Simplified and Easy Detection of Arterial Disease in Nursing Homes

  • STATUS
    Recruiting
  • days left to enroll
    80
  • participants needed
    100
  • sponsor
    University Hospital, Angers
Updated on 18 July 2021
arteriopathy
peripheral arterial diseases

Summary

Peripheral artery disease (PAD) affects mainly elderly patients. The ankle brachial index (ABI) and ultrasound imaging are the standard diagnostic tools in PAD diagnostic and severity estimation. Measurements are generally performed by a vascular physician. However, access to medical specialist is becoming increasingly difficult with long waiting times while the aging of the population increases, while most of these patients are seen by the general practitioner.

To date, there is a lot of data in the literature on the value of using various ambulatory devices in the diagnosis and severity estimation of PAD but studied one by one.

The investigators propose to compare the measurements made by a series of simple non-invasive ambulatory tools with the measurements performed by the vascular specialist. The investigators wish to demonstrate that a series of simple and economical tools, available to paramedical health professionals can diagnose PAD and evaluate ts severity the reducing the direct and indirect associated costs.

Description

Patients referred for an arterial vascular investigations of the lower limbs will be included.

After signing the consent, all included patients will be assessed by the examination series, among which ABI measurement and an arterial Doppler ultrasound of the lower limbs +/- transcutaneous oxygen pressure recording in case of suspected critical limb ischemia. Following the visit patients will be classified as have or not PAD and in case of PAD classified for the severity of PAD on the basis of the investigation results.

Blinded to the results of the vascular laboratory test, a technician will:

Measure ABI with an automatic sphygmomanometer.

Examination series:

  1. Skin temperature on the back of the foot with infra-red thermometry
  2. Toe saturometry
  3. ABI with an automatic sphygmomanometry
  4. Skin Recoloration time at the foot

Details
Condition peripheral arterial disease, Peripheral Arterial Disease (PAD)
Treatment simplified tools
Clinical Study IdentifierNCT03362710
SponsorUniversity Hospital, Angers
Last Modified on18 July 2021

Eligibility

Yes No Not Sure

Inclusion Criteria

Patients referred for arterial assessment of the lower limbs as part of a screening or follow-up of PAD
Patients without contraindications for all non-invasive measures
Age superior to 18 years
Affiliated patients of a social security scheme
Patients who have signed informed consent

Exclusion Criteria

Patients protected by law
Patients unable to understand the objectives or instructions of the study
Patients in an exclusion period relative to another biomedical study
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