Perkins N R, Reid S W J, Morris R S
Epicentre, Institute of Veterinary Animal and Biomedical Sciences, Massey University, Private Bag 11222, Palmerston North, New Zealand.
N Z Vet J. 2005 Feb;53(1):69-76. doi: 10.1080/00480169.2005.36471.
To describe and enumerate conditions that interrupted training and racing in a population of Thoroughbred racehorses in New Zealand.
A longitudinal study design was used to collect data on horses training under the care of 20 licensed racehorse trainers from venues in the mid to lower regions of the North Island between October 1997 and July 2000. Incidence rates were reported for first and second occurrences for different categories of musculoskeletal injury (MSI), and first occurrences of upper and lower respiratory tract disease, using training days as time-at-risk. The proportion of horses that retired or died due to MSI, respiratory tract or miscellaneous conditions was used to estimate risk of exit for each type of event. Duration of training preparation, starts per 100 training days, and proportion of starts that ended in first, second or third place, were calculated for horses at risk for first MSI, and all subsequent MSIs. In training preparations that had at least one start and that ended in MSI, the cumulative percentage of MSIs by day of diagnosis was reported for 0-21 days after the last start in the preparation.
Horses (n=1,571) were followed during 3,333 training preparations and 392,290 training days. Events associated with the end of a training preparation or spell period included MSI (n=834), respiratory event (RE; n=165), miscellaneous event (ME; n=58), and voluntary retirements (n=360). Causes of MSI included lameness (n=400), shin soreness (n=207), tendon and ligament conditions (n=98), injury or laceration (n=56), fractures (n=55), and back disorders (n=18). MSIs involved the limbs in 97% of cases, and the lower limbs up to the carpus or hock in the fore- and hindlimbs, respectively, in 81% of cases. Most (93%) lower limb conditions involved a forelimb while 70% of MSIs that involved structures above the carpus or hock involved a hindlimb. Incidence rates (IRs) are reported for each age group for first and second occurrences of MSI, and first occurrence of upper and lower respiratory tract disease. The risk of MSI was higher in horses that had incurred one previous MSI (RR 1.4, 95% CI=1.2-1.7; p<0.001) than in horses without any previous MSI. The proportion of horses that exited due to death or retirement varied with the type of injury, and the highest proportion was associated with recurrent fractures, and tendon and ligament injuries (46.2 and 44.4%, respectively). The overall IR of horses exiting the study due to retirement or death increased with increasing age, and was higher in females than males for horses aged 2, 3, 4, and > or =5 years. A reduction in the number of starts per 100 training days was observed in horses aged > or =5 years when returning to training after an initial MSI (p=0.004). Male horses of all age groups and females younger than 4 years had shorter median training preparations (p<0.05) when returning to training after an initial MSI compared with preparations at risk for a first occurrence of MSI. Between 27 and 62% of cases of MSI that occurred in training preparations after at least one start were reported on the day of the last start, and the remainder were reported in the days to weeks following the last start of that preparation.
Incidence rates, and proportions of affected horses that retired or died as a result of injury or disorder varied with type of injury and age of horse. Horses returning to training after an initial MSI were at higher risk of subsequent MSIs and showed changes in duration of training preparations, but little change in starts per 100 training days or probability of placing in each start. MSIs in racing horses were less likely to be reported on the day of a race than at other times in the training preparation for all ages except 2-year-olds.
描述并列举新西兰纯种赛马群体中导致训练和比赛中断的情况。
采用纵向研究设计,收集1997年10月至2000年7月间在北岛中下部地区由20名持证赛马训练师照料的马匹训练数据。以训练天数作为风险暴露时间,报告不同类别肌肉骨骼损伤(MSI)首次和第二次发生的发病率,以及上呼吸道和下呼吸道疾病首次发生的发病率。因MSI、呼吸道疾病或其他情况而退役或死亡的马匹比例,用于估计各类事件的退出风险。计算首次发生MSI及所有后续MSI的马匹的训练准备持续时间、每100个训练日的参赛次数,以及以第一名、第二名或第三名完赛的参赛次数比例。在至少有一次参赛且以MSI结束的训练准备中,报告诊断日MSI的累积百分比,时间范围为准备阶段最后一次参赛后的0至21天。
在3333次训练准备和392290个训练日期间对1571匹马进行了跟踪。与训练准备或休赛期结束相关的事件包括MSI(834例)、呼吸道事件(RE;165例)、其他事件(ME;58例)和自愿退役(360例)。MSI的病因包括跛行(400例)、胫骨疼痛(207例)、肌腱和韧带疾病(98例)、损伤或撕裂伤(56例)、骨折(55例)和背部疾病(18例)。97%的MSI累及四肢,81%的病例中前肢和后肢的下肢分别累及到腕关节或跗关节。大多数(93%)下肢疾病累及前肢,而累及腕关节或跗关节以上结构的MSI中70%累及后肢。报告了各年龄组MSI首次和第二次发生以及上呼吸道和下呼吸道疾病首次发生的发病率。既往有一次MSI的马匹发生MSI的风险(RR 1.4,95%CI = 1.2 - 1.7;p < 0.001)高于无既往MSI的马匹。因死亡或退役而退出的马匹比例因损伤类型而异,最高比例与复发性骨折及肌腱和韧带损伤相关(分别为46.2%和44.4%)。因退役或死亡退出研究的马匹总体发病率随年龄增长而增加,2岁、3岁、4岁及≥5岁的马匹中雌性高于雄性。首次发生MSI后恢复训练的≥5岁马匹,每100个训练日的参赛次数减少(p = 0.004)。与首次发生MSI的风险马匹相比,所有年龄组的雄性马匹和4岁以下雌性马匹首次发生MSI后恢复训练时,训练准备的中位数较短(p < 0.05)。在至少有一次参赛的训练准备中发生的MSI病例,27%至62%在最后一次参赛当天报告,其余在该准备阶段最后一次参赛后的数天至数周内报告。
发病率以及因损伤或疾病而退役或死亡的受影响马匹比例因损伤类型和马匹年龄而异。首次发生MSI后恢复训练的马匹发生后续MSI的风险更高,并表现出训练准备持续时间的变化,但每100个训练日的参赛次数或每次参赛获得名次的概率变化不大。除2岁马外,所有年龄的赛马MSI在比赛当天报告的可能性均低于训练准备的其他时间。