LABÉO Academy - du laboratoire au diagnostic : lire un bilan sanguin en pratique équine

LABÉO Academy - du laboratoire au diagnostic : lire un bilan sanguin en pratique équine

LABÉO Academy - from the laboratory to diagnosis: reading a blood test in equine practice

🎙 LABÉO Pôle d'analyses et de recherche de Normandie 👥 130 📅 October 14, 2026 ⏱ 32 min 👁 0 📄 expert opinion 🧭 2026-10-14
Available in: English (current) Français

Keywords

equineblood testsreference intervalsinflammatory markerspre-analytical errors

Summary

This webinar, part of the LABÉO Academy series, presents a comprehensive practical guide to interpreting equine blood tests. The presenter emphasizes that blood tests must always be interpreted in conjunction with clinical examination and considers the horse’s age, exercise, stress, and hydration. Pre-analytical factors such as anticoagulant contamination, sample storage time and temperature, and hemolysis are highlighted, citing studies that show how these can create false results like pseudo-hypocalcemia or pseudo-neutropenia. The concept of reference change value (RCV) is introduced as a tool to detect significant changes within an individual, beyond static reference intervals. The webinar then systematically reviews the complete blood count, including red cells, platelets, and leukocytes, discussing pitfalls such as splenic contraction and platelet clumping. The protein profile is analyzed with attention to albumin/globulin ratio, and the importance of inflammatory markers like fibrinogen and serum amyloid A (SAA) is stressed, with a review of studies comparing their sensitivity and specificity. Muscle enzymes (CK and AST) are explained, differentiating acute and chronic muscle damage and the possibility of PSSM. Liver enzymes (AST, PAL, GGT) are covered, including specific patterns and the value of GLDH and bile acids for confirmation. Renal parameters (urea, creatinine) are briefly discussed, noting that even slight creatinine rises may signal early renal issues. The presenter concludes with practical advice on expanding the liver panel and performing epidemiological investigations when multiple horses are affected.

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Critical Evaluation

Value of the Information & Strength of the Argument

The information provided is highly valuable for practicing veterinarians, offering evidence-based strategies to avoid common interpretive errors. The argumentation is solid, consistently backed by cited studies, and the presenter explains the rationale behind each recommendation. The emphasis on RCV and the importance of comparing a horse to its own baseline is particularly compelling, as it addresses limitations of population-based reference intervals. The discussion of inflammatory markers is well-structured, with sensitivity/specificity data from multiple studies, allowing clinicians to choose appropriate tests. The distinction between acute and chronic enzyme elevations and the practical pitfalls of sample handling are clearly argued, making the webinar both educational and directly applicable.

Scientific Rigor, Source Quality, Title Accuracy

The scientific rigor is high: the presenter cites and interprets numerous peer-reviewed studies (e.g., Newman 2020, Parle 2025, W. et al. 2019, Fernandez 2025, Borgéal 2007, Hebberg & Hall 2014, de Cause Aréal 2020, Daniel et al. 2016). Each claim is contextualized within the broader literature, and limitations of each study are acknowledged. The quality of sources is excellent, with a clear distinction between primary research and reviews. The title accurately reflects the content, which focuses on the entire process from sample collection to diagnostic interpretation. The webinar does not wander off-topic and maintains a practical, clinically relevant focus throughout. No aspects of the title are misleading or inadequately covered.

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Title / Content Match

The title accurately reflects the content: a practical guide covering the interpretation of equine blood tests from sample handling to clinical integration, with a strong emphasis on the diagnostic process.

Quality & Reliability

9/10

The webinar is grounded in multiple peer-reviewed studies and practical experience, emphasizing pre-analytical errors and evidence-based interpretation. The presenter systematically cites specific research findings and contrasts them with practical caveats, demonstrating high reliability.

Key Moments

Cited Sources

  • Newman et al., 2020 - Veterinary Clinics of North America: Equine Practice — Discusses errors from anticoagulant (EDTA) contamination in blood samples causing false hypocalcemia and hyperkalemia.
  • Parle et al., 2025 - Veterinary Journal — Study on blood storage over 5 days at different temperatures, showing morphological changes in leukocytes and impact on CBC results.
  • W. et al., 2019 - Veterinary Journal — Longitudinal study calculating reference change values (RCV) for various parameters in healthy horses.
  • Fernandez et al., 2025 - Veterinary Journal — Review arguing that reference limits should not be treated as absolute boundaries, emphasizing calculation of changes between tests.
  • Borgéal et al., 2007 - Study on iron and fibrinogen in inflammation — Compared iron and fibrinogen for detecting systemic inflammation, with sensitivities of 90% and 82% respectively.
  • Hebberg & Hall, 2014 - Study on inflammatory markers — Compared SAA, fibrinogen, and iron sensitivity and specificity; SAA had 82% sensitivity, fibrinogen 37%, iron 40%.
  • de Cause Aréal et al., 2020 - Study on post-colic surgery monitoring — Followed 300 horses after colic surgery; SAA differentiated complications from day 1, fibrinogen from day 3.
  • Daniel et al., 2016 - Perioperative study — Found SAA more sensitive than fibrinogen for detecting inflammation after emergency abdominal surgery; repeated doses valuable.
  • 2003 review on inflammatory marker kinetics — Summarizes complementary kinetics of leukocytes, iron, SAA, and fibrinogen in equine inflammation.

Contribution & Novelties

The webinar provides a comprehensive, evidence-based practical framework for interpreting equine blood tests, emphasizing the critical role of pre-analytical variables and the concept of reference change values. It synthesizes recent literature on inflammatory markers (SAA, fibrinogen) and offers a structured approach to common diagnostic challenges, moving beyond generic reference intervals toward individualized patient-based monitoring.

Pour aller plus loin :

  • Reference Change Value — Explains the statistical concept used to detect significant changes in serial measurements; central to the webinar’s argument for individual monitoring.
  • Serum Amyloid A — Acute-phase protein discussed as a sensitive marker of inflammation in horses; key to early detection.
  • Complete Blood Count — Provides background on the parameters reviewed in the webinar (red cells, white cells, platelets) and their interpretation.

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Radar Profile

The radar profile shows high scores in information quality, technical level, and reliability, with slightly lower quantitative density. This indicates a specialized, expert-led presentation that prioritizes depth of understanding and practical application over sheer volume of facts, suitable for veterinary professionals.

Reliability 8/10