[PP.08.12] Comparison of the Detection of Peripheral Artery Diseases With an Improved Automated Oscillometric Device and the Standard Doppler Method

Špan, Matjaž; Geršak, Gregor; Meža, Marko; Millasseau, Sandrine; Košir, Andrej

doi:10.1097/01.hjh.0000491784.45789.41

Cited by 4 publications

(10 citation statements)

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“…Of the included papers, seven measured inter-tester reliability [12,[46][47][48][49][50][51], four assessed intra-tester reliability [52][53][54][55], and four considered both inter-and intra-tester reliability [13,16,56,57].…”

Section: Resultsmentioning

confidence: 99%

“…The characteristics of included studies are described in Table 2. Eleven studies reported participants' gender, with more men (n = 416, 56.4%) overall than women, whilst gender was unreported in four studies [12,46,49,50]. Most of the studies included predominantly older participants (age range (41-92 years) [12, 13, 16, 47-49, 51, 53-55, 57], however two studies recruited only younger adults (age range 22-30 years) [46,56], one study included 18-80 year olds [52] and one study did not report participants' ages [50].…”

Section: Characteristics and Overview Of Included Studiesmentioning

confidence: 99%

“…The majority of the studies used Doppler and manual sphygmomanometer to measure systolic blood pressures; [12, 13, 16, 46-49, 51-53, 56] however three studies used an automated device to obtain some or all of the pressure readings [54,55,57] and one study did not report the method used [50]. The reported pre-measurement rest time varied from five minutes [55] to 15 min [48], with seven studies not reporting a period of rest before testing commenced [44,47,49,50,[52][53][54]. The time between repeat testing varied from five minutes [46,56] to 4 weeks [52]; six studies did not report time between repeated measures [12, 49-51, 54, 55].…”

Section: Characteristics and Overview Of Included Studiesmentioning

confidence: 99%

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The reliability of the ankle brachial index: a systematic review

Casey

Oldmeadow²,

Chuter

2019

Journal of Foot and Ankle Research

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Background The ankle brachial index (ABI) is widely used in clinical practice as a non-invasive method to detect the presence and severity of peripheral arterial disease (PAD). Current guidelines suggest that it should be used to monitor potential progression of PAD in affected individuals. As such, it is important that the test is reliable when used for repeated measurements, by the same or different health practitioners. This systematic review aims to examine the literature to evaluate the inter- and intra-rater reliability of the ABI. Methods A systematic search of MEDLINE, EMBASE and CINAHL Complete was conducted to 20 January 2019. Two authors independently reviewed and selected relevant studies and extracted the data. Methodological quality was determined using the Quality Appraisal of Reliability (QAREL) Checklist. Results Fifteen studies of ABI reliability in a range of patient populations were identified as suitable for inclusion in the review: seven considered inter-rater reliability, four intra-rater reliability, and four studies evaluated both inter- and intra-rater reliability. Inter-rater reliability was found to be highly variable, with intraclass correlation coefficients (ICC’s) ranging from poor to excellent (ICC 0.42–1.00), while intra-rater also demonstrated considerable variation, with ICCs from 0.42–0.98. Meta-analysis was not possible due to the lack of statistical information reported. Conclusions Results of included studies suggest the inter- and intra-tester reliability of the ABI is acceptable. However, inconsistencies in obtaining systolic pressure measurements, calculating ABI values, and incomplete reporting of methodologies and statistical analysis make it difficult to determine the validity of the results of included studies. Further research, with more consistent reliability methodology, statistical analysis and reporting conducted in populations at risk of PAD is needed to conclusively determine the ABI reliability.

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Section: Resultsmentioning

confidence: 99%

Section: Characteristics and Overview Of Included Studiesmentioning

confidence: 99%

Section: Characteristics and Overview Of Included Studiesmentioning

confidence: 99%

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The reliability of the ankle brachial index: a systematic review

Casey

Oldmeadow²,

Chuter

2019

Journal of Foot and Ankle Research

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“…Automated oscillometric ABPI devices, such as the MESI device (MESI Ltd., Ljubljana, Slovenia), are diagnostically equivalent to conventional ABPI but may be quicker to use, and are in principle less prone to operator variability. 14,46 However there does not appear to be validation of their use against a reference standard.…”

Section: Discussionmentioning

confidence: 99%

“…However, S&S alone can have a poor diagnostic accuracy. 13 Additionally, the ABPI test is timeconsuming, requires an experienced operator, does not allow measurement of transient state 14 and may produce false negatives in people with falsely elevated ankle pressure due to stiff arteries (e.g. in diabetic, renal and elderly patients).…”

Section: Introductionmentioning

confidence: 99%

Prospective Assessment of the Diagnostic Accuracy of Multi-site Photoplethysmography Pulse Measurements for Diagnosis of Peripheral Artery Disease in Primary Care

et al. 2022

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Peripheral arterial disease (PAD) is associated with cerebral and coronary artery disease. Symptomatic PAD affects about 5% of people over 55 years; many more have asymptomatic PAD. Early detection enables modification of arterial disease risk factors. Diagnostically, assessment of symptoms or signs can be unreliable; ankle brachial pressure index (ABPI) testing is time-consuming and few healthcare professionals are properly trained. This study assessed the diagnostic accuracy of multi-site photoplethysmography (MPPG), an alternative non-invasive test for PAD, in primary care. PAD patients identified from general practice registers were age- and sex-matched with controls. Participants were assessed using MPPG, ABPI and duplex ultrasound (DUS). Outcome measures were sensitivity and specificity of MPPG and ABPI (relative to DUS) and concordance. MPPG test results were available in 249 of 298 eligible participants from 16 practices between May 2015 and November 2016. DUS detected PAD in 101/249 (40.6%). MPPG sensitivity was 79.8% (95% confidence interval [CI] 69.9–87.6%), with specificity 71.9% (95% CI 63.7–79.2%). ABPI sensitivity was 80.2% (95% CI 70.8–87.6%), with specificity 88.6% (95% CI 82–93.5%). With comparable sensitivity to ABPI, MPPG is quick, automated and simpler to do than ABPI; it offers the potential for rapid and accessible PAD assessments in primary care.

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Association between Cardiovascular Health, C-Reactive Protein, and Comorbidities in Spanish Urban-Dwelling Overweight/Obese Hypertensive Patients

Armas-Padrón

Sicilia-Sosvilla

Ruiz-Esteban

et al. 2023

JCDD

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The relationship between poorer cardiovascular health metrics (CVHM) plus low-grade inflammation (LGI) and hypertension-mediated organ damage (HMOD) and hypertension-related comorbidities (HRC) in hypertensive populations with an overweight/obese (Ow/Ob) hypertension-related phenotype is understudied. We examined the relationship between the CVHM score and the presence of LGI and Ow/Ob hypertension-associated phenotype morbidities and mortality in 243 hypertensive patients from an urban primary care center. We recorded the baseline CVHM score plus clinical data, including hs-C-reactive protein (CRP) and prevalent and incident HMOD-HRC and death. A total of 26 (10.7%) had a body mass index (BMI) < 25 kg/m2, 95 (31.1%) were overweight (BMI 25–29.9 kg/m2), and 122 (50.2%) were obese (BMI ≥ 30 kg/m2). There were 264 cases of HMOD-HRC and 9 deaths. Higher hs-CRP levels were observed as BMI increased. Linear regression analysis showed a significant correlation between BMI and hs-CRP, adjusted for confounders. Additionally, individuals with a higher hs-CRP tertile had a significant increase in BMI. Significantly lower log hs-CRP levels were found as the number of ideal CVHM scores rose. Multivariate binary logistic regression found the risk of HMOD-HRC increased significantly as the ideal CVHM scores decreased, and hs-CRP levels also correlated with HMOD-HRC in the whole cohort and in the Ow and Ob subpopulations. These findings highlight the need for early intervention targeting ideal CVHMs among hypertensive individuals with an Ow/Ob phenotype in order to attenuate the inflammatory state and prevent cardiovascular disease.

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[PP.08.12] Comparison of the Detection of Peripheral Artery Diseases With an Improved Automated Oscillometric Device and the Standard Doppler Method

Cited by 4 publications

References 0 publications

The reliability of the ankle brachial index: a systematic review

The reliability of the ankle brachial index: a systematic review

Prospective Assessment of the Diagnostic Accuracy of Multi-site Photoplethysmography Pulse Measurements for Diagnosis of Peripheral Artery Disease in Primary Care

Association between Cardiovascular Health, C-Reactive Protein, and Comorbidities in Spanish Urban-Dwelling Overweight/Obese Hypertensive Patients

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