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Titolo:
The legs for life screening for peripheral vascular disease: Compliance with physician recommendations in moderate- and high-risk assessed patients
Autore:
Savader, SJ; Porter, DJ; Ehrman, KO; Haikal, LC;
Indirizzi:
Methodist Hosp, Dept Radiol, Indianapolis, IN 46022 USA Methodist Hosp Indianapolis IN USA 46022 diol, Indianapolis, IN 46022 USA
Titolo Testata:
JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY
fascicolo: 1, volume: 12, anno: 2001,
pagine: 33 - 37
SICI:
1051-0443(200101)12:1<33:TLFLSF>2.0.ZU;2-5
Fonte:
ISI
Lingua:
ENG
Soggetto:
HOSPITAL DISCHARGE; EMERGENCY;
Keywords:
arteries, extremities; extremities, blood supply; arteries, stenosis or obstruction; arteriosclerosis; legs for life;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
21
Recensione:
Indirizzi per estratti:
Indirizzo: Savader, SJ Methodist Hosp, Dept Radiol, 1701 N Senate Ave, Indianapolis, IN 46022 USA Methodist Hosp 1701 N Senate Ave Indianapolis IN USA 46022 USA
Citazione:
S.J. Savader et al., "The legs for life screening for peripheral vascular disease: Compliance with physician recommendations in moderate- and high-risk assessed patients", J VAS INT R, 12(1), 2001, pp. 33-37

Abstract

PURPOSE: To determine compliance within a community with recommendations made by physicians during the 1999 Legs for Life National Screening for Peripheral Vascular Disease (PVD) and Leg Pain. MATERIALS AND METHODS: Patients were initially screened for PVD by completion of the Legs for Life risk factor questionnaire and determination of bilateral ankle/brachial indexes (ABIs). Each patient subsequently met with aninterventional radiologist or vascular surgeon. Patients with normal ABIs (>1.0 bilaterally) or mildly abnormal ABI(s) (<1.0 but >0.90) were classified at no and low risk for PVD, respectively; patients with ABI(s) of 0.70-0.89 were classified at moderate risk for PVD; and patients with ABI(s) <0.69 were classified at high risk for PVD. Risk factors for PVD were assessed by the consulting physician and discussed with all patients. Recommendations were made for additional evaluation and/or follow-up care, if necessary. Seven months after screening, patients who were assessed at moderate and high risk for PVD were contacted by telephone to determine if they had pursued additional care or testing. RESULTS: A total of 205 patients were screened for PVD, 48 (23%) of whom were determined to be at moderate to high risk. Forty-four (92%) patients were available for follow-up. At 7 months after screening, 31 (70%) patients had received no further medical advice or treatment. Thirteen (30%) of these patients had completed a follow-up appointment, but only three with a physician specializing in peripheral vascular disease. None of the patients had clinical follow-up with an interventional radiologist. Five (11%) patients had undergone noninvasive Doppler evaluation and one (2%) had undergone diagnostic arteriography. No patient had undergone any form of percutaneous or surgical intervention. CONCLUSION: Patient compliance with physician recommendations after outpatient screening for PVD is low. The Legs for Life screening program could beconsidered successful in that it provides far patient education and the identification of moderate to high-risk patients. Physicians participating inthis program may have to modify their approach to patient screening and follow-up if a concomitant goal is to deliver specialty care.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 14/08/20 alle ore 08:19:05