Submit Manuscript  

Article Details


Clinical Utility of the Ankle-Brachial Index and Toe Brachial Index in Patients with Diabetic Foot Ulcers

Author(s):

Mutasem Ababneh, Mousab Yousef Al Ayed, Asirvatham Alwin Robert and Mohamed Abdulaziz Al Dawish   Pages 1 - 7 ( 7 )

Abstract:


This cross sectional study investigated the clinical use of the ankle-brachial index (ABI) and toe brachial index (TBI) in 91 type 2 diabetic foot ulcer patients who visited the diabetic foot clinic, Prince Sultan Military Medical City, Saudi Arabia during July 2017 and January 2018. The ABI and TBI facilitated the detection of peripheral arterial disease (PAD) and the patients’ medical records were used to collect the clinical and demographic variables. The variables of duration (p = 0.047) and treatment (p = 0.046) of the ABI showed significant differences. Age (p = 0.034) and duration (p = 0.001) were the factors related to the diagnosis of TBI by the “χ2” test. From the TBI 26.4% of the patients were found to have PAD, while the ABI showed that 21.8% patients had the condition. However, no statistical significance was noted. From the regression analysis the variable duration of diabetes (≥ 20 years of age) was recognized as an independent risk factor for TBI. In conclusion, it is recommend both the ABI and TBI to be used as screening tests for PAD in diabetic foot ulcer patients.

Keywords:

Ankle-Brachial index, Toe Brachial Index, Foot ulcers, Peripheral Arterial Disease, Diabetes

Affiliation:

Department of Endocrinology and Diabetes, Diabetes Treatment Center, Prince Sultan Military Medical City, Riyadh, Department of Endocrinology and Diabetes, Diabetes Treatment Center, Prince Sultan Military Medical City, Riyadh, Department of Endocrinology and Diabetes, Diabetes Treatment Center, Prince Sultan Military Medical City, Riyadh, Department of Endocrinology and Diabetes, Diabetes Treatment Center, Prince Sultan Military Medical City, Riyadh



Read Full-Text article