Prevalence of Peripheral Arterial Disease in a Cohort of Diabetic Patients

Bembi, Vishwajeet; Singh, Sarabjeet; Singh, Priya; Aneja, G. K.; Arya, Tanuja; Arora, Rohit

doi:10.1097/01.smj.0000221624.68378.5d

Cited by 15 publications

(17 citation statements)

References 21 publications

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“…People with ankle-brachial index (ABI) > 1.30, those with febrile illness within one month of study, and those with casts, ulcers, and other conditions that may cause an increase in levels of hs-CRP or interfere with examination of posterior tibial and dorsalis pedis arteries were excluded from the study. Type 2 diabetes mellitus was diagnosed among people who satisfy the World Health Organization (WHO) criteria for the diagnosis of DM and were treated and/or controlled initially using oral hypoglycaemic agents and were being treated with oral hypoglycaemic agents and/or insulin [ 11 , 12 ].…”

Section: Methodsmentioning

confidence: 99%

Prevalence and Correlates of Peripheral Arterial Disease in Nigerians with Type 2 Diabetes

Soyoye

Ikem

Kolawole

et al. 2016

Advances in Medicine

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Background. Peripheral arterial disease (PAD) is a major risk factor for nonhealing foot ulcers in people with diabetes. A number of traditional risk factors have been reported to be associated with PAD; however, there may be a need to consider nontraditional risk factors especially in some vulnerable populations. This study determined the prevalence and risk factors associated with PAD in diabetics. Methods. One hundred and fifty type 2 diabetics and an equal number of age- and sex-matched apparently healthy controls were studied. Assessment of PAD was made using history, palpation of lower limb vessels, and measurement of ankle-brachial index (ABI). Statistically significant differences between categorical and continuous variables were determined using Chi square (χ 2) and Student t-tests, respectively. Regression analysis was done to determine the associated risk factors for PAD. Results. Prevalence of PAD using ABI was 22.0% and 8.0% among diabetic and nondiabetic populations, respectively. Peripheral arterial disease was associated with age, male gender, waist circumference, and high-sensitivity C-reactive protein. Conclusion. This study highlights the high prevalence of PAD in people with type 2 diabetes mellitus and in apparently healthy controls; age, male gender, abdominal obesity, and high hs-CRP values were the associated risk factors.

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Section: Methodsmentioning

confidence: 99%

Prevalence and Correlates of Peripheral Arterial Disease in Nigerians with Type 2 Diabetes

Soyoye

Ikem

Kolawole

et al. 2016

Advances in Medicine

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“…17 An Indian study done by Bembi V et al reported 24% prevalence of PAD in diabetics. 18 Using ABI to identify PAD, the prevalence of PAD in people with DM over 40 years of age has been estimated to be 20% as reported by Elhadd TA et al 19 This prevalence increases to 29% in patients with DM over 50 years of age. The severity and duration of DM are important predictors of both the incidence and the extent of PAD, as observed in United Kingdom Prospective Diabetes Study, where each 1% increase in glycosylated hemoglobin was correlated with a 28% increase in incidence of PAD, and higher rates of death, microvascular complications and major amputation as reported by Selvin E et al and Jude EB et al 20,21 Dick F et al reported the prevalence of concomitant PAD and DM is especially high in those patients who have critical lower limb ischemia, with more than 50% of patients with critical limb ischemia (CLI) also having DM.…”

Section: Discussionmentioning

confidence: 82%

Prevalence of peripheral artery disease in diabetes mellitus: research article

Tyagi¹,

Gupta²,

Bansal³

et al. 2017

Int J Res Med Sci

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Background: Peripheral artery disease is a major macrovascular complication of diabetes mellitus. Patients with diabetes mellitus have an increased prevalence of PAD. The ankle brachial pressure index is an easy, non invasive and often under utilised tool for diagnosis of PAD.Methods: In the present study, 100 patients from Western Uttar Pradesh with diabetes mellitus were enrolled to find out prevalence of peripheral vascular disease using ankle brachial pressure index and study the associated risk factors.Results: 59 percent of the subjects were female and 41 percent were male. Ankle-brachial index (ABI) examination of patients indicated Abnormal (ABI= <0.9), in 40 cases.Conclusions: it can be concluded that peripheral vascular disease in Diabetes Mellitus is more commonly associated than is generally believed.

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“…Common derangements leading to ulceration in diabetics include PAD, neuropathy, muscular tension, altered foot mechanics, trauma, or a combination of the above. 1,15,[29][30][31] All patients with DFI should undergo pedal perfusion assessment by an ABI, ankle and pedal Doppler arterial waveforms, and either toe brachial index (TBI) or transcutaneous oxygen pressure. 1,15,19 In cases of suspected calcification, TBI is a more reliable measure of ischemia compared with the ABI.…”

Section: Assessment Of Ulcer Etiologymentioning

confidence: 99%

Inpatient Management of Diabetic Foot Infections: A Review of the Guidelines for Hospitalists

Thurber

Kisuule

Humbyrd

et al. 2017

Journal of Hospital Medicine

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Diabetic foot infections (DFIs) are common and represent the leading cause for hospitalization among diabetic complications. Without proper management, DFIs may lead to amputation, which is associated with a decreased quality of life and increased mortality. However, there is currently significant variation in the management of DFIs, and many providers fail to perform critical prevention and assessment measures. In this review, we will provide an overview of the diagnosis, management, and discharge planning of hospitalized patients with DFIs to guide hospitalists in the optimal inpatient care of patients with this condition.

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Prevalence of Peripheral Arterial Disease in a Cohort of Diabetic Patients

Cited by 15 publications

References 21 publications

Prevalence and Correlates of Peripheral Arterial Disease in Nigerians with Type 2 Diabetes

Prevalence and Correlates of Peripheral Arterial Disease in Nigerians with Type 2 Diabetes

Prevalence of peripheral artery disease in diabetes mellitus: research article

Inpatient Management of Diabetic Foot Infections: A Review of the Guidelines for Hospitalists

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