Clinical Profile of Peripheral Arterial Disease Inpatients at Dr. Soetomo General Hospital Surabaya from 2019-2021

Abstract

Background: As one of the leading causes of vascular morbidity and mortality, peripheral arterial disease (PAD) remains one of the most underdiagnosed and undertreated atherosclerotic diseases. The relatively high prevalence of PAD combined with an aging population, increasing burden of chronic diseases, and poor control of risk factors will contribute to poorer clinical outcomes in the coming decades.Objective: This study aims to identify the clinical profile of PAD inpatients at Dr. Soetomo General Hospital Surabaya in 2019 -2021. Material and methods:This study is a retrospective observational descriptive study using the total sampling technique to acquire data from patients' medical records and arteriography reports diagnosed as PAD, which confirmed by arteriography examination at Dr. Soetomo General Hospital Surabaya during January 2019 -July 2021. Results: Among 74 PAD inpatients included, PAD was more prevalent in men (52.7%) than in women. The most commonly affected age group above the age of 45. Duplex ultrasonography examination reported triphasic waveform was the most commonly found waveform on the left (33.8%) and right (39.2%) lower extremities with the left common femoral artery (55.4%) and right common femoral artery (52.7%) lower as the disease location. Arteriography examination reported complete total occlusion on the left (44.6%) and right (41.9%) lower extremities with femoral artery (51.4%) as the disease location. Critical limb ischemia (70.3%) was the most found clinical presentation among the patients. Antiplatelet agents (93.2%) were the most prescribed pharmacological agent among the patients with PAD. Patients with PAD on average were hospitalized for 6.76 days. Conclusion:This study discovered that the vast majority PAD inpatients were men over the age of 45, with the femoral artery being the most common location for PAD lesion.