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Equine veterinary journal2011; 44(4); 459-465; doi: 10.1111/j.2042-3306.2011.00496.x

Risk factors for race-associated sudden death in Thoroughbred racehorses in the UK (2000-2007).

Abstract: Sudden death adversely affects racehorse welfare, jockey safety and the public perception of horseracing. Objective: To describe the risk of racing-associated sudden death in Thoroughbred racehorses in the UK from 2000 to 2007, to identify whether there were risk factors uniquely associated with sudden death and to improve the understanding of the pathogenesis of racing-associated sudden death by identification of risk factors for such cases. Methods: A sudden death was defined as an acute collapse and death, in an apparently healthy Thoroughbred racehorse, during or immediately after racing, in the absence of clinical data indicative of a catastrophic orthopaedic injury. The retrospective study included 201 case race starts and 705,712 control race starts. Univariable and multivariable logistic regression were used to identify risk factors for sudden death at any one start. Results: In the multivariable model, age, distance, race type, season and number of starts in the 60 days prior to the race were associated with sudden death. Conclusions: The risk factors identified in this study are not uniquely associated with sudden death and have been also been identified in studies using all causes of fatality as the outcome. These data suggest that a generic approach to reduce fatal musculoskeletal injury and sudden death may be possible. Conclusions: The identification of risk factors allows speculation on the underlying mechanisms of sudden death in racing. This may stimulate hypothesis-led investigations into the pathogenesis of exercise-related arrhythmias, exercise-induced pulmonary haemorrhage and blood vessel rupture.
Publication Date: 2011-12-01 PubMed ID: 22128788DOI: 10.1111/j.2042-3306.2011.00496.xGoogle Scholar: Lookup
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  • Journal Article
  • Research Support
  • Non-U.S. Gov't

Summary

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The research investigates the risk factors associated with sudden death in Thoroughbred racehorses in the UK from the years 2000 to 2007. The study finds age, distance, race type, season, and number of starts in the 60 days prior to the race as factors contributing to these incidents.

Objective and Methodology

  • The main objective of this research was to enhance understanding about the sudden deaths of Thoroughbred racehorses in the UK by identifying its risk factors. Ultimately, researchers hoped to improve the welfare of the horse, ensure the safety of the jockey, and contribute positively to the public perception of horseracing.
  • The researchers defined “sudden death” as an unexpected fatality during or immediately after a race, without any prior clinical data indicating a catastrophic orthopaedic injury. For the scope of the study, horses were considered apparently healthy before their demise.
  • The methodology of this research involved a retrospective study of 201 race starts that ended in sudden death and 705,712 race controls during the period of 2000-2007. Through the use of univariable and multivariable logistic regression, researchers were able to identify the risk factors associated with sudden death.

Findings

  • The multivariable model revealed certain risk factors associated with sudden death. These included age of the horse, distance of the race, type of the race, the racing season, and the frequency of the horse’s participation in races in the preceding 60 days.
  • The study found that these risk factors are not exclusive to sudden death cases. They align with factors mentioned in other studies that focus on all causes of horse fatalities.

Conclusions and Implications

  • The study concluded that a generic approach might prove effective in reducing fatal musculoskeletal injuries and instances of sudden death in race horses.
  • The identification of these risk factors can lead to speculations about the potential causes of sudden death in racehorses. This can stimulate further research into the pathogenesis of exercise-related arrhythmias, exercise-induced pulmonary haemorrhage, and blood vessel rupture, all of which are conditions that could be fatal to a racing horse.

Cite This Article

APA
Lyle CH, Blissitt KJ, Kennedy RN, Mc Gorum BC, Newton JR, Parkin TD, Stirk A, Boden LA. (2011). Risk factors for race-associated sudden death in Thoroughbred racehorses in the UK (2000-2007). Equine Vet J, 44(4), 459-465. https://doi.org/10.1111/j.2042-3306.2011.00496.x

Publication

ISSN: 2042-3306
NlmUniqueID: 0173320
Country: United States
Language: English
Volume: 44
Issue: 4
Pages: 459-465

Researcher Affiliations

Lyle, C H
  • Royal (Dick) School of Veterinary Studies and Roslin Institute, University of Edinburgh, Easter Bush Veterinary Centre, Roslin, Midlothian, UK. Catriona.Lyle@up.ac.za
Blissitt, K J
    Kennedy, R N
      Mc Gorum, B C
        Newton, J R
          Parkin, T D H
            Stirk, A
              Boden, L A

                MeSH Terms

                • Animals
                • Death, Sudden / veterinary
                • Horse Diseases / epidemiology
                • Horse Diseases / etiology
                • Horses
                • Models, Biological
                • Models, Statistical
                • Multivariate Analysis
                • Retrospective Studies
                • Risk Factors
                • Sports
                • United Kingdom / epidemiology

                Citations

                This article has been cited 19 times.
                1. Bennet ED, Parkin TDH. Anomalous Incidence of Fatal Musculoskeletal Injury in North American 2-Year-Old Thoroughbred Racehorses in the Year 2020. Animals (Basel) 2023 Aug 9;13(16).
                  doi: 10.3390/ani13162572pubmed: 37627362google scholar: lookup
                2. Brito G, Damián JP, Suárez G, Ruprechter G, Trigo P. Characterization of Raid Hipico Uruguayo Competencies by Ride Type: Causes of Death and Risk Factors. Animals (Basel) 2023 May 10;13(10).
                  doi: 10.3390/ani13101602pubmed: 37238032google scholar: lookup
                3. Gibson MJ, Legg KA, Gee EK, Rogers CW. The Reporting of Racehorse Fatalities in New Zealand Thoroughbred Flat Racing in the 2011/12-2021/22 Seasons. Animals (Basel) 2023 Feb 9;13(4).
                  doi: 10.3390/ani13040612pubmed: 36830402google scholar: lookup
                4. McCrae P, Spong H, Rutherford AA, Osborne V, Mahnam A, Pearson W. A Smart Textile Band Achieves High-Quality Electrocardiograms in Unrestrained Horses. Animals (Basel) 2022 Nov 23;12(23).
                  doi: 10.3390/ani12233254pubmed: 36496775google scholar: lookup
                5. Cummings CO, Krucik DDR, Price E. Clinical predictive models in equine medicine: A systematic review. Equine Vet J 2023 Jul;55(4):573-583.
                  doi: 10.1111/evj.13880pubmed: 36199162google scholar: lookup
                6. Nath L, Stent A, Elliott A, La Gerche A, Franklin S. Risk Factors for Exercise-Associated Sudden Cardiac Death in Thoroughbred Racehorses. Animals (Basel) 2022 May 18;12(10).
                  doi: 10.3390/ani12101297pubmed: 35625143google scholar: lookup
                7. Ter Woort F, Dubois G, Tansley G, Didier M, Verdegaal L, Franklin S, Van Erck-Westergren E. Validation of an equine fitness tracker: ECG quality and arrhythmia detection. Equine Vet J 2022 Feb 9;55(2):336-43.
                  doi: 10.1111/evj.13565pubmed: 35138653google scholar: lookup
                8. Hellings IR, Skjerve E, Karlstam E, Valheim M, Ihler CF, Fintl C. Racing-associated fatalities in Norwegian and Swedish harness racehorses: Incidence rates, risk factors, and principal postmortem findings. J Vet Intern Med 2022 Mar;36(2):778-786.
                  doi: 10.1111/jvim.16364pubmed: 35060194google scholar: lookup
                9. Vera L, Campos Arias D, Muylle S, Stergiopulos N, Segers P, van Loon G. A 1D computer model of the arterial circulation in horses: An important resource for studying global interactions between heart and vessels under normal and pathological conditions. PLoS One 2019;14(8):e0221425.
                  doi: 10.1371/journal.pone.0221425pubmed: 31433827google scholar: lookup
                10. Rosanowski SM, Chang YM, Stirk AJ, Verheyen KLP. Risk factors for race-day fatality in flat racing Thoroughbreds in Great Britain (2000 to 2013). PLoS One 2018;13(3):e0194299.
                  doi: 10.1371/journal.pone.0194299pubmed: 29561898google scholar: lookup
                11. Natterson-Horowitz B, Wright K, Van Steenkiste G, Decloedt A, Gagnon AL, Cai X, Mazmanian A. Arrhythmias across the tree of life: comparative insights for human electrophysiology. Front Cardiovasc Med 2025;12:1652591.
                  doi: 10.3389/fcvm.2025.1652591pubmed: 41567384google scholar: lookup
                12. Cameron-Whytock HA, O'Brien D, Lewis V, Parkin T, Bennet ED. Equine fatalities in equestrian eventing. Equine Vet J 2025 Sep;57(5):1387-1394.
                  doi: 10.1111/evj.14529pubmed: 40371753google scholar: lookup
                13. Bennet ED, Parkin TDH. Novel risk factors associated with fatal musculoskeletal injury in Thoroughbreds in North American racing (2009-2023). Equine Vet J 2026 Jan;58(1):20-30.
                  doi: 10.1111/evj.14503pubmed: 40134143google scholar: lookup
                14. Allen SE, Taylor S, Given J, Verheyen KL. Risk factors for fatality in jump racing Thoroughbreds in Great Britain (2010-2023). Equine Vet J 2025 Jul;57(4):870-877.
                  doi: 10.1111/evj.14450pubmed: 39665146google scholar: lookup
                15. Kapusniak A, Nath L, Hebart M, Franklin S. Heritability of sudden cardiac death in Thoroughbred racehorses. Equine Vet J 2025 Mar;57(2):325-332.
                  doi: 10.1111/evj.14130pubmed: 38984817google scholar: lookup
                16. Sobotková E, Kopec T, Mikule V, Kuřitková D. Influence of horse demographics, country of training and race distance on the rating of Thoroughbreds. Arch Anim Breed 2023;66(4):299-313.
                  doi: 10.5194/aab-66-299-2023pubmed: 38039343google scholar: lookup
                17. Kelly-Bosma M, Henning J, Haworth M, Ploeg R, Woolford L, Neef A, Das S, Allavena R. A Multicentre Epidemiologic Study of Sudden and Unexpected Death in Adult Cats and Dogs in Australia. Vet Sci 2023 Sep 20;10(9).
                  doi: 10.3390/vetsci10090582pubmed: 37756104google scholar: lookup
                18. Nath LC, Elliott A, La Gerche A, Weir J, Forbes G, Thomas G, Franklin S. Associations between postrace atrial fibrillation and measures of performance, racing history and airway disease in horses. J Vet Intern Med 2023 Nov-Dec;37(6):2573-2583.
                  doi: 10.1111/jvim.16878pubmed: 37740606google scholar: lookup
                19. Argentina M, Mahadevan L. Fluid-flow-induced flutter of a flag. Proc Natl Acad Sci U S A 2005 Feb 8;102(6):1829-34.
                  doi: 10.1073/pnas.0408383102pubmed: 15684057google scholar: lookup