{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T15:28:37Z","timestamp":1773329317319,"version":"3.50.1"},"reference-count":18,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2014,5,29]],"date-time":"2014-05-29T00:00:00Z","timestamp":1401321600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"The Rural Industries and Research Development Corporation"}],"content-domain":{"domain":["beva.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Equine Veterinary Journal"],"published-print":{"date-parts":[[2015,5]]},"abstract":"<jats:title>Summary<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Reasons for performing study<\/jats:title>\n                    <jats:p>\n                      Exercise\u2010induced pulmonary haemorrhage (\n                      <jats:styled-content style=\"fixed-case\">EIPH<\/jats:styled-content>\n                      ) is associated with impaired short\u2010term race performance but consequences to long\u2010term race performance of Thoroughbred racehorses are unknown. Knowledge of effects of\n                      <jats:styled-content style=\"fixed-case\">EIPH<\/jats:styled-content>\n                      on performance over a prolonged time would inform the need for management and treatment of this disorder.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>\n                      To determine the relationship between\n                      <jats:styled-content style=\"fixed-case\">EIPH<\/jats:styled-content>\n                      detected on a single occasion and long\u2010term athletic performance in Thoroughbred racehorses.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study design<\/jats:title>\n                    <jats:p>Prospective, longitudinal, observational epidemiological study conducted from 2003 to 2012.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Seven hundred and forty\u2010four Thoroughbred racehorses underwent a single tracheobronchoscopic examination to determine presence and severity of\n                      <jats:styled-content style=\"fixed-case\">EIPH<\/jats:styled-content>\n                      in 2003. Following retirement of all the horses from racing, career after examination and lifetime performance data (including career duration, earnings, starts, wins and placings) were abstracted from a commercial database. The association between presence and severity of\n                      <jats:styled-content style=\"fixed-case\">EIPH<\/jats:styled-content>\n                      and individual performance variables were analysed using survival analysis, linear regression and negative binomial regression.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      No association was detected between the presence of any\n                      <jats:styled-content style=\"fixed-case\">EIPH<\/jats:styled-content>\n                      (\n                      <jats:italic>grade<\/jats:italic>\n                      \u2265\n                      <jats:italic>1<\/jats:italic>\n                      ) and all measures of long\u2010term performance examined except that horses with\n                      <jats:styled-content style=\"fixed-case\">EIPH<\/jats:styled-content>\n                      (\n                      <jats:italic>grade<\/jats:italic>\n                      \u2265\n                      <jats:italic>2<\/jats:italic>\n                      ) had fewer earnings after endoscopic examination than did horses with mild\n                      <jats:styled-content style=\"fixed-case\">EIPH<\/jats:styled-content>\n                      or no\n                      <jats:styled-content style=\"fixed-case\">EIPH<\/jats:styled-content>\n                      (\n                      <jats:italic>grades<\/jats:italic>\n                      \u2264\n                      <jats:italic>1<\/jats:italic>\n                      ). Multiple associations were detected between the most severe form of\n                      <jats:styled-content style=\"fixed-case\">EIPH<\/jats:styled-content>\n                      (\n                      <jats:italic>grade 4<\/jats:italic>\n                      ) and measures of long\u2010term performance suggesting that the severity of\n                      <jats:styled-content style=\"fixed-case\">EIPH<\/jats:styled-content>\n                      commonly associated with epistaxis adversely affects either the horse's opportunity to race or physiologic capacity to race.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      We conclude that there is no association between\n                      <jats:styled-content style=\"fixed-case\">EIPH<\/jats:styled-content>\n                      \u2005\n                      <jats:italic>grades 0, 1, 2<\/jats:italic>\n                      and\n                      <jats:italic>3<\/jats:italic>\n                      and long\u2010term racing performance of Thoroughbred racehorses. These results are based on a single endoscopic evaluation of\n                      <jats:styled-content style=\"fixed-case\">EIPH<\/jats:styled-content>\n                      grade made during a horse's career. Further studies are required to determine the reasons for an association of severe (\n                      <jats:italic>grade 4<\/jats:italic>\n                      )\n                      <jats:styled-content style=\"fixed-case\">EIPH<\/jats:styled-content>\n                      with impaired long\u2010term race performance.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/evj.12263","type":"journal-article","created":{"date-parts":[[2014,3,12]],"date-time":"2014-03-12T03:58:58Z","timestamp":1394596738000},"page":"350-357","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["Prospective study of the association between exercise\u2010induced pulmonary haemorrhage and long\u2010term performance in\n                    <scp>T<\/scp>\n                    horoughbred racehorses"],"prefix":"10.1111","volume":"47","author":[{"given":"S. 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