High prevalence of undiagnosed patients with peripheral arterial disease in patients hospitalised for non-vascular disorders

Lacroix, Philippe; Aboyans, Victor; Voronin, D. V.; Guyader, Alexandre Le; Cautres, Michel; Laskar, Marc

doi:10.1111/j.1742-1241.2007.01579.x

Cited by 25 publications

(36 citation statements)

References 28 publications

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“…1,3,16,24,[29][30][31][32] The German getABI study, for example, identified older age, diabetes, hypertension, lipid disorders, coexisting atherothrombotic disease, and previous cerebrovascular or cardiovascular events as risk factors. 29 In the United States NHANES study, black race, smoking, diabetes, hypertension, hypercholesterolemia, and poor kidney function were associated with PAD; 32 and at least one cardiovascular disease risk factor was identified in 95% of patients.…”

Section: Abi But Not Our Prediction Model Is a Useful Diagnostic Tomentioning

confidence: 99%

“…Previous studies, which found lower PAD rates (ϳ30%), were performed in lower risk patients such as patients hospitalized for nonvascular diseases and cardiovascular outpatients followed by general practitioners. 1,24 In the Swiss Atherothrombosis Survey, the occurrence of PAD was assessed in everyday Swiss practice using ABI. The study revealed that 3.7% of patients had symptomatic PAD and an additional 2.7% with undiagnosed PAD.…”

Section: Pad Is Prevalent Amongst Hospitalized High-risk Patientsmentioning

confidence: 99%

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Screening of unrecognized peripheral arterial disease (PAD) using ankle-brachial index in high cardiovascular risk patients free from symptomatic PAD

Mourad

Cacoub

Collet

et al. 2009

Journal of Vascular Surgery

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Section: Abi But Not Our Prediction Model Is a Useful Diagnostic Tomentioning

confidence: 99%

Section: Pad Is Prevalent Amongst Hospitalized High-risk Patientsmentioning

confidence: 99%

Screening of unrecognized peripheral arterial disease (PAD) using ankle-brachial index in high cardiovascular risk patients free from symptomatic PAD

Mourad

Cacoub

Collet

et al. 2009

Journal of Vascular Surgery

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show abstract

“…A 36% prevalence of low ABI has been described when ABI was measured by pulse palpation [12]. Hand held Doppler measurements recently showed a 29 % PAD prevalence [13], similar to that observed among patients hospitalised for acute coronary and cerebrovascular events [14,15], and in those hospitalised for non-vascular causes in a tertiary care hospital [16].…”

Section: Introductionmentioning

confidence: 95%

Accuracy of in-patients ankle-brachial index measurement by medical students

Monti

Calanca

Alatri

et al. 2016

Vasa

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Summary:Background: Ankle brachial index (ABI) is a fi rst line non-invasive screening tool for peripheral arterial disease (PAD) in at risk populations. The need to extend ABI use in large population screening has urged its use by professionals other than vascular physicians. As advocated by the American Heart Association, ABI teaching is part of medical curriculum in several countries. We determine accuracy in ABI measurement by trained medical students compared with an experienced angiologist. Methods: Twelve 6th year medical students underwent 9 days of training at Lausanne University Hospital. Students and an experienced angiologist, blinded to students' results, screened consecutive hospitalised patients aged ≥ 65 or ≥ 50 with at least one cardiovascular risk factor during a 6-week period. Results: A total of 249 patients were screened of whom 59 (23.7 %) met the inclusion criteria. Median age was 80, 45.8 % were women, and 6.8 % were symptomatic. In total, 116 ABIs were available for analysis. Agreement between students and angiologist was moderate with a k-value of 0.498 (95 % confi dence interval: 0.389 -0.606). Overall accuracy and precision of PAD screening performed by students showed sensitivity of 73.2 % and specifi city of 88.0 %. Positive and negative predictive values were 76.9 % and 85.7 %, respectively; positive and negative likelihood ratios were 6.3 and 3, respectively. Conclusions: A nine day training program on ABI measurement is not suffi cient for inexperienced medical students to achieve an acceptable diagnostic accuracy in detecting PAD in at risk populations.

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“…7 In addition, a high prevalence of unrecognized PAD in patients hospitalized for nonvascular diseases has been reported. 8 As atherosclerosis is a systemic process, PAD often coexists with vascular disease in other arterial beds (eg, the coronary or cerebrovascular systems).…”

Section: Exercisementioning

confidence: 99%

The Importance of Conservative Measures in Peripheral Arterial Disease: An Update

et al. 2008

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High prevalence of undiagnosed patients with peripheral arterial disease in patients hospitalised for non-vascular disorders

Abstract: In a tertiary care hospital, the prevalence of unrecognised PAD among patients hospitalised for non-PAD-related causes is high and the preventive CVD therapy rates are low. Hospitalisation is a good opportunity to detect PAD.

Cited by 25 publications

References 28 publications

Screening of unrecognized peripheral arterial disease (PAD) using ankle-brachial index in high cardiovascular risk patients free from symptomatic PAD

Screening of unrecognized peripheral arterial disease (PAD) using ankle-brachial index in high cardiovascular risk patients free from symptomatic PAD

Accuracy of in-patients ankle-brachial index measurement by medical students

The Importance of Conservative Measures in Peripheral Arterial Disease: An Update

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