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

Year 2019, , 47 - 51, 21.03.2019

Birkan Akbulut

https://doi.org/10.18663/tjcl.500261

Abstract

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.

Keywords

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

Abstract

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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