Dépistage de l’artériopathie oblitérante asymptomatique des membres inférieurs par la mesure de l’index de pression systolique dans la population générale de Saint-Louis (Sénégal)

Pessinaba, S.; Mbaye, A.; Kané, A.; Guene, B. D.; Ndour, Mamour; Niang, Khadim; Jobe, Modou; Cazaubon, M.; Mathieu, J.; Kane, M.; Sow, D.; Diack, B.; Kane, Abdoul

doi:10.1016/j.jmv.2012.05.003

Cited by 9 publications

(12 citation statements)

References 16 publications

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“…Arteriopathy will be assessed by the Leriche and Fontaine classification (palpation of peripheral pulses, systolic pressure index and Doppler echo if available) [ 23 ].…”

Section: Methods and Analysismentioning

confidence: 99%

“…Peripheral arterial disease is responsible for ischemia than can lead to ulcers [ 21 ]. The high prevalence of arteriopathy in diabetic patient can be explained by the frequency of cardiovascular risk factors (advanced age, alcohol, smoking, arterial hypertension, dyslipidaemia, obesity, sedentary lifestyle) [ 23 24 ]. The unfavourable socio-economic level is a factor converging to macrovascular complications of diabetes [ 4 13 ].…”

Section: Research Hypothesismentioning

confidence: 99%

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Factors Associated with Foot Lesions in Diabetic Patients at Saint-Louis Hospital (Senegal): A Case-Control Study Protocol

Ndong

Konta

Tendeng

et al. 2021

International Journal of Surgery Protocols

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Introduction: Diabetes prevalence has increased over the past years. In Senegal, this prevalence is 4% in the general population. However, the region of Saint-Louis (in the north of the country) has the highest rate with 10.4%. The main prognosis problem is the occurrence foot lesions that can lead to lower-limbs amputation. Diabetic foot is a real public health issue, due to its economic burden and its serious repercussions on patients, leading to poor quality of life. The objective of this case-control study is to identify factors associated with foot lesions in diabetic patients. Methods and analysis:It will be a case-control study from January to December 2021. The patients will be recruited from the departments of general surgery, internal medicine, and emergency. An univariate then multivariate analysis (logistic regression) will allow us to select the variables associated with foot lesions in our study population. The parameters included in the logistic regression will be those with a p < 0.20 in the univariate analysis. Finally, a binary logistic regression analysis (with the calculation of Odds Ratios (OR) with confidence intervals (CI)) according to the backward stepwise method will identify the factors independently associated to foot lesions in diabetic patients. Ethics and dissemination:This research protocol will be submitted to the Ethics Committee of our institution for approval. The knowledge of factors causing diabetic foot will help to communicate with policymakers to raise the awareness in our community. Finally, it will help to prevent lower limb amputations. Highlights• Diabetes is the leading cause of non-traumatic lower-limb amputation in the world.• The region of Saint-Louis (Senegal) has the highest prevalence of diabetes.• Controlling factors associated with foot lesions in diabetic patients can prevent from amputation.

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“…Arteriopathy will be assessed by the Leriche and Fontaine classification (palpation of peripheral pulses, systolic pressure index and Doppler echo if available) [ 23 ].…”

Section: Methods and Analysismentioning

confidence: 99%

Section: Research Hypothesismentioning

confidence: 99%

Factors Associated with Foot Lesions in Diabetic Patients at Saint-Louis Hospital (Senegal): A Case-Control Study Protocol

Ndong

Konta

Tendeng

et al. 2021

International Journal of Surgery Protocols

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“…Aucune donnée sur la prise en charge chirurgicale de l'AOMI dans les autres pays en difficulté n'a été retrouvée. Néanmoins, quelques auteurs ont rapporté récemment un résultat du dépistage de l'AOMI au Sénégal et en Afrique centrale [4,5]. La seule différence pouvant être constatée était l'absence de la place importante du tabagisme, comparée à notre série.…”

Section: La Prise En Charge Actuelle De L'aomi à Madagascarunclassified

Peripheral arterial disease of the lower limbs at Antananarivo University Hospital (Madagascar)

Rajaonanahary

Raherinantenaina

Rakotonaivo

et al. 2014

Médecine Et Santé Tropicales

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“…Moreover, nearly two-thirds of the population with PAD has its asymptomatic form [4,5]. The prevalences of asymptomatic PAD in the world vary from 7 to 43%, and it remains very poorly diagnosed in the population in Sub-Saharan Africa, which demonstrates the importance of early systematic screening of the population at risk [8][9][10]. Atherosclerosis is a generalized and chronic process that occurs at the intima of large and medium caliber arteries of all organs and is characterized by the appearance of atheromatous plaques.…”

Section: Introductionmentioning

confidence: 99%

"Evaluation of Asymptomatic Lower Limb Obliterating Arteriopathy and Associated Cardiovascular Risk Factors in the Senegalese Population Using the Systolic Pressure Index Method"

Ba Diop

2023

BJSTR

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Lower limb arterial disease or Peripheral artery disease (PAD) is not mentioned as much as other well-known cardiovascular diseases such as coronary heart disease or accidents cerebral vascular. But PAD nevertheless remains an important indicator of cardiovascular health in general. Unfortunately, many patients with PAD go undiagnosed. Thus, the objective of this study was to determine the prevalence of obliterating arteriopathy of the lower limbs and its associated factors in the Senegalese rural population.Methods: This was a cross-sectional, descriptive, and analytical study carried out between November 6 and 11, 2019 in Widou Thiengoly a rural area of Senegal, in subjects aged 15 and over. The Global Physical Activity Questionnaire was used to determine physical activity practice and sedentary behavior. Systolic pressure index (SPI) was measured as the ratio of ankle blood pressure (BP) to brachial BP (BBP). PAD was defined by an SPI less than 0.9 and mediacalcosis by an SPI greater than 1.3. A sedentary lifestyle was defined by the absence of daily physical activity or physical activity lasting less than 150 minutes per week. As for arterial hypertension, it was defined for a systolic BP ≥ 140mm Hg and/or ≥ 90mm Hg.Results: Subjects had a mean age of 45 ± 15.9 years and 41% were women. Cardiovascular risk factors were high blood pressure (43.3%), pre-obesity and obesity (12.2% and 3.3% respectively), and a sedentary lifestyle (26.7%). Approximately 6.7% of the subjects surveyed had PAD and 7.8% had mediacalcosis. PAD was more common in women 10.8% [95% CI: 1.04-12.75] compared to 3.8% [95% CI: 4.29-24.71] in men. However, mediacalcosis was more noted in men 11.3% compared to 2.7% of women. A statistically significant difference was noted between men and women (p = 0.004).In addition, PAD was more common in those under 50 years of age (22.7%) and in overweight subjects (9.1%). Conclusion:Although it is an integral part of atheromatous diseases, PAD is still underdiagnosed in the Senegalese population. Strategies for prevention and management of risk factors such as hypertension and a sedentary lifestyle must be put in place to reduce its incidence in the population at risk.

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Dépistage de l’artériopathie oblitérante asymptomatique des membres inférieurs par la mesure de l’index de pression systolique dans la population générale de Saint-Louis (Sénégal)

Cited by 9 publications

References 16 publications

Factors Associated with Foot Lesions in Diabetic Patients at Saint-Louis Hospital (Senegal): A Case-Control Study Protocol

Factors Associated with Foot Lesions in Diabetic Patients at Saint-Louis Hospital (Senegal): A Case-Control Study Protocol

Peripheral arterial disease of the lower limbs at Antananarivo University Hospital (Madagascar)

"Evaluation of Asymptomatic Lower Limb Obliterating Arteriopathy and Associated Cardiovascular Risk Factors in the Senegalese Population Using the Systolic Pressure Index Method"

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