Download - Tracking Injuries On Track
Tracking Injuries Tracking Injuries On TrackOn Track
Status of the development of a standardized injury reporting Status of the development of a standardized injury reporting system at North American Thoroughbred racetrackssystem at North American Thoroughbred racetracks
Mary C. Scollay-Ward, DVM
Senior Association Veterinarian
Calder Race Course / Gulfstream Park
ObjectivesObjectives Quanitate Quanitate
Racetrack injuriesRacetrack injuries TypeType FrequencyFrequency OutcomeOutcome
IdentifyIdentify Markers for Horses at Increased RiskMarkers for Horses at Increased Risk
Improve efficiency of pre-race inspectionsImprove efficiency of pre-race inspections Trainer accountabilityTrainer accountability
Improve Improve Injury management and prevention Injury management and prevention
Case Criteria (employed by reporting regulatory veterinarians)
: Horses observed to be lame on the racetrack before, during and immediately following a race
Horses observed to be lame in Detention Barn post-race
Horses scratched for unsoundness at pre-race exam
Horse identification
(optional)
Horse-specific
information
Injury-specific
information
17 07 034
Confidential racetrack code
Year
Individual case
If horse identification can be reported, information is retrieved from Jockey Club Information database—form completion abbreviated
Price factor = Claiming price Bottom claiming price
Example: Claiming price of injured horse is $25,000.
Bottom claiming price in that category at track is $5,000.
Price factor = 5.0
Use of standardized keywords in describing injuries
LF Fracture Distal Limb Ses-biax ComminutedLF Soft tissue Flexor tendon SDF/DDF Rupture
LF Joint Fetlock Disarticulation closed RF Other Grabbed 1/4
Triage Scoring
0 No lameness observed on trackI Grade III or lower lameness; no presumptive diagnosisII >Grade III lameness; no presumptive diagnosisIII Mild to moderate limb instability in 1 plane; closed injuryIV Severe instability in 1 plane; closed injuryV Limb instability in 2 or more planes / loss of column of support
(open or closed); open: fracture / joint capsule / tendon sheath
Prognosis and Outcome-- not always consistent
Participating racetracks:Participating racetracks:
Albuquerque DownsAlbuquerque DownsArlington ParkArlington ParkAqueductAqueductBelmont ParkBelmont ParkBeulah ParkBeulah ParkCalder Race CourseCalder Race CourseCanterbury DownsCanterbury DownsCharlestown RacesCharlestown RacesChurchill DownsChurchill DownsColonial DownsColonial DownsDelaware ParkDelaware ParkEllis ParkEllis ParkEmerald DownsEmerald DownsFonner ParkFonner ParkGulfstream ParkGulfstream Park
Indiana DownsIndiana DownsHastings ParkHastings ParkHawthorne RacecourseHawthorne RacecourseHoosier ParkHoosier ParkHollywood ParkHollywood ParkKeenelandKeenelandLone Star ParkLone Star ParkMeadowlandsMeadowlandsMonmouth ParkMonmouth ParkPenn NationalPenn NationalPhiladelphia ParkPhiladelphia ParkPrairie MeadowsPrairie MeadowsSaratogaSaratogaSuffolk DownsSuffolk DownsTurfwayTurfwayYavapai DownsYavapai Downs
Racing Injuries
High profile events
Training Injuries
Low profile events
Economic impact ?
Relationship to racing injuries ?
GP 2007 Injury Report Date: _________________________
Dirt: Fast Good Sloppy Turf: Firm Good Yielding
Exercise: Race Breeze Gallop Jog Non-exercise Other__________________
Limb: LF RF LH RH
Site: Appendicular skeleton: P1 P2 P3 Sesamoid—Medial / Lateral / Both MC3 MT3 Carpal Bones Tarsal Bones Radius Humerus Tibia Femur
Axial skeleton: Skull / Pelvis / Spine—cervical - thoracic - lumbar
Joint: Fetlock / Carpus / Tarsus / Shoulder / Stifle / Interphalangeal
Soft Tissue: Flexor tendon: SDF DDF Suspensory: Origin Body Dist. Ses. Lig Med Br. Lat Br. Muscle: ______________________________________ Other: _____________________________________________
Injury: Acute Chronic/Reinjury
Bone (non-fx): Osteitis / Bucked shins Bone (fx): Apical / Avulsion / Basilar / Chip / Condylar / Saucer / Slab / Spiral / Transverse Saggital / Incomplete / Non-displaced / Displaced / Comminuted / Compound
Joint: Inflammation (w/o radiographic/US changes) / DJD-OA (w/ radiographic/US changes)
Soft Tissue: Tendinitis / Desmitis / Myositis / Myalgia / Failure / Rupture
Diagnostics used: (circle all that apply) Physical exam / Radiology / Ultrasound / Scintigraphy / Other______________________
Treatment/Therapeutic modalities used: (circle all that apply) Rest Medication: Systemic / Local/directed / Intra-articular / Other________________________ ECSW / Ultra/Infra-sound / Electromagnetic / Alternative therapy (herbs/homeopathics/acupuncture, etc.) Surgery Euthanasia Other ____________________________
Prognosis for return to racing soundness: Excellent / Good / Fair / Poor / Career ending injury / Not applicable--Fatality
Anticipated return to training/racing: < 30 days 31-60 days 61-180 days 181-365 days >365 days Not applicable
Reporting criteria: Musculoskeletal injuries requiring withdrawal from training for 10 or more days. Injury Reporting
by Practicing Veterinarians
Confidentiality/ Anonymity:
Case Selection Criteria:
Horse which veterinarian advises to be Horse which veterinarian advises to be withdrawn from training for 10 or more withdrawn from training for 10 or more days due to musculoskeletal injury days due to musculoskeletal injury sustained racing or trainingsustained racing or training
Horse, trainer, veterinarian not identifiedHorse, trainer, veterinarian not identified
Responsible Use of Responsible Use of InformationInformation
National Statistics will be made publicNational Statistics will be made public Individual racetracks’ data will be Individual racetracks’ data will be
returned to submitting veterinarian as returned to submitting veterinarian as spread sheet filespread sheet file
Access to DataAccess to Data
Researchers desiring access to data will Researchers desiring access to data will submit proposal to review panel submit proposal to review panel
1 Year Goal1 Year Goal
Increase number of participant racetracksIncrease number of participant racetracks Generate composite statisticsGenerate composite statistics Form advisory committeeForm advisory committee
Review reporting formatReview reporting format Identify research needsIdentify research needs
2 Year Goal2 Year Goal
Expansion of data analysisExpansion of data analysis Identification of markers for horses at Identification of markers for horses at
increased riskincreased risk
3 Year Goal3 Year Goal
Confidential, on-line report submission Confidential, on-line report submission with data automatically entered into with data automatically entered into databasedatabase