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04572nas a22003617a 4500 |
| 003 - CONTROL NUMBER IDENTIFIER |
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OSt |
| 005 - DATE AND TIME OF LATEST TRANSACTION |
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20210506162347.0 |
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| 007 - PHYSICAL DESCRIPTION FIXED FIELD--GENERAL INFORMATION |
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ta |
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171219t2013 sp ||||| |||| 00| 0 spa | |
| 022 ## - INTERNATIONAL STANDARD SERIAL NUMBER |
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| International Standard Serial Number |
1138-7262 |
| 040 ## - CATALOGING SOURCE |
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| Transcribing agency |
Salus Infirmorum |
| 245 00 - TITLE STATEMENT |
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| Title |
Determinación de arteriopatía periférica mediante diferentes métodos en Atención Primaria = |
| Remainder of title |
Determination of peripheral arteriopathy by different methods in Primary Care / |
| Statement of responsibility, etc. |
Rafael Medrano Jiménez, Antonio Vallejo Domingo, Guillem Pera, Isabel Martínez Gallardo, María Isabel Jiménez Sánchez, María Begoña Hernández Berriel |
| 500 ## - GENERAL NOTE |
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| General note |
Este artículo se encuentra disponible en su edición impresa. |
| 504 ## - BIBLIOGRAPHY, ETC. NOTE |
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| Bibliography, etc. note |
Bibliografía: p.11 |
| 520 3# - SUMMARY, ETC. |
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| Summary, etc. |
Objetivos: determinar el grado de acuerdo en la identificación de alteraciones arteriales en pacientes con diabetes mellitus (DM) tipo 2, mediante los signos de palpación de pulsos pedios (PP), isquemia plantar (IP) y repleción venosa capilar (RVC) y el valor de referencia índice tobillo brazo (ITB), así como el valor pronóstico de estos signos y la relación entre RVC y complicaciones microvasculares diabéticas establecidas en población estudiada.<br/><br/>Diseño: estudio descriptivo multicéntrico. Ámbito: 16 centros de Atención Primaria. Población diana 5.524 pacientes con DM2 y muestreo probabilístico de 804 enfermos de ambos sexos, seleccionados mediante llamada telefónica, mayores de 40 años. Se ha descartado la existencia de criterios de exclusión.<br/><br/>Análisis descriptivo en porcentajes. T de Student para variables continuas, ?2 para categóricas. Sensibilidad (S), especificad (E), valor predictivo positivo (VPP) y valor predictivo negativo (VPN).<br/><br/>Resultados: el 58,8% eran hombres; edad media 67,5 años (DE ± 9,76). ITB alterado en 226 (28,1%) (IC 95% 25%-31%); PP alterados 62 (p= < 0,001); S 27,4%; E 89,8%, VPP 51,2%, VPN 76%. RVC alterada 53 (p= < 0,001), S 23,5%; E 90,7%; VPP 49,5%; VPN 75,2%. IP presente 88 (p= 0,035), S 38,9%; E 68.9%; VPP 32,8%; VPN 74,3%. RVC alterada frente a neuropatía: 16 de 36 (p= < 0,001); a nefropatía 19 de 75 (p= 0,001); a retinopatía 15 de 74 (p= 0,064).<br/><br/>Conclusiones: los signos son directamente proporcionales en estenosis e inversamente en calcificaciones. Son necesarios más estudios para asegurar que la RVC alterada representa alteración microvascular. |
| 520 8# - SUMMARY, ETC. |
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| Summary, etc. |
Objectives: to determine the level of agreement in identification of arterial alterations in patients with Type 2 Diabetes Mellitus (DM), through the signs of Pedal Pulse (PP) palpation, Plantar Ischemia (PI) and Venous Capillary Refill (VCR), and the reference value of Ankle-Arm Index (AAI), as well as the prognostic value of these signs and the connection between VCR and diabetic microvascular complications established in the studied population. <br/>Design: multicenter descriptive study. Setting: 16 Primary Care centers. Target population: 5524 patients with DM2, and probabilistic sampling of 804 patients of both genders, over 40-year-old, selected through phone call. The presence of exclusion criteria has been ruled out. <br/>Descriptive analysis in percentages. Student’s t-test for continuous variables, ?2 test for categorical variables. Sensitivity (S), specificity (SP), Positive Predictive Value (PPV) and Negative Predictive Value (NPV). <br/>Results: 58% of the sample were men, median age 67.5 years (DE ± 9,76). Altered AAI in 226 (28.1%) (CI 95% 25%-31%); altered PP in 62 (p= < 0.001); S 27.4%; SP 89,8%, PPV 51,2%, NPV 76%. Altered VCR in 53 (p= < 0.001), S 23.5%; SP 90.7%; PPV 49.5%; NVP 75.2%. PI present in 88 (p= 0.035), S 38.9%; SP 68.9%; PPV 32.8%; NPV 74.3%. Altered VCR vs. neuropathy: 16 of 36 (p= < 0.001); vs. nephropathy: 19 of 75 (p= 0.001); vs. retinopathy 15 of 74 (p= 0.064).<br/>Conclusions: signs are directly proportional to stenosis and inversely proportional in calcifications. More studies are needed in order to ensure that altered VCR represents microvascular alteration. |
| 653 ## - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
diabetes |
| 653 ## - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
arteriopatía periférica |
| 653 ## - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
pulsos pedios |
| 653 ## - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
isquemia plantar |
| 653 ## - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
índice tobillo-brazo |
| 653 ## - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
repleción venosa capilar |
| 653 ## - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
Atención Primaria |
| 653 ## - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
Primary Care |
| 653 ## - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
peripheral arteriopathy |
| 653 ## - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
pedal pulse |
| 653 ## - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
plantar ischemia |
| 653 ## - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
ankle-arm index |
| 653 ## - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
capillary venous refill |
| 773 ## - HOST ITEM ENTRY |
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| Related parts |
-- 2013 (jun), v. 16, n. 5, p. 7-11 |
| Title |
Metas de enfermería. |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) |
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| Source of classification or shelving scheme |
Universal Decimal Classification |
| Koha item type |
Artículo de revista |
