Detecting Peripheral Arterial Disease in Primary Care: A Population Based Study / 가정의학회지

ABSTRACT

Background@#Peripheral arterial disease (PAD) can progress silently without any clinical symptoms. Ankle-brachial index (ABI) is the recommended method used in primary care. We aimed to determine the prevalence of PAD and its related risk factors in primary care. @*Methods@#In this cross-sectional study, 250 participants aged ≥45 years were recruited randomly from the registered patients of family health center in a district of Izmir, Turkey. Patients’ demographic data, PAD symptoms, and PAD risk factors were obtained. The PAD group consisted of patients with ABI levels 1.3. @*Results@#The prevalence of PAD was 17.6% (22.5% in women and 11.1% in men), while that of NCA was 15.2% (12.7% in women and 25.0% in men). About 27.3% and 54.5% of patients with PAD did not have claudication and problems with walking distance, respectively. Of the NCA patients, 15.8% had problems with walking distance and 39.5% had claudication. Regression analysis revealed two predictors of PAD (age ≥65 years odds ratio [OR], 3.51; 95% confidence interval [CI], 1.65–7.47; claudication OR, 3.41; 95% CI, 1.58–7.39) and three predictors of NCA (age 200 mg/dL OR, 4.11; 95% CI, 1.58–10.67). @*Conclusion@#PAD had a prevalence of 17.6% and was associated with age ≥65 years and claudication. NCA had a prevalence of 15.2% and was associated with age 200 mg/dL, and male sex.