ID-5184 Wonca Abstracts supplement A-K 13-10-23 - Flipbook - Page 184
WONCA 2023 Supplement 1: WONCA 2023 abstracts (A–K)
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Peripheral arterial disease: Screening challenge
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Dr Katarina Dostalova1, Katarina Gazdikova1, Maria Bartusova, Peter Makara2, Maria Belovicova1,
Stefania Moricova
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Slovak Medical University, Bratislava, 2Slovak Society of General Practice
Peripheral arterial disease of the limbs occurs in about 5–10% of the population older than 60 years.
The measurement of the ankle–brachial index (ABI) is a basic diagnostic investigation method in the
diagnosis of peripheral arterial disease (PAO). Determination of ABI is also of great importance in
determining the risk of cardiovascular diseases.
In the observational retrospective study, we compared a set of patients sent to an angiological clinic
with suspicion of PAO in the first half of 2015 and the first half of 2019 (before and after the inclusion
of the ABI test in the preventive examination). In the case of patients, we analysed the speciality of the
referring physician, the patient’s place of residence and clinical findings on the lower limbs. In the risk
profile, we noted body mass index, hyperlipoproteinaemia, diabetes mellitus, arterial hypertension and
smoking.
The group consisted of 151 patients (50.3% women, 49.7% men). In the first half of 2015, 40 patients
with suspected PAO were referred for the first time; in the first half of 2019 there were 111 patients,
which is a statistically significant increase. In 2015, 32.5% of patients were referred by general
practitioners; in 2019 it was 41.4%, which, although not statistically significant, is an increase of 8.9
percentage points. The typical clinical manifestation of PAO – claudication was present in 41.4% of
patients. Patients with claudication had a statistically significantly lower ABI. In 2015, 37.5% were
smokers compared with 63.1% in 2019, which is a statistically significant difference (P = 0.005).
It seems that the introduction of ABI measurement into the preventive check-up at the general
practitioner is beneficial. Higher detection of patients with PAO and subsequent management of
patients with PAO has the potential to significantly contribute to prolonging life, improving quality of life
and avoiding limb amputation.
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