / therapy
  • Horses
  • Male
  • Risk Factors
  • Veterinary Medicine / statistics & numerical data

Conflict of Interest Statement

Competing interests: None declared.

Citations

This article has been cited 1 times.
  1. Bloomfield L, Lane E, Mangalam M, Kelty-Stephen DG. Perceiving and remembering speech depend on multifractal nonlinearity in movements producing and exploring speech. J R Soc Interface 2021 Aug;18(181):20210272.
    doi: 10.1098/rsif.2021.0272pubmed: 34343455google scholar: lookup