Título del libro: Working With Vulnerable Populations: A Multicultural Perspective
Título del capítulo: Utility of the Ankle-Brachial Pressure Index in Detecting Peripheral Arterial Disease in Diabetic Foot Patients
ESTRELLA MIRELLA CERVANTES GARCIA;
Autores externos:
Idioma:
Año de publicación:
2024
Palabras clave:
Ankle-brachial Pressure Index; Diabetes; Diabetic foot; Peripheral arterial disease; Ulcers; Wagner?s Classification
Resumen:
This study aimed to show the usefulness of the ankle-brachial pressure index in the regular physical examination of diabetic foot patients and to determine how accurately it identifies vascular complications in these patients. The diabetic foot lesions were classified using Wagner?s scale. The systolic blood pressure of the upper and lower extremities of the diabetic foot patients was measured using a portable vascular Doppler model EdanSD3V and a sphygmomanometer. The ankle-brachial pressure index was determined through the measurements and used to determine the severity of peripheral arterial disease. Antibiotic treatment was implemented according to the results of an antibiogram, and surgical procedures were carried out, such as surgical washing and amputations. Statistical data analysis was performed using the chi-square test, Cramer coefficient V, contingency coefficient C, and discriminant analysis. Thirty cases were analyzed, of which 24 were males and 6 were females. According to Wagner?s scale, 47% of the foot lesions were classified as grade III, while 40% were classified as grade II and 13% were grade IV. The ankle-brachial pressure index interval obtained was 0.5-1.75. The most common surgical procedures were the amputation of one or several toes (48%) and surgical washing (23%). It was found that when patients presented an absence of dyslipidemia, the most common types of procedures carried out were surgical washing and amputation of toes. In contrast, the presence of dyslipidemia was associated with fasciotomy and transmetatarsal amputation procedures. It was found that the ankle-brachial pressure index accurately distinguished between the types of peripheral arterial disease (normal, mild, moderate, severe, and calcification) with 83.3% accuracy. In particular, individuals classified as having normal blood flow, mild vascular problems, or severe ones were classified correctly with 100% accuracy. The ankle-brachial pressure index is an excellent predictor of peripheral arterial disease. It can detect early peripheral arterial disease in the asymptomatic phase and can be a cutoff parameter for considering more aggressive preventive interventions before the existing vascular damage becomes symptomatic. This test can be used to identify patients requiring extra preventive care. © The Author(s), under exclusive license to Springer Nature Switzerland AG 2024.
Entidades citadas de la UNAM:
ISBN:
9783031677106
Editorial:
Springer Nature
