Birinci basamak sağlık hizmetinde ayak bileği brakial indeks ölçümü: Basit, ucuz ama çok değerli bir yöntem

Amaç: Periferik arter hastalığı (PAH) dünyada 30 milyondan fazla insanı etkileyen bir hastalıktır. Ayak Bileği Brakiyal İndeksi (ABI), PAH'ı saptamak için basit bir yöntemdir. Hastalar PAH öntanısı ile vasküler cerrahi bölümüne yönlendirilir, ancak çoğunda teşhis doğrulanamamaktadır. Bu çalışmanın amacı, birinci basamak sağlık hizmetlerinde ABI ölçümünün önemini belirlemektir. Gereç ve Yöntemler: Aralık 2017 – Kasım 2018 tarihlerinde 108 hasta birinci basamak sağlık biriminden bölümümüze yönlendirildi. Tüm hastalar risk faktörleri, ABI ve gerçek tanı ile ilgili olarak retrospektif analiz edildi. Bulgular: 24 hastada (% 22,22) PAH tanısı doğrulanmıştır. PAH ve PAH olmayan hastalardaki ortalama ABI sırasıyla 0,545±0,193 ve 0,996±0,093 idi. Sonuç: Birinci basamak sağlık hizmetlerinde ABI ölçümünün kullanılması, PAH'ın yanlış teşhisini ve bununla ilgili zaman kaybını ve ek maliyetleri önleyecektir.

Anahtar Kelimeler:

Ayak bileği brakial indeksi, birinci basamak sağlık hizmeti, periferik arter hastalığı

Ankle brachial index measurement in first-line health care: A simple and inexpensive but very valuable method

Aim: Peripheral arterial disease (PAD) affects more than 30 million people in the World. Ankle Brachial Index (ABI) is a simple method to detect PAD. Patients are referred to vascular surgery department with prediagnosis of PAD, but many of them are mis-diagnosed. The aim of this study was to determine the importance of ABI in first-line health care. Material and Methods: From December 2017 – November 2018; 108 patients were referred from first-line health care units to our department. Patients were analyzed retrospectively regarding risk factors, ABI and real diagnosis. Results: 24 patients (22,22%) were diagnosed PAD. Mean ABI in PAD and non-PAD patients was 0.545±0.193 and 0.996±0.093, respectively. Conclusion: The use of ABI measurement in first-line health care could avoid the mis-diagnosis of PAD and related loss of time and additional costs.

Keywords:

Ankle brachial index, first-line health care, peripheral arterial disease,

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