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Equine veterinary journal2013; 45(5); 558-563; doi: 10.1111/evj.12039

Risk factors for large colon volvulus in the UK.

Abstract: Risk factors for large colon volvulus (LCV) in the horse have not been previously reported. Knowledge of these risk factors may allow the introduction of measures that could be taken to minimise the incidence of LCV. Objective: To investigate risk factors for LCV in the horse. Methods: A prospective, multicentre, unmatched case-control study was conducted over a 24 month period in the UK. Data on 69 cases and 204 control horses, from 4 veterinary hospitals, were obtained via telephone questionnaires. Multivariable logistic regression was used to identify associations between horse and management-level variables and the likelihood of LCV. Results: Increasing height, multiple colic episodes in the previous 12 months and mares, with a greater odds ratio in mares that had previously foaled, were associated with increased risk of LCV. Receiving medication (excluding anthelmintic treatment) in the previous 7 days and quidding behaviour were also associated with increased risk. Management-level variables associated with greater risk of LCV were an increase in the hours of stabling in the previous 14 days, an increasing number of horses on the premises, and 3 or more people involved in the horse's care. Variables related to nutrition associated with increased risk of LCV were being fed hay, being fed sugar-beet, a change in pasture in the previous 28 days, and an alteration in the amount of forage fed in the last 7 days. Conclusions: This study has identified factors that may assist in the recognition of horses with increased risk of LCV and factors that might be altered to minimise the incidence of LCV. Conclusions: Clinicians can use this information to identify horses at risk of LCV and to provide evidence-based advice to owners of these horses.
Publication Date: 2013-02-17 PubMed ID: 23414461DOI: 10.1111/evj.12039Google Scholar: Lookup
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  • Journal Article
  • Multicenter Study
  • Research Support
  • Non-U.S. Gov't

Summary

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The research article is about identifying the risk factors of large colon volvulus (LCV) in horses. This multicentre, case-control study analyzed data for horses from four UK veterinary hospitals which helped recognize the potential causes of LCV that could be addressed to minimize its occurrence.

Methodology

  • The research was conducted over a span of 24 months in the UK. It was a prospective, multicentre, unmatched case-control study.
  • Data were gathered from 69 cases and 204 control horses across four veterinary hospitals using telephone questionnaires.
  • Multivariable logistic regression was employed to detect links between horse characteristics, their management conditions, and the likelihood of LCV occurrence.

Results

  • Results show that increased height, multiple colic episodes in the past 12 months, and mares, particularly those that have previously given birth, were associated with a higher risk of LCV.
  • Horses that took medication (except for deworming treatment) in the prior week and exhibited quidding behavior also had an increased risk.
  • Management-level variables, like more hours of stabling in the previous two weeks, an increased number of horses on the premises, and involvement of three or more people in taking care of the horse, were linked to a greater risk of LCV.
  • Nutrition-related factors such as being fed hay, consumption of beet sugar, changes in pasture in the previous month, and an alteration in the quantity of forage kept in the last week also increased the risk of LCV.

Conclusion

  • The study successfully identified factors that could assist in recognizing horses at a higher risk of LCV, as well as potential strategies that might help minimize the occurrence of LCV.
  • These findings supply useful information for clinicians to identify at-risk horses and provide evidence-based guidance to horse owners.

Cite This Article

APA
Suthers JM, Pinchbeck GL, Proudman CJ, Archer DC. (2013). Risk factors for large colon volvulus in the UK. Equine Vet J, 45(5), 558-563. https://doi.org/10.1111/evj.12039

Publication

ISSN: 2042-3306
NlmUniqueID: 0173320
Country: United States
Language: English
Volume: 45
Issue: 5
Pages: 558-563

Researcher Affiliations

Suthers, J M
  • Institute of Infection and Global Health, University of Liverpool, UK.
Pinchbeck, G L
    Proudman, C J
      Archer, D C

        MeSH Terms

        • Animals
        • Case-Control Studies
        • Colonic Diseases / epidemiology
        • Colonic Diseases / pathology
        • Colonic Diseases / veterinary
        • Horse Diseases / epidemiology
        • Horse Diseases / pathology
        • Horses
        • Intestinal Volvulus / epidemiology
        • Intestinal Volvulus / pathology
        • Intestinal Volvulus / veterinary
        • Logistic Models
        • Multivariate Analysis
        • Risk Factors
        • United Kingdom / epidemiology

        Citations

        This article has been cited 11 times.
        1. Scilimati N, Cerullo A, Nannarone S, Gialletti R, Giusto G, Bertoletti A. Small Colon Faecalith with Large Colon Displacement in Ten Cases (2015-2023): A Detailed Case Description and Literature Review. Animals (Basel) 2024 Jan 15;14(2).
          doi: 10.3390/ani14020262pubmed: 38254431google scholar: lookup
        2. Fikri F, Hendrawan D, Wicaksono AP, Purnomo A, Khairani S, Chhetri S, Maslamama ST, Purnama MTE. Incidence, risk factors, and therapeutic management of equine colic in Lamongan, Indonesia. Vet World 2023;16(7):1408-1414.
        3. Talbot SE, Tallon R, Dunkel B. Clinical presentation and outcome of gastric impactions with or without concurrent intestinal lesions in horses. J Vet Intern Med 2023 Jul-Aug;37(4):1544-1551.
          doi: 10.1111/jvim.16735pubmed: 37403262google scholar: lookup
        4. Azizi S, Masoudi H. Strangulating left colon volvulus following nonsurgical castration in a 6-year-old donkey. Vet Res Forum 2022 Mar;13(1):145-147.
          doi: 10.30466/vrf.2021.526717.3155pubmed: 35601779google scholar: lookup
        5. Williams JM, Randle H, Marlin D. COVID-19: Impact on United Kingdom Horse Owners. Animals (Basel) 2020 Oct 13;10(10).
          doi: 10.3390/ani10101862pubmed: 33066021google scholar: lookup
        6. 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
        7. Salem SE, Hough R, Probert C, Maddox TW, Antczak P, Ketley JM, Williams NJ, Stoneham SJ, Archer DC. A longitudinal study of the faecal microbiome and metabolome of periparturient mares. PeerJ 2019;7:e6687.
          doi: 10.7717/peerj.6687pubmed: 30976468google scholar: lookup
        8. Salem SE, Maddox TW, Berg A, Antczak P, Ketley JM, Williams NJ, Archer DC. Variation in faecal microbiota in a group of horses managed at pasture over a 12-month period. Sci Rep 2018 May 31;8(1):8510.
          doi: 10.1038/s41598-018-26930-3pubmed: 29855517google scholar: lookup
        9. Blikslager A, Gonzalez L. Equine Intestinal Mucosal Pathobiology. Annu Rev Anim Biosci 2018 Feb 15;6:157-175.
        10. Archer DC, Costain DA, Sherlock C. Idiopathic focal eosinophilic enteritis (IFEE), an emerging cause of abdominal pain in horses: the effect of age, time and geographical location on risk. PLoS One 2014;9(12):e112072.
          doi: 10.1371/journal.pone.0112072pubmed: 25463382google scholar: lookup
        11. Escalona EE, Okell CN, Archer DC. Prevalence of and risk factors for colic in horses that display crib-biting behaviour. BMC Vet Res 2014;10 Suppl 1(Suppl 1):S3.
          doi: 10.1186/1746-6148-10-S1-S3pubmed: 25238292google scholar: lookup