Evidence map›Paper›PMID 42492062›Full record

ArticleJournal of veterinary internal medicine2026

Vasopressin stimulation testing in hospitalized foals.

Myriah Albrecht, Javier Perez, David Wong, Nimet Browne, Teresa Burns, Maddie Edwards Stevens, Katarzyna Dembek

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Article in Journal of veterinary internal medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Not yet cited in PubMed.

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1 · What the graph read from it

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Myriah AlbrechtDepartment of Clinical Sciences, The Ohio State University, Columbus, OH, United States.
Javier PerezVeterinary Associates Equine, Auckland, New Zealand.
David WongDepartment of Clinical Sciences, Iowa State University, Ames, IA, United States.
Nimet BrowneInternal Medicine, Hagyard Equine Medical Institute, Lexington, KY, United States.
Teresa BurnsDepartment of Clinical Sciences, The Ohio State University, Columbus, OH, United States.
Maddie Edwards StevensOklahoma City Equine Clinic, Oklahoma City, OK, United States.
Katarzyna DembekDepartment of Clinical Sciences, North Carolina State University, Raleigh, NC, United States.

Funding

Morris Animal Foundation
6 · The paper itself

Abstract

backgroundHypothalamic-pituitary-adrenal gland axis (HPAA) dysfunction impairs survival and can be diagnosed with an arginine vasopressin (AVP) stimulation test. HYPOTHESIS/

objectivesAdrenocorticotropic hormone (ACTH) and cortisol response to an AVP stimulation test will be attenuated in hospitalized foals compared to healthy foals and associated with severity of disease. ANIMALS: Fifteen healthy and 45 hospitalized foals: 19 septic, 26 sick non-septic (SNS).

methodsA prospective, observational case-control design was utilized to assess HPAA function and compare corticotropin-releasing hormone, ACTH, and cortisol concentrations at 0, 15, 30, 60, and 90 min after administration of AVP (5 IU). Adrenocorticotropic hormone and cortisol fold increase were calculated at 15 and 30 min compared to baseline.

resultsAdrenocorticotropic hormone and cortisol concentrations increased at 15 and 30 min after AVP administration in all groups (P < .05). Adrenocorticotropic hormone concentration was lower in septic (112; 95% CI, 86.3-181.8 pg/mL) and SNS (102; 95% CI, 82.8-150 pg/mL) compared to healthy foals (179; 95% CI, 135.6-275.8 pg/mL) 15 min after AVP administration (P < .05). Fold increase in ACTH was lower in septic (3.3; 95% CI, 2.3-5.6) compared to SNS (3.7; 95% CI, 3.5-6.1) and healthy foals (7; 95% CI, 5.7-9.5; P < .01). Fold increase in cortisol was lower in septic (2; 95% CI, 1.8-8.3) compared to healthy foals (4.3; 95% CI, 2.8-9.4; P < .05). CONCLUSIONS AND CLINICAL IMPORTANCE: Hypothalamic-pituitary-adrenal gland axis dysfunction, evidenced by ACTH and cortisol responses to an AVP stimulation test, appears linked to disease severity and is a complication of illness. An AVP stimulation test might help guide therapy in ill foals.

Indexed as

Arginine VasopressinHorse DiseasesSepsisAdrenocorticotropic HormoneAnimalsCase-Control StudiesCorticotropin-Releasing HormoneFemaleHorsesHydrocortisoneHypothalamo-Hypophyseal SystemMalePituitary-Adrenal SystemProspective StudiesAdrenocorticotropic HormoneArginine VasopressinCorticotropin-Releasing HormoneHydrocortisonecritical illness-related corticosteroid insufficiencyendocrine dysfunctionhypothalamic–pituitary–adrenal axissepsis

Identifiers

PMID42492062
PMCPMC13395086

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.