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Table 1 Final multivariable Cox regression model for variables associated with active episodes of owner-reported laminitis (n = 100) in a cohort of British horses and ponies (n = 978 horses/ponies providing 6390 observations and a cumulative time of 974 HYAR after exclusions for missing data)

From: Identification of modifiable factors associated with owner-reported equine laminitis in Britain using a web-based cohort study approach

Variable

No. laminitis episodes

HYAR/100

Hazard ratio

95% CI

Wald

P-value

LRS

P-value

Animal-level factors

 Weight change since last entry

     

0.003

  Weight lost/maintained

68

7.6

Ref.

   

  Weight gained

30

2.0

2.3

1.4, 3.8

< 0.001

 

  Not specified

2

0.1

1.8

0.4, 8.0

0.44

 

 Breed category (including breed crosses)

    

0.007

  Native pony

65

3.8

1.9

1.2, 3.0

0.007

 

  Other breed

35

5.9

Ref.

   

Laminitis history

 Previous laminitis while with current owner

    

< 0.001

  No

23

6.4

Ref.

   

  Yes, veterinary-diagnosed

44

2.4

1.7

0.8, 3.8

0.15

 

  Yes, not veterinary-diagnosed

33

0.9

4.5

2.2, 9.1

< 0.001

 

 Time taken to return to soundness following most recent episode

 

0.002

  0 to 2 weeks

38

7.4

Ref.

   

  More than 2 weeks to 2 months

32

1.3

2.0

1.0, 3.8

0.04

 

  More than 2 months

30

1.0

3.1

1.6, 6.2

0.001

 

Health management and recent health history

 Currently on steroidal anti-inflammatories

    

0.03

  No

96

9.6

Ref.

   

  Yes

4

0.1

4.0

1.4, 11.6

0.01

 

 Currently on non-steroidal anti-inflammatories

  

< 0.001

  No

77

8.9

Ref.

   

  Yes

23

0.8

2.9

1.7, 4.8

< 0.001

 

 Current lameness

     

0.02

  Other lameness/no lameness

95

9.6

Ref.

   

  Soft tissue injury (e.g. tendon/ligament)

5

0.2

4.1

1.5, 10.8

0.005

 

 Active wormer ingredients in last wormer given

  

0.003

  Macrocyclic lactones

19

2.4

Ref.

   

  Benzimidazoles

15

0.5

3.8

1.8, 8.1

< 0.001

 

  Other/no wormer

66

6.8

1.3

0.7, 2.2

0.39

 

Hoof care

 Lameness/soreness following routine hoof care

  

0.004

  Not lame/sore after shoeing/trimming

83

9.3

Ref.

   

  Lame/sore after shoeing/trimming

17

0.4

2.5

1.4, 4.4

0.002

 

 Trimming/shoeing frequency

     

0.03

  Up to 8 weeks

80

8.3

Ref.

   

  More than 8 weeks

20

1.4

1.9

1.1, 3.2

0.02

 

Turnout and grazing management

 Time of day access to grass currently available

  

0.007

  Morning only

9

0.4

4.3

1.8, 10.8

0.002

 

  Day and night

28

4.7

Ref.

   

  Other/grass not available

63

4.7

1.4

0.7, 2.8

0.28

 

 Grazing muzzle use

     

0.001

  Whole time while grazing/not used

89

9.5

Ref.

   

  Part of the time while grazing

11

0.3

3.6

1.8, 7.2

< 0.001

 

 Woodland bordering turnout area

     

0.007

  No/entirely stabled

82

7.1

Ref.

   

  Yes

18

2.6

0.5

0.3, 0.9

0.01

 

 Main reason for transport in the previous year

    

0.001

  Other reason/not transported

82

8.7

Ref.

   

  Moving yards

18

1.0

2.6

1.5, 4.5

< 0.001

 

 Average time currently spent stabled

     

< 0.001

  Up to 12 h

46

2.7

3.2

1.7, 5.9

< 0.001

 

  More than 12 h

19

2.1

Ref.

   

  Free access/not stabled

35

4.9

1.7

0.8, 3.7

0.15

 

Supplementary feeding

 Ryegrass forage fed

     

< 0.001

  Other/no forage fed

91

9.3

Ref.

   

  Yes

9

0.5

4.7

2.2, 10.0

< 0.001

 
  1. HYAR Horse-years at risk, LRS Likelihood ratio statistic, Ref. Referent group in which the Hazard Ratio = 1.0; 95% CI – 95% Confidence Interval