Risk factors for epistaxis in jump racing in Great Britain (2001-2009).
Abstract: The aim of this study was to evaluate risk factors associated with developing epistaxis in jump racing in Great Britain (GB). A retrospective analysis of records from horses running in all hurdle and steeplechase races in GB between 2001 and 2009 identified diagnoses of epistaxis whilst still at the racecourse. Data were used from 603 starts resulting in epistaxis (event) and 169,065 starts resulting in no epistaxis (non-event) in hurdle racing, and from 550 event starts and 102,344 non-event starts in steeplechase racing. Two multivariable logistic regression models to evaluate risk factors associated with epistaxis were produced. The potential effect of clustering of data (within horse, horse dam, horse sire, trainer, jockey, course, race and race meet) on the associations between risk factors and epistaxis was examined using mixed-effects models. Multiple factors associated with increased risk of epistaxis were identified. Those identified in both types of jump racing included running on firmer ground; horses with >75% of career starts in flat racing and a previous episode of epistaxis recorded during racing. Risk factors identified only in hurdle racing included racing in the spring and increased age at first race; and those identified only in steeplechase racing included running in a claiming race and more starts in the previous 3-6 months. The risk factors identified provide important information about the risk of developing epistaxis. Multiple avenues for further investigation are highlighted, including unmeasured variables at the level of the racecourse. The results of this study can be used to guide the development of interventions to minimise the risk of epistaxis in jump racing.
Copyright © 2015. Published by Elsevier Ltd.
Publication Date: 2015-04-09 PubMed ID: 26045356DOI: 10.1016/j.tvjl.2015.04.003Google Scholar: Lookup
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- Journal Article
- Research Support
- Non-U.S. Gov't
- Clinical Findings
- Clinical Study
- Diagnosis
- Disease Diagnosis
- Disease Etiology
- Disease Prevention
- Epidemiology
- Equine Diseases
- Equine Health
- Exercise-Induced Pulmonary Hemorrhage
- Hemorrhage
- Horse Racing
- Horses
- Injury
- Jockeys
- Respiratory Health
- Retrospective Study
- Risk Factors
- Thoroughbreds
- Veterinary Medicine
- Veterinary Research
Summary
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This research paper investigates the risk factors for nosebleeds, or epistaxis, in jump racing horses in Great Britain between the years 2001 and 2009. The study involves a thorough analysis of data from numerous hurdle and steeplechase races to uncover triggering circumstances that lead to nosebleeds in horses. It reveals that several factors, such as running on firm ground, racing history, seasons, and age of the horse among others, can increase the likelihood of racecourse-based nosebleeds.
Data Analysis and Methodology
- The research team conducted a comprehensive retrospective examination of records involving horses participating in all hurdle and steeplechase races in Great Britain between 2001 and 2009.
- To recognize instances of epistaxis, the researchers focused specifically on diagnostic information recorded at racecourses.
- The dataset employed for this study consisted of 603 hurdle racing starts resulting in epistaxis and 169,065 hurdle racing starts without epistaxis. Moreover, 550 steeplechase racing starts resulted in epistaxis, and 102,344 starts did not.
- The researchers used two multivariable logistic regression models to assess risk factors contributing to epistaxis in horses.
- The potential impact of data clustering across multiple specific categories (i.e. the horse, the horse’s dam and sire, trainer, jockey, racecourse, race, and race meet) was scrutinized using mixed-effects models.
Results and Discoveries
- Several factors were found that associated with an increased risk of epistaxis. These common factors—valid for both hurdle and steeplechase racing—included running on firmer ground, horses with more than 75% of career starts in flat racing, and a previous record of epistaxis during racing.
- Risk factors only seen in hurdle racing included racing in the spring season and an older age at the time of the first race.
- For steeplechase racing, the risk factors were participation in a claiming race (a type of race where horses may be claimed or bought for a set price) and more starts in the three to six months preceding the event.
Implications and Future Research
- The study’s findings shed light on the risk factors for developing epistaxis in equine jump racing and illustrate potential areas for further research, including variables at the level of the racecourse that were not measured during this study.
- The results potentially inform the creation of interventions aimed at decreasing the incidence of epistaxis in jump racing, which could benefit not just the health and performance of the equine athletes, but also improve the overall experience of the racing sport.
Cite This Article
APA
Reardon RJ, Boden LA, Mellor DJ, Love S, Newton RJ, Stirk AJ, Parkin TD.
(2015).
Risk factors for epistaxis in jump racing in Great Britain (2001-2009).
Vet J, 205(1), 44-49.
https://doi.org/10.1016/j.tvjl.2015.04.003 Publication
Researcher Affiliations
- The Royal (Dick) School of Veterinary Studies, Easter Bush Campus, Edinburgh University, Midlothian EH25 9R, Scotland, UK. Electronic address: richard.reardon@ed.ac.uk.
- School of Veterinary Medicine, College of Medical, Veterinary and Life Sciences University of Glasgow, 464 Bearsden Road, Glasgow G61 1QH, Scotland, UK.
- School of Veterinary Medicine, College of Medical, Veterinary and Life Sciences University of Glasgow, 464 Bearsden Road, Glasgow G61 1QH, Scotland, UK.
- School of Veterinary Medicine, College of Medical, Veterinary and Life Sciences University of Glasgow, 464 Bearsden Road, Glasgow G61 1QH, Scotland, UK.
- Animal Health Trust, Newmarket CB8 7UU, England, UK.
- The British Horseracing Authority, High Holborn, London WC1V 6LS, England, UK.
- School of Veterinary Medicine, College of Medical, Veterinary and Life Sciences University of Glasgow, 464 Bearsden Road, Glasgow G61 1QH, Scotland, UK.
MeSH Terms
- Animals
- Epistaxis / etiology
- Epistaxis / prevention & control
- Epistaxis / veterinary
- Female
- Horse Diseases / etiology
- Horses
- Humans
- Logistic Models
- Male
- Retrospective Studies
- Risk Factors
- Running
- Sports
- United Kingdom
Citations
This article has been cited 1 times.- 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).
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