Prevalence of lower extremity Peripheral artery disease among adult diabetes patients in Southwestern Uganda
| Autor: | Christopher C. Moore, Alexander S. Millard, Stephen Asiimwe, Mark J. Siedner, Samson Okello, Laurence Anthony Wilson, Joselyn Rwebembera, Brian H. Annex, Rogers Owori |
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| Jazyk: | angličtina |
| Předmět: |
Male
medicine.medical_specialty Referral Cross-sectional study Blood Pressure Disease Severity of Illness Index Peripheral Arterial Disease Predictive Value of Tests Risk Factors Surveys and Questionnaires Diabetes mellitus Internal medicine Severity of illness Diabetes Mellitus Prevalence medicine Humans Ankle Brachial Index Uganda Aged Glycated Hemoglobin business.industry Middle Aged medicine.disease Lipids Cardiac surgery body regions Cross-Sectional Studies Logistic Models Blood pressure Lower Extremity Predictive value of tests Multivariate Analysis Female business Cardiology and Cardiovascular Medicine Biomarkers Research Article |
| Zdroj: | BMC Cardiovascular Disorders |
| ISSN: | 1471-2261 |
| DOI: | 10.1186/1471-2261-14-75 |
| Popis: | Background Peripheral artery disease (PAD) is a major complication of atherosclerosis. PAD can be diagnosed with low-cost diagnostic techniques and is associated with significant morbidity and mortality. While the major epidemiologic risk factors for PAD have been established in the western world, data from resource-poor countries are limited. We performed a cross-sectional study to determine the prevalence and correlates of PAD among patients with diabetes at Mbarara Referral Hospital in southwestern Uganda. Methods We consecutively enrolled diabetes patients aged 50 years or greater presenting to the outpatient clinic. We collected blood for fasting lipid profile, HIV serology, and glycosylated hemoglobin, measured blood pressure and ankle brachial index, and administered the Edinburgh Claudication Questionnaire (ECQ). We also surveyed patients for other PAD risk factors. We used logistic regression to determine correlates of PAD. Results We enrolled 229 diabetes patients. The median age of 60 years (IQR 55–66), and 146 (63.7%) were female. Fifty five patients (24%) had PAD (ABI of ≤ 0.9). Of these, 48 /55 (87.27%) had mild PAD (ABI 0.71-0.9) while 7/55 (12.73%) had moderate to severe PAD (ABI |
| Databáze: | OpenAIRE |
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