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Clinical examination of peripheral arterial disease and ankle–brachial index in a nationwide cohort of older subjects: practical implications
- Source :
- Aging Clinical and Experimental Research. 31:1443-1449
- Publication Year :
- 2018
- Publisher :
- Springer Science and Business Media LLC, 2018.
-
Abstract
- Prevalence of peripheral arterial disease increases with age and is related to increased morbidity and mortality. The clinical diagnosis includes the measurement of ankle-brachial index (ABI).To check the prevalence of abnormal ABI, and the value of physical examination of arterial system in detection of ABI 0.9.We performed subgroup analysis of patients included in the PolSenior survey. We measured ABI, performed physical examination of arterial system, assessed laboratory and questionnaire factors related to atherosclerosis. Participants were divided according to ABI strata of 0.9, 0.9-1.4 and 1.4. Clinical score of abnormalities on physical examination was proposed. Using logistic regression, we obtained areas under the curve (AUC).The mean age of 844 participants (53.3% men) was 74.7 (10.6) years. ABI 0.9 was found in 20.3% participants and it was linked to history of myocardial infarction, hypertension and renal failure. In the entire group, 72.4% of subjects declared, that they were able to walk a distance of 200 m without interruption. Higher clinical score was associated with lower ABI. Full physical examination (AUC = 0.67) followed by examination of lower extremities (AUC = 0.65) showed strongest diagnostic value for PAD based on ABI. Neither ABI nor clinical examination was a good predictor of the inability to walk 200 meters without difficulties.Full clinical examination, only moderately, adds to detection of PAD. The ability to walk 200 m is not a good measure of PAD in older subjects.
- Subjects :
- Male
Aging
medicine.medical_specialty
Arterial disease
Myocardial Infarction
Physical examination
Walking
Logistic regression
Cohort Studies
Peripheral Arterial Disease
03 medical and health sciences
0302 clinical medicine
Risk Factors
Surveys and Questionnaires
Internal medicine
Prevalence
Humans
Medicine
Ankle Brachial Index
cardiovascular diseases
030212 general & internal medicine
Myocardial infarction
Physical Examination
Practical implications
Aged
Aged, 80 and over
medicine.diagnostic_test
business.industry
Middle Aged
medicine.disease
Peripheral
body regions
Logistic Models
medicine.anatomical_structure
Lower Extremity
Hypertension
Cohort
Female
Geriatrics and Gerontology
Ankle
business
human activities
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 17208319
- Volume :
- 31
- Database :
- OpenAIRE
- Journal :
- Aging Clinical and Experimental Research
- Accession number :
- edsair.doi.dedup.....7cc957022bcd18c1034e119a0fd8ff6f