Racing‐associated fatalities in Norwegian and Swedish harness racehorses: Incidence rates, risk factors, and principal postmortem findings

BACKGROUND: There are no reports on the number of fatalities or causes of death in the Norwegian and Swedish harness racehorses. OBJECTIVES: The incidence rates (IRs), risk factors, and postmortem findings in horses that died or were euthanized associated with racing between 2014 and 2019 were investigated. ANIMALS: Thirty‐eight Standardbreds and 10 Norwegian‐Swedish Coldblooded Trotters died or were euthanized associated with racing. A total of 816 085 race‐starts were recorded. METHODS: Incidence rates were calculated for both countries and horse breeds. Risk factors for sudden death were identified using a case‐control logistic model. Postmortem examinations were performed in 43 horses. RESULTS: The overall fatality IR was 0.059/1000 race‐starts. Traumatic injuries accounted for 14.5%, while sudden death for 85.5% of fatalities. Only minor differences between countries and breeds were recorded. The number of starts within the last 30 days increased the risk of sudden death (5 starts odds ratio (OR) 228.80, confidence interval (CI) 10.9‐4793). An opposite non‐linear effect was observed in number of starts the last 180 days (>10 starts OR 0.12, CI 0.02‐0.68). Seven horses were euthanized because of catastrophic injury. Acute circulatory collapse because of suspected cardiac or pulmonary failure or both was recorded in 30 horses, while major hemorrhage after vessel rupture was the primary cause of death in 10 cases. One horse collapsed and died but was not submitted for autopsy. CONCLUSIONS AND CLINICAL IMPORTANCE: Comparatively low rates of catastrophic orthopedic fatalities were reported, while causes and IR of sudden death were similar to previous studies.