Risk Factors for Equine Gastric Ulcer Syndrome Incidence in Adult Icelandic Riding Horses.

A high prevalence of both squamous (ESGD) and glandular (EGGD) ulcers was previously found in, mainly young, Icelandic horses coming into training for the first time. This study evaluated risk factors for gastric ulcers in Icelandic riding horses at various ages and stages of training. The horses (n = 211) were gastroscoped from 21 equine establishments across Iceland. A variety of morphometric, clinical, behavioural and management factors were evaluated as potential risk factors for gastroscopically significant (grade ≥ 2/4: found in 27% of horses) or gastroscopically severe (grade 3 or 4/4: found in ~10% of horses) ESGD or gastroscopically significant EGGD (grade ≥ 1/2: found in 46.4%). Body condition score (BCS), cresty neck score (CNS), stable/turnout behaviour, exercise intensity/frequency and age were not significantly associated with ESGD or EGGD ulcer score. However, having come off the pasture into training for 4 weeks or less was a significant risk factor for gastroscopically significant and severe ESGD compared to 5 weeks or more. For both EGGD and ESGD, "region" was important. Gastroscopically significant EGGD and gastroscopically severe ESGD were more prevalent in those showing clinical signs often associated with ulcers. Geldings were more likely to have gastroscopically significant ESGD than both mares and stallions and more EGGD than stallions. Being stabled, but spending >2 h/day out in the paddock, compared with <2 h paddock time or full-time turnout, was protective for gastroscopically significant ESGD as was being fed complementary feed (all fed <1 g non-structural carbohydrate (NSC)/kg/BW/meal). Being at a training establishment for >4 weeks was protective for gastroscopically significant and gastroscopically severe ESGD but not EGGD. This study confirms the relatively low prevalence of ESGD in Icelandic horses being kept in training establishments and fed low NSC diets but highlights the high prevalence of EGGD.

Factors associated with safe completion of Fédération Equestre Internationale eventing cross-country (2008-2018).

BACKGROUND: Equestrian eventing involves competing in three phases: dressage, jumping, and cross-country. Competitors are ranked by number of penalties accrued-with those who have fewer penalties ranked higher. Completing the cross-country phase with zero obstacle penalties is commonly referred to as 'running clear'. Understanding factors associated with running clear can help athletes plan strategically for success, while also helping governing bodies to refine qualification criteria for elite levels. OBJECTIVES: This study was carried out to identify factors associated with running clear in the cross-country phase of Fédération Equestre Internationale (FEI) eventing. STUDY DESIGN: Retrospective cohort study of 107 348 horse starts worldwide in all FEI competitions between January 2008 and December 2018. METHODS: Multivariable logistic regression models constructed stepwise using a bi-directional process. Two study cohorts were assessed: a complete cohort that met all inclusion requirements and separately, a cohort that included only horses starting at the level above their previous start. RESULTS: Sixteen factors were associated with running clear. Factors associated with increased likelihood of doing so included lower event level, lower dressage score earlier in the event, fewer recent FEI event starts, and more clear runs in their previous three FEI events. For horses that had stepped up an event level, 14 of these factors were still associated with running clear. MAIN LIMITATIONS: Data available covered only FEI events, no national federation competitions were available for inclusion in horse histories. No prior veterinary information or data on training were available. CONCLUSIONS: This study provides a framework that allows stakeholders to potentially better understand the appropriate level of competition for any particular horse/rider combination, given the combination's recent history. This could provide an additional direct benefit in terms of safety by reducing the likelihood of a combination falling during cross-country.

Anomalous Incidence of Fatal Musculoskeletal Injury in North American 2-Year-Old Thoroughbred Racehorses in the Year 2020.

Racehorse training and racing schedules in many parts of the United States and Canada were interrupted or otherwise reduced during the first three to six months of 2020. This was an indirect consequence of mitigations to prevent the spread of the pandemic virus COVID-19. Data from the Equine Injury Database, a census-level survey of all race starts made in the USA and Canada, were used to analyse the incidence of fatalities in 2009-2022 among three age cohorts of racehorses within each year. There was a statistically significant increase in the incidence of musculoskeletal fatalities among 2-year-old Thoroughbreds in 2020, compared to the period 2009-2019. In 2021 and 2022, the training schedules of 2-year-old horses returned to pre-2020 levels, as did the incidence of fatalities. The delayed start to training for 2-year-old horses was associated with an increase in risk of fatal musculoskeletal injury for those horses during 2020, but the risk for the same horses in 2021-when they were 3 years old-was not significantly different to the risk for 3-year-olds in any other year. The increased risk of fatal musculoskeletal injury in 2020 was only found among horses that were 2 years old in 2020-horses aged 3 years or more in 2020 were not at increased risk.

Treatment of racehorse superficial digital flexor tendonitis: A comparison of stem cell treatments to controlled exercise rehabilitation in 213 cases.

BACKGROUND: Overstrain of the superficial digital flexor tendon (SDFT) is a common Thoroughbred racehorse limb injury requiring treatment. OBJECTIVES: To determine whether treatment of SDFT lesions in flat Thoroughbred racehorses with autologous bone marrow-derived mesenchymal stem cells (BM-MSCs) or allogenic adipose-derived mesenchymal stem cells (A-MSCs) is associated with improved likelihood of returning to racing, when compared to racehorses managed with a controlled exercise rehabilitation program (CERP) alone. STUDY DESIGN: Retrospective cohort study combining clinical treatment records with race records. METHODS: A total of 213 Thoroughbred racehorses were identified. All were prescribed the same 12-month CERP and 66 also received intralesional BM-MSC and 17 A-MSC treatment. Follow-up was a minimum of 2 years after return to full race training. Multivariable logistic regression models were used to investigate associations between the treatments and the likelihood of returning to racing and completing five or more (C5+) races post-injury. RESULTS: Compared to CERP alone, BM-MSC treatment was associated with increased odds of returning to racing (OR 3.19; 95% CI 1.55-6.81) and C5+ races post-injury (OR 2.64; 95% CI 1.32-5.33). Older age and increasing lesion length were associated with a reduced likelihood of returning to racing. Male sex and increased number of pre-injury starts were associated with increased odds of returning to racing. There was no observed increased likelihood of return to racing or C5+ races associated with treatment with A-MSCs compared to CERP alone. MAIN LIMITATIONS: Due to the retrospective nature of the study it was not possible to ascertain how strictly the CERP was followed. Due to the novelty of the method, the A-MSC treatment group included a limited number of horses. CONCLUSIONS: In the study population, intralesional BM-MSC treatment was significantly associated with an increased likelihood of returning to racing and C5+ races post-injury compared to CERP alone. Intralesional A-MSC showed no significant association between treatment and the two investigated outcomes.

Fédération Equestre Internationale eventing: Fence-level risk factors for falls during the cross-country phase (2008-2018).

BACKGROUND: The equestrian discipline of eventing tests athletes' and horses' skill over three phases: dressage, jumping and cross-country. Falls during cross-country can be particularly serious and result in serious or fatal injury for both horse and athlete. Cross-country course and fence design are crucial contributory factors to safety. OBJECTIVES: To provide descriptive statistics and identify fence-level risk factors for horses competing in Fédération Equestre Internationale (FEI) events worldwide. STUDY DESIGN: Retrospective cohort study. METHODS: Data were collected for every horse start worldwide in all international (CI), championship (CH), Olympics (OG) and World Equestrian Games (WEG) eventing competitions between January 2008 and December 2018 and univariable logistic regression, followed by multivariable logistic regression were applied. The final model was built in a stepwise bi-directional process, with each step assessed by the Akaike information criterion. RESULTS: Risk factors were identified at the fence level covering aspects of fence design and course design. Ten fence types were at increased odds of a fall occurring compared with square spread fences, and seven types were at reduced odds. Fences with an approach downhill (odds ratio [OR] 1.35, 95% confidence interval [CI] 1.19-1.52), with landing into water (OR 1.82, CI 1.62-2.01), frangible devices (OR 1.28, CI 1.15-1.41) and later elements of combined obstacles (OR 1.33 CI 1.25-1.42 for the second element, OR 1.21 CI 1.10-1.32 for later elements) were associated with increased risk of falls occurring. MAIN LIMITATIONS: Although the dataset covers every international competition worldwide, it does not include national-level competitions. CONCLUSIONS: It is recommended that the most challenging fences are placed near the beginning of the course, and not in downhill or water settings. The complexity of individual elements in combined fences should be reduced. Adopting evidence-based course design is a crucial intervention for reducing the incidence of horse falls and associated serious and fatal injuries to horse and human athletes.

Risk factors for lameness elimination in British endurance riding.

BACKGROUND: Horse welfare is a priority in the equine sport of endurance riding. Identification and reduction of risk factors associated with elimination and lameness have been the focus of research to date, however, this has centred on international competition. National federations recognise there is a need to consider risk factors for elimination at a more local level. OBJECTIVES: Determine current risk factors associated with horse eliminations, specifically lameness eliminations within British endurance. STUDY DESIGN: Retrospective cohort study. METHODS: Data were extracted from the Endurance GB database, for open and advanced horses, competing in rides >64 km in the 2017 and 2018 competitive seasons. Variables were analysed via univariable models which informed subsequent multivariable binary logistic regression modelling. Two models were completed: (A) horse eliminated vs. not eliminated and (B) horse lame vs. not lame. RESULTS: One thousand seven hundred and forty-seven competitive starts were analysed; 542 horses were eliminated. Lameness accounted for 56.1% (n = 304) of eliminations. Multivariable analysis identified decreased odds of lameness in graded rides compared with race rides (adjusted odds ratio, OR 0.6; 95% confidence interval, CI 0.4-0.8). There were increased odds of elimination (OR 4.7, CI 3.5-6.5) and increased odds of lameness (OR 1.9, CI 1.2-3.06) when competing in FEI competitions of 2* and above, compared to rides run under national rules. Horses and riders who had not competed as a combination previously had increased odds of elimination (OR 2.2, CI 1.5-3.02). MAIN LIMITATIONS: Variables which can influence performance such as speed, environmental and topographical conditions were not recorded in the data set. Only two seasons of data were analysed. CONCLUSIONS: Competitive history of horses, including the number of previous starts, previous eliminations and the category of ride entered are significant in establishing the likelihood of elimination and more specifically lameness elimination in British national endurance.

Fifteen risk factors associated with sudden death in Thoroughbred racehorses in North America (2009-2021).

OBJECTIVE: To identify risk factors associated with race-related sudden death in Thoroughbred racehorses in the US and Canada. ANIMALS: 4,198,073 race starts made by 284,387 Thoroughbred horses at 144 racetracks in the US and Canada between 2009 and 2021. PROCEDURES: Study data were extracted from the Equine Injury Database, which contains detailed records of 92.2% of all official race starts made in the US and Canada during the study period. Forty-nine potential risk factors were analyzed using univariable and multivariable logistic regression. Cases were defined as race starts that resulted in fatality within 3 days of racing, in which at least 1 of 5 codes relating to sudden death was recorded. Fatalities due to catastrophic musculoskeletal injury were omitted from the study cohort. RESULTS: 536 race starts resulted in sudden death, an incidence rate of 0.13/1,000 starts. Fifteen risk factors were significantly associated with sudden death, including horse age and sex, season and purse of race, race distance, and horses' recent history of injury and lay-up. Horses racing while on furosemide medication were at 62% increased odds of sudden death. CLINICAL RELEVANCE: Associations found between previous injury and sudden death suggests preexisting pathology could contribute in some cases. The association between furosemide and sudden death prompts further study to understand which biological processes could contribute to this result.

Effect of moving from being extensively managed out in pasture into training on the incidence of equine gastric ulcer syndrome in Icelandic horses.

OBJECTIVE: To investigate equine squamous gastric disease (ESGD) and equine glandular gastric disease (EGGD) in Icelandic horses moving from pasture into training. ANIMALS: 81 horses (median age, 3 years; interquartile range, 1 year) from 10 farms representing 4 different Icelandic regions. PROCEDURES: Initial gastroscopy was undertaken within 2 weeks of moving from pasture into a training establishment. A total of 71 horses underwent endoscopic examination again 8 weeks later. Various management and behavioral factors were assessed through face-to-face questionnaires with the owners or trainers. Multivariable logistic regression was used to determine factors contributing to any change in ESGD and EGGD severity score during the 8-week training period. RESULTS: Incidence of EGGD and ESGD in this feral population was similar to that found in domesticated horses. ESGD incidence (severity score, ≥ 2; score range, 0 to 4) reduced from an initial 71.6% (58/81) to 25.4% (18/71). On multivariable analysis, sex (ie, being a stallion or a female vs gelding) increased the likelihood of ulcer grade reduction. Being fed preserved forage 3 or more times a day also improved the likelihood of ESGD reduction (odds ratio, 17.95; 95% CI, 1.67 to 193.40; P = .017). Overall, the farm explained 35% of the variance, confirming the importance of management factors. Incidence of EGGD (severity score, ≥ 1; score range, 0 to 2) reduced from 47% (38/81) to 40.8% (29/71) during the same period. No measured variables were associated significantly with EGGD incidence or reduction. CLINICAL RELEVANCE: Pasture provision (without supplementary feed or forage) does not result automatically in a low incidence of gastric ulcers. Regular provision of preserved forage is a key factor in reducing ESGD incidence.

Data Ethics Club: Creating a collaborative space to discuss data ethics.

Awareness and management of ethical issues in data science are becoming crucial skills for data scientists. Discussion of contemporary issues in collaborative and interdisciplinary spaces is an engaging way to allow data-science work to be influenced by those with expertise in sociological fields and so improve the ability of data scientists to think critically about the ethics of their work. However, opportunities to do so are limited. Data Ethics Club is a fortnightly discussion group about data science and ethics whose community-generated resources are hosted publicly online. These include a collaborative list of materials around topics of interest and guides for leading an online data-ethics discussion group. Our meetings and resources are designed to reduce the barriers to learning, reflection, and critique on data science and ethics, with the broader aim of building ethics into the cultural fabric of quality data-science work.

Fédération Equestre Internationale eventing: Risk factors for horse falls and unseated riders during the cross-country phase (2008-2018).

BACKGROUND: Eventing is an equestrian sport that tests athletes' and horses' skill over three phases: dressage, jumping and cross-country. Falls during the cross-country phase can have very serious outcomes up to and including death for both horse and athlete. Therefore, understanding risk factors associated with falls is essential for improving equine and human welfare. OBJECTIVES: To provide descriptive statistics and identify risk factors at the horse-, athlete- and course-level affecting horses competing in Fédération Equestre Internationale (FEI) events worldwide. STUDY DESIGN: Retrospective cohort study. METHODS: Data collected by the FEI of every horse start worldwide in all international (CI), championship (CH), Olympics (OG) and World Equestrian Games (WEG) competitions between January 2008 and December 2018 were analysed. Descriptive statistics followed by univariable logistic regression to identify risk factor candidates for inclusion in the final multivariable logistic regression model. Models were constructed stepwise using a bi-directional process and assessed using the Akaike information criterion. RESULTS: Factors associated with increased risk of falls and or unseated rider included: higher event levels, longer course distances, more starters at cross-country phase and less experienced horses and athletes. MAIN LIMITATIONS: The data set is geographically comprehensive but covers only FEI competitions, not National Federation events, that is not every competition started by every individual horse. Nor does the data set include any prior veterinary information or data on training or schooling. CONCLUSIONS: This is the first large-scale epidemiological study of cross-country falls in FEI eventing. Results suggest that a potential risk profile can be constructed for each horse-athlete combination prior to entering a given competition, based on individual histories and course-level factors. This could lead to interventions that can reduce the number of falls, thus protecting equine and human welfare.

Factors associated with completion of Fédération Équestre Internationale endurance rides (2012-2019): Modelling success to promote welfare-oriented decisions in the equestrian sport of endurance.

Endurance riding is a popular equestrian sport organised at the international level by the Fédération Équestre Internationale (FEI). The sport involves prolonged exercise at speed over significant distances, which puts a substantial load on equine athletes' musculoskeletal systems and metabolism and contributes to the risk of injuries and other veterinary problems. The FEI employs a system of in-ride veterinary inspections aimed at early detection of such problems and elimination of horses unfit to continue in the ride. To date, risk factors for elimination due to irregular gait or metabolic problems have been the primary focus of scientific enquiry. The present study is the first large-scale multivariable study to report factors associated with the positive outcome of endurance rides - their successful completion. This retrospective observational cohort study used data from the FEI's Global Endurance Database. The study cohort included 74,629 starts made by 21,346 unique horses in one-day international-level competitions held worldwide between July 2012 and December 2019. Forty-one potential factors identified based on previous studies and a priori hypotheses were considered in the analysis. Univariable and multivariable logistic regression analyses were performed to investigate associations between ride completion and predictor variables and their interactions. The study identified 19 factors and four interactions associated with an increased or decreased likelihood of successful ride completion. High competition frequency (fewer days over mandatory out of competition period; Wald χ2 71.35, P-value <0.0001), fast riding speed (236.57, <0.0001), upward changes in competition level and riding speed between two successive rides (103.59, <0.0001 and 87.60, <0.0001) were associated with a decrease in the likelihood of ride completion. These factors can be effectively regulated by appropriate rules and considered by athletes when planning competition schedules, preparing ride strategies, or indeed during the ride itself. Other identified factors, including horse and rider age, sex, completions and eliminations history, contribute to an estimate of the likelihood that a particular combination completes a ride and thus can aid veterinarians at veterinary inspections as additional inputs supporting their decision-making when assessing horses' fitness to continue in the competition. The study's main limitation is an absence of data on national-level rides. Such data and data on training and veterinary histories remain difficult to access and were unavailable for the analysis. The present study's results demonstrate that shifting the focus to modelling the positive outcome is a valuable approach offering evidence-based recommendations for good horsemanship, better-informed veterinary inspections, and welfare-oriented rules.

Comparison of loop-mediated isothermal amplification (LAMP) and PCR for the diagnosis of infection with Trypanosoma brucei ssp. in equids in The Gambia.

INTRODUCTION: Infection of equids with Trypanosoma brucei (T. brucei) ssp. is of socioeconomic importance across sub-Saharan Africa as the disease often progresses to cause fatal meningoencephalitis. Loop-mediated isothermal amplification (LAMP) has been developed as a cost-effective molecular diagnostic test and is potentially applicable for use in field-based laboratories. PART I: Threshold levels for T. brucei ssp. detection by LAMP were determined using whole equine blood specimens spiked with known concentrations of parasites. Results were compared to OIE antemortem gold standard of T. brucei-PCR (TBR-PCR). RESULTS I: Threshold for detection of T. brucei ssp. on extracted DNA from whole blood was 1 parasite/ml blood for LAMP and TBR-PCR, and there was excellent agreement (14/15) between tests at high (1 x 103/ml) concentrations of parasites. Detection threshold was 100 parasites/ml using LAMP on whole blood (LWB). Threshold for LWB improved to 10 parasites/ml with detergent included. Performance was excellent for LAMP at high (1 x 103/ml) concentrations of parasites (15/15, 100%) but was variable at lower concentrations. Agreement between tests was weak to moderate, with the highest for TBR-PCR and LAMP on DNA extracted from whole blood (Cohen's kappa 0.95, 95% CI 0.64-1.00). PART II: A prospective cross-sectional study of working equids meeting clinical criteria for trypanosomiasis was undertaken in The Gambia. LAMP was evaluated against subsequent TBR-PCR. RESULTS II: Whole blood samples from 321 equids in The Gambia were processed under field conditions. There was weak agreement between LWB and TBR-PCR (Cohen's kappa 0.34, 95% CI 0.19-0.49) but excellent agreement when testing CSF (100% agreement on 6 samples). CONCLUSIONS: Findings support that LAMP is comparable to PCR when used on CSF samples in the field, an important tool for clinical decision making. Results suggest repeatability is low in animals with low parasitaemia. Negative samples should be interpreted in the context of clinical presentation.

The association between clinical parameters recorded at vet gates during Fédération Equestre Internationale endurance rides and the imminent risk of elimination.

BACKGROUND: Endurance competitions over distances of 80-160 km are required by Fédération Equestre Internationale (FEI) rules to be divided into a number of stages between three and six. These stages are also known as "loops". Veterinary inspections, designed to ensure horse welfare, are conducted at the end of each loop, with details recorded on a separate "vet card" for each horse. OBJECTIVES: To identify risk factors recorded on vet cards that were associated with elimination at subsequent loops. STUDY DESIGN: Retrospective cohort study. METHODS: Data relating to 3213 horse starts worldwide in international (CEI) events during 2014 were analysed. Univariable logistic regression was used to identify risk factors for potential inclusion in a final multivariable logistic regression model. Models were constructed stepwise using backwards-removal and assessed using the Bayesian information criterion. RESULTS: Risk factors were identified, which would allow an "in-ride" risk profile to be constructed for each horse which evolves as the horse progresses through the ride. Some risk factors such as abnormal gait and high heart rate were found to be repeatedly associated with imminent failure to qualify. MAIN LIMITATIONS: This is a relatively small study in terms of cohort size, based on the data that were available at the time of the study. Although comprehensive ride history data were also available for each horse via the main FEI database, training data were not. CONCLUSIONS: By identifying risk factors observed during the veterinary inspections at the end of a loop that are strongly associated with elimination at the end of the next or subsequent loops, these results provide an evidence-base for educational initiatives and regulatory changes that will inform the way veterinary delegates use veterinary inspections to help identify horses at risk of imminent FTQ.