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The Veterinary record2010; 167(10); 364-369; doi: 10.1136/vr.c3206

Severity and outcome of equine pasture-associated laminitis managed in first opinion practice in the UK.

Abstract: Data from 107 cases of pasture-associated laminitis were obtained from first opinion practices to study factors associated with severity, survival and return to ridden exercise. There were 43 mares and 64 geldings, with a median age of 11 years. Of the 107 animals, 33 were small ponies, 45 were large ponies/cobs, 17 were small horses and 12 were large horses. Ninety-seven animals were categorised as having laminitis as defined by Cripps and Eustace (1999): 76 had mild (Obel grade 1 or 2) laminitis and 31 had severe (Obel grade 3 or 4) laminitis. Forty-three animals had previously had laminitis, and were significantly less likely (P=0.02) to have severe laminitis than those that had not. Eighty-nine animals were overweight, and there was a trend (P=0.09) towards severe laminitis cases having a higher body mass index. Eight weeks after disease onset, 102 animals were alive. Lower bodyweight, optimal body condition, mild laminitis and category of acute/chronic founder as defined by Cripps and Eustace (1999) were significantly associated with survival. There was a trend (P=0.06) towards treatment with acepromazine being associated with survival. Of the 81 animals that were used for riding, 48 were being ridden again; this was 2.6 times more likely in animals without previous laminitis. The clinical outcome was judged by a panel of three veterinarians as 'good' in 77 of 107 of cases. Clinical outcome was significantly associated (P=0.03) with horse type: the outcome was 'bad' in none of the small horses, compared with 15 of 45 large ponies/cobs, 11 of 33 small ponies and three of 12 large horses.
Publication Date: 2010-09-08 PubMed ID: 20817896DOI: 10.1136/vr.c3206Google Scholar: Lookup
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  • Journal Article
  • Research Support
  • Non-U.S. Gov't

Summary

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This study looks at 107 cases of equine laminitis, a hoof disease, from first opinion practices to identify factors related to the severity of the disease, the survival chances, and the horse’s ability to return to exercise. The research found that factors such as lower body weight, optimal body condition, and mild laminitis increased survival chances, while previous occurrences of laminitis and higher body mass showed trends towards more severe cases.

Study Overview

  • The research involved 107 cases of horses suffering from pasture-associated laminitis collected from first opinion veterinary practices in the UK. This study aimed to determine what factors are linked with the severity of the disease, the chances of survival, and whether the horse could return to ridden exercise.

Study Population

  • The subjects in the study were 43 mares and 64 geldings, covering various horse types including small ponies, large ponies/cobs, small horses, and large horses. The median age of the animals was 11 years.
  • Out of the 107, 97 horses were identified as having laminitis based on the definitions by Cripps and Eustace. Among the affected, 76 had mild laminitis and 31 had severe laminitis.
  • 43 of these horses had a previous history of laminitis. These horses were significantly less likely to develop severe laminitis compared to horses that had no previous laminitis.

Findings and Observations

  • A majority of the animals, 89 to be exact, were overweight. The findings exhibited a trend towards higher body mass indices being associated with severe laminitis cases.
  • Eight weeks after the disease was detected, 102 out of the 107 horses were alive. Factors like lower body weight, optimal body condition, and mild laminitis, as well as the category of acute/chronic founder as defined by Cripps and Eustace, were significantly connected to survival.
  • A noticeable trend was observed where survival of the horses was associated with treatment involving acepromazine, a tranquillizer.
  • Of the 81 horses that were used for riding before the disease developed, 48 managed to return to being ridden. It was 2.6 times more probable for horses without any history of laminitis.
  • A panel of veterinarians graded the clinical outcome as ‘good’ in 77 out of 107 cases. Horses types were significantly related to this, with none of the small horses having a ‘bad’ outcome, in contrast to 15 out of 45 large ponies/cobs, 11 out of 33 small ponies, and 3 out of the 12 large horses receiving ‘bad’ outcomes.

Cite This Article

APA
Menzies-Gow NJ, Stevens K, Barr A, Camm I, Pfeiffer D, Marr CM. (2010). Severity and outcome of equine pasture-associated laminitis managed in first opinion practice in the UK. Vet Rec, 167(10), 364-369. https://doi.org/10.1136/vr.c3206

Publication

ISSN: 2042-7670
NlmUniqueID: 0031164
Country: England
Language: English
Volume: 167
Issue: 10
Pages: 364-369

Researcher Affiliations

Menzies-Gow, N J
  • Department of Veterinary Clinical Sciences, Royal Veterinary College, Hawkshead Lane, North Mymms, Hertfordshire. nmenziesgow@rvc.ac.uk
Stevens, K
    Barr, A
      Camm, I
        Pfeiffer, D
          Marr, C M

            MeSH Terms

            • Animals
            • Body Weight / physiology
            • Female
            • Foot Diseases / mortality
            • Foot Diseases / pathology
            • Foot Diseases / veterinary
            • Horse Diseases / pathology
            • Horses
            • Lameness, Animal / mortality
            • Lameness, Animal / pathology
            • Male
            • Poaceae
            • Risk Factors
            • Severity of Illness Index
            • Treatment Outcome
            • United Kingdom

            Citations

            This article has been cited 7 times.
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