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Risk factors for colic
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Colic is a significant problem in terms of welfare and economics. Its incidence differs between populations but typically varies between 3.5-10.6 episodes per 100 horse years (i.e. if you keep 100 horses for 1 year expect between 3.5 -10.6 episodes of colic). Estimated case fatality rates are between 6.7-15.6%, but this depends on the type of population studied (approximately 9% for medical colic vs 30% for surgical colic). Epidemiological studies have identified a number of risk factors for colic. These can be divided into those at horse level and those at management level.
At horse level, sex or age have not shown a clear or consistent association with colic. However, certain breeds or horse types have been associated with certain types of colic; for example, large colon volvulus or epiploic foramen entrapment are more common in large breeds whereas pedunculated lipomas are seen more frequently in pony breeds.
A number of variables at management level have been associated with an increase in the risk of colic. For example, recent changes in feeding, a recent reduction in turn-out time, lack of regular dental treatment or lack of routine worming programme, have been shown to predispose a horse to colic.
In addition a number of risk factors associated with mortality or complications post-surgery have also been identified in a number of epidemiological studies.
I graduated from the Complutense University of Madrid in 2001 followed by 6 years in mixed practice in East Yorkshire, UK. In 2008 I moved to the University of Liverpool where I completed an ECEIM residency in Equine Internal Medicine. I am a European Specialist in Equine Internal Medicine since 2011 and currently work as a senior lecturer at the University of Liverpool. In 2021 I completed a PhD on the Epidemiology of Uveitis. I am interested in all aspects of Equine Medicine but have a particular interest in ophthalmology, oncology, neurology and gastrointestinal medicine.
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