An operation-level prospective study of risk factors associated with the incidence density of lameness in Michigan (USA) equine operations

A prospective cohort study of lameness in Michigan equids was conducted using the Michigan Equine Monitoring System (MEMS) Phase-II database. MEMS Phase II was an equine health-monitoring study of 138 randomly-selected Michigan equine operations. Management and health-related data were collected for operations in two 12-month periods. The median incidence density of lameness was 2.8 cases per 10000 horse-days at-risk (Minimum = 0; 25th Quartale (Q) = 0; 75th Q = 10.2; Maximum = 48.5). Equine operation-management and environmental risk factors associated with the incidence density of lameness were assessed using multivariable Poisson regression. Management risk factors associated with the incidence density of lameness included the total operation horse-days monitored (3rd Q: Relative Risk (RR) = 0.46; 95% Confidence Interval (CI): 0.29–0.71 and 4th Q: RR = 0.24; 95% CI: 0.16–0.37), the veterinary-related services score (3rd Q: RR = 0.61; 95% CI: 0.39–0.96 and 4th Q: RR = 1.45; 95% CI: 1.01–2.08), the farrier-related services score (4th Q: RR = 1.60; 95% CI: 1.07–2.42) and operations having equids participating in exercise-related activities (RR = 1.71; 95% CI: 1.16–2.50). Environmental risk factors associated with the incidence density of lameness included operations with stalls having medium flooring (RR = 0.48; 95% CI: 0.35–0.65), operations with stalls having loose flooring (RR = 2.78; 95% CI: 1.88–4.10) and operations using straw-like materials for stall bedding (RR = 2.02; 95% CI: 1.53–2.68).