Epidemiology of jockey falls and injuries in flat and jump races in Japan (2003-2017)

Risk factors for jockey falls in Japanese Thoroughbred jump racing

Jockey safety is an important subject from a welfare perspective and public perception. This is the first retrospective case-control study that aims to identify risk factors associated with jockey falls (JF) in Thoroughbred jump races held by the Japan Racing Association (JRA). JF in 17,459 maiden-class race starts at eight racecourses from 2003 to 2017 were retrospectively reviewed. Data were extracted from a database and official accident reports maintained by the JRA. Thirteen possible risk factors were evaluated using multivariable logistic regression to identify those that were significantly associated with JF. A total of 724 JF were recorded, with an incidence rate of 41.5 falls per 1,000 starts (95% CI: 38.6-44.5). Final model included stable, horse age, year, season, course, horse sex, horse experience, and jockey experience. No two-way interactions were observed. Six risk factors were significantly associated with JF: Year (2003-2007 or 2008-2012 > 2013-2017; P = .0011), season (spring, autumn, or winter > summer; P = .0006), course type (dual direction > single direction; P < .0001), horse sex (female > male or gelding; P = .0003), horse experience (inexperienced horse > experienced horse; P < .0001) and jockey experience (apprentice jockey > experienced jockey; P = .0332) significantly affected the odds of JF. In agreement with overseas reports, our results suggest that the occurrence of JF is multifactorial and associated with jockey- and horse-related factors as well as environmental factors. To safeguard the welfare of jockeys, implementation of measures according to identified risk factors is recommended.

Risk Factors for Jockey Falls in Japanese Thoroughbred Flat Racing

Jockey safety is of paramount importance from welfare perspective and public perception. This retrospective case-control study aims to identify risk factors associated with jockey falls (JF) in flat races of Japan Racing Association (JRA). JF in 715,210 race starts by 74,328 horses at 10 racecourses from 2003 to 2017 were reviewed. Data were extracted from a database maintained by JRA and from official accident reports issued by race stewards. Seventeen possible risk factors were evaluated using multivariable logistic regression, to identify those significantly associated with JF. A total of 992 JF incidents were recorded, with an incidence rate of 1.39 falls per 1,000 starts (95% CI: 1.30-1.48). 6 risk factors were significantly associated with JF. Odds increased with horses that sustained catastrophic musculoskeletal injury (CMI) (OR: 203; CI: 169-241; P < 0.001). Increased odds were also associated with dirt track surfaces (OR: 1.99; CI: 1.74-2.29; P < 0.001), apprentice jockeys (OR: 1.43; CI: 1.21-1.68; P < 0.001), smaller track sizes (OR: 1.41; CI: 1.24-1.61; P < 0.001), larger fields (OR: 1.25; CI: 1.07-1.47; P = 0.005), and longer race distances (OR per 200 m: 1.05; CI: 1.01-1.09; P = 0.02). Since CMI was identified as a major contributing factor for JF, measures to minimize CMI may lead to improvement of jockey safety. The increased odds associated with apprentice jockeys may indicate the importance of jockey education and training. For jockey safety, proper staffing of medical professionals especially for races on dirt, smaller track, larger fields, and longer distances is recommended.

A Cross Sectional Survey of International Horse-Racing Authorities on Injury Data Collection and Reporting Practices For Professional Jockeys

Jockey injuries are common in professional horse-racing and can result in life-threatening or career-ending outcomes. Robust injury data are essential to understand the circumstances of injury occurrence and ultimately identify prevention opportunities. This study aimed to identify jockey injury surveillance practices of international horse-racing authorities (HRAs) and the specific data items collected and reported by each HRA. A cross-sectional survey of representatives (e.g. Chief Medical Officer) from international HRAs was conducted. An online and paper questionnaire was designed comprised of 32 questions. Questions considered the barriers and facilitators to data collection within each HRA, and where available, what data were collected and reported by HRAs. Representatives from 15 international racing jurisdictions were included, of which 12 reported collection of race day injuries or falls, using varied definitions of medical attention and time loss. Six HRAs did not have a definition for a jockey injury, and eight HRAs had no parameters for describing injury severity. Race day exposure was collected by two HRAs. Results were commonly presented by HRAs as the number of injuries (n = 9/15) or proportion of injured jockeys (n = 6/15). The lack of a designated role for collection, collation and reporting of data was the main barrier for injury surveillance. Twelve HRAs agreed that mandatory collection would be a strong facilitator to improving practice. Enhancement and standardization of international jockey injury surveillance is required to move forward with evidence informed prevention. Concurrent investigation of how reporting practices can be best supported within existing HRA structures is recommended.