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Parkin, T.D.H.; Clegg, P.D.; French, N.P.; Proudman, C.J.; Riggs, C.M.; Singer, E.R.; Webbon, P.M.; Morgan, K.L. |
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Title |
Horse-level risk factors for fatal distal limb fracture in racing Thoroughbreds in the UK |
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Journal Article |
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Year |
2004 |
Publication |
Equine Veterinary Journal |
Abbreviated Journal |
Equine Vet J |
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Volume |
36 |
Issue |
6 |
Pages |
513-519 |
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Keywords |
Animals; Athletic Injuries/epidemiology/mortality/*veterinary; Case-Control Studies; Female; Fractures, Bone/epidemiology/mortality/*veterinary; Great Britain/epidemiology; Horses/*injuries; Logistic Models; Male; Physical Conditioning, Animal/*adverse effects/mortality; Questionnaires; Radius Fractures/epidemiology/mortality/veterinary; Risk Factors; Survival Analysis; Tibial Fractures/epidemiology/mortality/veterinary |
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Abstract |
REASONS FOR PERFORMING STUDY: Fractures below the level of the radius or tibia (distal limb fractures) are the most common cause of equine fatality on UK racecourses; however, little is known about their epidemiology or aetiology. Identification of risk factors could enable intervention strategies to be designed to reduce the number of fatalities. OBJECTIVES: To identify horse-level risk factors for fatal distal limb fracture in Thoroughbreds on UK racecourses. METHODS: A case-control study design was used. Fractures in case horses were confirmed by post mortem examination and 3 matched uninjured controls were selected from the race in which the case horse was running. One hundred and nine cases were included and information was collected about previous racing history, horse characteristics and training schedules. Conditional logistic regression was used to identify the relationship between a number of independent variables and the likelihood of fracture. RESULTS: Horses doing no gallop work during training and those in their first year of racing were at significantly increased risk of fracture on the racecourse. Case horses were also more likely to have trained on a sand gallop, i.e. a gallop described by trainers as being primarily composed of sand. CONCLUSIONS: Modifications to training schedules, specifically within the first year of racing, may have a large impact on the risk of fatal distal limb fracture on the racecourse. Horses should do some gallop work in training and our results suggest that the minimum distance galloped should be between 805-2012 m (4-10 furlongs)/week. POTENTIAL RELEVANCE: The information from this study can be used to alter training schedules in an attempt to reduce the incidence of fatal distal limb fracture in Thoroughbred racehorses. Training should include some gallop work, and further studies, recording the exact level of work, will help to identify an optimum range of training speeds and distances which will reduce the liklihood of catastrophic fracture on the racecourse. |
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Department of Veterinary Clinical Science, University of Liverpool Veterinary Teaching Hospital, Leahurst, Neston, Wirral CH64 7TE, UK |
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0425-1644 |
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PMID:15460076 |
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Call Number |
Equine Behaviour @ team @ |
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3660 |
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Author |
Singer, E.R.; Saxby, F.; French, N.P. |
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Title |
A retrospective case-control study of horse falls in the sport of horse trials and three-day eventing |
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Journal Article |
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Year |
2003 |
Publication |
Equine Veterinary Journal |
Abbreviated Journal |
Equine Vet J |
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Volume |
35 |
Issue |
2 |
Pages |
139-145 |
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Keywords |
Accidental Falls/prevention & control/*statistics & numerical data; Adolescent; Adult; Animals; Athletic Injuries/epidemiology/etiology/prevention & control/*veterinary; Case-Control Studies; Child; Confidence Intervals; Female; Horses/*injuries; Humans; Logistic Models; Male; Odds Ratio; Retrospective Studies; Risk Factors; Safety; *Sports/standards |
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REASONS FOR PERFORMING STUDY: Serious injuries to horses and riders in horse trials (HT) and three-day events (3DE) are usually associated with falls of horses, which invariably involve falls of the riders. Many potential causes for these falls have been discussed. OBJECTIVES: The aim of this case-control study was to investigate the risk factors for horse falls on the cross-country phase of horse trials and three-day events. METHODS: Using retrospective data, significant risk factors identified with unvariable analysis (P value <0.2) were entered into a multivariable logistic regression model. Significant risk factors (P value <0.05) were included in the final model. RESULTS: It was revealed that a number of course, obstacle and rider variables were significantly and independently associated with the risk of falling. Falling was associated with obstacles sited downhill (Odds ratio [OR] 8.41) and with obstacles with ditches in front (OR = 5.77). CONCLUSIONS: The relationship between course variables and the risk of falling was characterised and showed a significantly increased risk with increasing numbers of jumps on the course and for jumping efforts later in the course. In contrast, after allowing for the total number of obstacles on the course, an increase in the total number of jumping efforts appeared to have a protective effect. A later cross-country start time was associated with a decreased risk of a horse fall. Amateur event riders were approximately 20 times more likely to fall than professional riders. POTENTIAL CLINICAL RELEVANCE: This study has identified a number of risk factors associated with horse falls and highlights areas that can be altered to improve safety in cross-country competitions. |
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Division of Equine Studies, University of Liverpool, Leahurst, Chester High Road, Neston, South Wirral CH64 7TE, UK |
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0425-1644 |
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PMID:12638789 |
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Equine Behaviour @ team @ |
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3661 |
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Author |
Murray, J.K.; Singer, E.R.; Morgan, K.L.; Proudman, C.J.; French, N.P. |
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Title |
The risk of a horse-and-rider partnership falling on the cross-country phase of eventing competitions |
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Journal Article |
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2006 |
Publication |
Equine Veterinary Journal |
Abbreviated Journal |
Equine Vet J |
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38 |
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2 |
Pages |
158-163 |
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Keywords |
*Accidental Falls; Animals; Athletic Injuries/epidemiology/*veterinary; Case-Control Studies; Horses/*injuries; Humans; Logistic Models; Physical Conditioning, Animal; Prospective Studies; Risk Factors; Safety; Sports; Time Factors |
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REASONS FOR PERFORMING STUDY: Fatalities resulting from horse falls occurring during the cross-country phase of eventing competitions initiated epidemiological investigation of the risk factors associated with horse falls. OBJECTIVES: To identify variables that increased or decreased the risk of a horse fall during the cross-country phase of an eventing competition. METHODS: Data were collected from randomly selected British Eventing competitions held in Great Britain during 2001 and 2002. Data were obtained for 173 cases (jumping efforts resulting in a fall of the horse-and-rider partnership) and 503 matched controls (jumping efforts not resulting in a fall). The risk of falling was modelled using conditional logistic regression. RESULTS: An increased risk of a horse fall was associated with jumping into or out of water; taking off from good-to-soft, soft or heavy ground; fences with a drop landing; nonangled fences with a spread > or =2 m; and angled fences. Other risk factors included riders who knew that they were in the lead within the competition before the cross-country phase; an inappropriate speed of approach to the fence (too fast or too slow); horse-and-rider partnerships that had not incurred refusals at earlier fences; and riders who received cross-country tuition. CONCLUSIONS: This study has identified modifiable course- and fence-level risk factors for horse falls during the cross-country phase of eventing competitions. The risk of horse and rider injury at eventing competitions should be reduced by 3 simple measures; maintaining good to firm take-off surfaces at fences, reducing the base spread of fences to <2 m and reducing the use of fences at which horses are required to jump into or out of water. Risk reduction arising from course and fence modification needs to be confirmed by intervention studies. Potential relevance: Knowledge of factors that increase or decrease the risk of a horse fall can be used by UK governing bodies of the sport to reduce the risk of horse falls on the cross-country phase of eventing competitions, and reduce the risk of horse and rider injuries and fatalities. As one in 3 horses that fall injure themselves and one in 100 horse falls results in fatality to the horse, we suggest that immediate consideration is given to these recommendations. |
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Epidemiology Group, Faculty of Veterinary Science, University of Liverpool, Leahurst, Chester High Road, Neston, South Wirral CH64 7TE, UK |
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PMID:16536386 |
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Call Number |
Equine Behaviour @ team @ |
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3765 |
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Author |
Proudman, C.; Pinchbeck, G.; Clegg, P.; French, N. |
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Title |
Equine welfare: risk of horses falling in the Grand National |
Type |
Journal Article |
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Year |
2004 |
Publication |
Nature |
Abbreviated Journal |
Nature |
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Volume |
428 |
Issue |
6981 |
Pages |
385-386 |
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Keywords |
Accidental Falls/prevention & control/*statistics & numerical data; Animal Welfare; Animals; Great Britain; Horse Diseases/prevention & control; Horses/*physiology; Odds Ratio; Risk Assessment; *Sports |
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As in other competitive sports, the famous Grand National steeplechase, which is held at Aintree in the United Kingdom and is watched by 600 million people worldwide, sometimes results in injury. By analysing data from the past 15 Grand National races (consisting of 560 starts by horses), we are able to identify several factors that are significantly associated with failure to complete the race: no previous experience of the course and its unique obstacles, unfavourable ground conditions (too soft or too hard), a large number of runners, and the length of the odds ('starting price'). We also find that there is an increased risk of falling at the first fence and at the jump known as Becher's Brook, which has a ditch on the landing side. Our findings indicate ways in which the Grand National could be made safer for horses and illustrate how epidemiological analysis might contribute to preventing injury in competitive sport. |
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Epidemiology Group, Faculty of Veterinary Science, University of Liverpool, Leahurst, Neston, Wirral CH64 7TE, UK. c.j.proudman@liverpool.ac.uk |
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1476-4687 |
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PMID:15042079 |
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refbase @ user @ |
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535 |
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