Vascular Medicine最新文献_第7页

Patient factors associated with activation level in peripheral artery disease. 外周动脉疾病中与激活水平相关的患者因素。

IF 3.3 3区医学

Vascular Medicine Pub Date : 2025-06-01 Epub Date: 2025-03-13 DOI: 10.1177/1358863X251318652

Margaret A Reilly, Megan E Alagna, Cassandra Iroz, Emily Ho, Alexander Lundberg, Andrew W Hoel, Ashley K Vavra, Julie K Johnson, Karen J Ho

{"title":"Patient factors associated with activation level in peripheral artery disease.","authors":"Margaret A Reilly, Megan E Alagna, Cassandra Iroz, Emily Ho, Alexander Lundberg, Andrew W Hoel, Ashley K Vavra, Julie K Johnson, Karen J Ho","doi":"10.1177/1358863X251318652","DOIUrl":"10.1177/1358863X251318652","url":null,"abstract":"Introduction: As a chronic and incurable condition, lower extremity peripheral artery disease (PAD) and its optimal self-management requires patient participation in treatment. Patient activation (knowledge, skills, and confidence to manage one's health) is known to improve chronic disease outcomes. We aimed to identify factors associated with activation in patients with PAD.Methods: In this single-center study, participants with PAD completed a survey assessing demographics, activation, PAD knowledge, and functional health literacy (FHL). The primary outcome, activation, was measured by the Patient Activation Measure (PAM-13). The PAD knowledge score was the percentage of correct responses, and FHL was assessed using the Short Test of Functional Health Literacy in Adults (S-TOFHLA). Bivariable analysis and logistic regression identified factors associated with activation.Results: Of the 91 participants (49.5% women, mean ± SD age: 68.6 ± 11.9 years, 29.7% Black), 72.6% were activated, 78.7% demonstrated adequate FHL, and the mean knowledge score ± SD was 79.1% ± 13.3%. White race (p = 0.025), higher income (p = 0.015), ability to ambulate (p = 0.023), and increased knowledge score (p = 0.002) were associated with activation in bivariable analyses. In a logistic regression model, younger age (p = 0.029), higher income (p = 0.016), and higher knowledge score (p = 0.012) independently correlated with odds of greater activation.Conclusions: Many participants were activated, demonstrated adequate FHL, and scored well on the PAD knowledge test. The remaining 27.5% were inactivated, which was associated with poor PAD knowledge and certain demographic characteristics. Future studies should focus on developing and implementing patient-centric educational interventions for inactivated patients and strategies to increase activation.","PeriodicalId":23604,"journal":{"name":"Vascular Medicine","volume":" ","pages":"283-292"},"PeriodicalIF":3.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143625710","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Images in Vascular Medicine: Branch retinal artery occlusion by Hollenhorst plaque. 血管医学图像：Hollenhorst斑块阻塞视网膜分支动脉。

IF 3 3区医学

Vascular Medicine Pub Date : 2025-06-01 Epub Date: 2025-05-07 DOI: 10.1177/1358863X251327950

Irving A Domínguez-Varela, Samuel Peña-Ortiz, Katherine Massiel Ureña-Tejada, Adrián Escalante-Carcaño, Benito Vergara-Flores, Raul Velez-Montoya

引用次数: 0

Association of cognitive impairment and peripheral artery disease (PAD): A systematic review. 认知障碍与外周动脉疾病（PAD）的关联：一项系统综述。

IF 3 3区医学

Vascular Medicine Pub Date : 2025-05-21 DOI: 10.1177/1358863X251336736

Beth L Cheshire, Sarah J Messeder, Coral J Pepper, Lucy C Beishon, Rob D Sayers, John Sm Houghton

{"title":"Association of cognitive impairment and peripheral artery disease (PAD): A systematic review.","authors":"Beth L Cheshire, Sarah J Messeder, Coral J Pepper, Lucy C Beishon, Rob D Sayers, John Sm Houghton","doi":"10.1177/1358863X251336736","DOIUrl":"https://doi.org/10.1177/1358863X251336736","url":null,"abstract":"This systematic review aimed to describe the association between peripheral artery disease (PAD) and cognitive impairment or dementia. We included studies reporting on the association between PAD (defined by ankle-brachial index ⩽ 0.9) and cognitive function in adult populations. MEDLINE, Embase, CINAHL, PsycINFO, and CENTRAL were systematically searched from inception to January 2025. Study quality was assessed using the Risk of Bias In Nonrandomized Studies of Exposure effects (ROBINS-E) tool. A narrative synthesis was undertaken structured by cognitive outcome and study design. Thirty-eight studies were included in the review (58,586 participants). The results provide evidence that PAD is associated with cognitive impairment. Seventeen (81%) cross-sectional studies and four (67%) longitudinal studies reported associations of PAD with poorer cognitive performance or increased risk of cognitive impairment. Impaired memory and processing speed were most frequently associated with PAD. PAD was also associated with increased dementia risk in cross-sectional (odds ratios = 1.50-2.41) and longitudinal studies (hazard ratios = 1.03-2.40), although proportionally fewer longitudinal studies reported significant association of PAD with dementia. Results suggest increased prevalence of cognitive impairment, independent of cardiovascular risk factors and cerebrovascular disease. Awareness of the prevalence of cognitive impairment and its potential impact on treatment adherence and engagement in a healthy lifestyle is important for clinicians treating patients with PAD. Screening for cognitive impairment in those with PAD may aid early diagnosis and management of cognitive impairment in this high-risk population. Further research is required to determine whether screening for and optimal management of PAD has cognitive benefits. (PROSPERO Registration No.: CRD42023399608).","PeriodicalId":23604,"journal":{"name":"Vascular Medicine","volume":" ","pages":"1358863X251336736"},"PeriodicalIF":3.0,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144112086","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Quantification of arterial calcification in peripheral artery disease and its association with amputation and/or mortality: A systematic review. 外周动脉疾病的动脉钙化量化及其与截肢和/或死亡率的关系：一项系统综述。

IF 3 3区医学

Vascular Medicine Pub Date : 2025-05-14 DOI: 10.1177/1358863X251334572

Jenny Woo, Arash Fereydooni, Janhavi Patel, Anoushka Lakshmi, Sujin Lee, Amber Trickey, Shipra Arya

引用次数: 0

Cumulative impact of procedural and anatomical factors on in-hospital bleeding complications in endovascular therapy for lower-extremity artery disease: A nationwide registry study in Japan. 程序和解剖因素对下肢动脉疾病血管内治疗中院内出血并发症的累积影响：日本一项全国性登记研究

IF 3.3 3区医学

Vascular Medicine Pub Date : 2025-04-01 Epub Date: 2025-02-24 DOI: 10.1177/1358863X251320113

Takuya Nakahashi, Mitsuyoshi Takahara, Osamu Iida, Shun Kohsaka, Yoshimitsu Soga, Kazunori Horie, Kenji Sakata, Masayuki Takamura, Tetsuya Amano, Ken Kozuma

{"title":"Cumulative impact of procedural and anatomical factors on in-hospital bleeding complications in endovascular therapy for lower-extremity artery disease: A nationwide registry study in Japan.","authors":"Takuya Nakahashi, Mitsuyoshi Takahara, Osamu Iida, Shun Kohsaka, Yoshimitsu Soga, Kazunori Horie, Kenji Sakata, Masayuki Takamura, Tetsuya Amano, Ken Kozuma","doi":"10.1177/1358863X251320113","DOIUrl":"10.1177/1358863X251320113","url":null,"abstract":"Background: Although bleeding is a common procedure-related adverse event following endovascular therapy (EVT), limited data exist regarding the procedural and anatomical factors associated with its complications in patients with lower-extremity artery disease (LEAD) undergoing EVT. Methods: Data were extracted from a nationwide Japanese EVT registry of 73,990 patients who underwent EVT for symptomatic LEAD between January 2021 and December 2022. The primary outcome measure was in-hospital bleeding complications, including access site bleeding, nonaccess site bleeding, and hemorrhagic stroke. Results: The mean age of the patients was 75 ± 9 years, and 69% were men. In-hospital bleeding complications were observed in 613 (0.8%) patients. Logistic regression analysis demonstrated significant associations between bleeding complications and the following procedural, anatomical, and pharmacological variables: emergent revascularization (odds ratio [OR]: 1.90, 95% CI: 1.29-2.79), multiple approach sites (OR: 2.46, 95% CI: 2.00-3.01), bilateral arterial calcification (OR: 1.46, 95% CI: 1.19-1.79), chronic occlusion (OR: 1.53, 95% CI: 1.28-1.83), dual antiplatelet therapy (OR: 1.70, 95% CI: 1.27-2.28), and oral anticoagulant (OR: 1.63, 95% CI: 1.31-2.03). The adjusted incidence of in-hospital bleeding was 0.59% (95% CI: 0.51-0.68%) in patients with one of the identified procedural and anatomical risk factors, 0.96% (95% CI: 0.82-1.13%) in patients with two factors, and 2.40% (95% CI: 1.88-3.05%) in patients with three or four factors. Conclusions: Procedural and anatomical factors as well as antithrombotic strategies were significantly associated with an increased risk of in-hospital bleeding in patients with LEAD who underwent EVT.","PeriodicalId":23604,"journal":{"name":"Vascular Medicine","volume":" ","pages":"155-161"},"PeriodicalIF":3.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143483919","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Interaction of anxiety symptoms with peripheral artery disease treatment strategies and health status outcomes. 焦虑症状与外周动脉疾病治疗策略和健康状况结果的相互作用

IF 3 3区医学

Vascular Medicine Pub Date : 2025-04-01 Epub Date: 2025-01-06 DOI: 10.1177/1358863X241306406

Toluwani Odu, Gaëlle Romain, Lindsey Scierka, Jacob Cleman, Santiago Callegari, Francky Jacque, Carlos Mena-Hurtado, Kim G Smolderen

引用次数: 0

Vascular Disease Patient Information Page: Visceral artery aneurysms. 血管疾病患者信息页：内脏动脉瘤。

IF 3 3区医学

Vascular Medicine Pub Date : 2025-04-01 Epub Date: 2025-04-23 DOI: 10.1177/1358863X251326568

Tabitha N Lobo, Alexandra Solomon, Christopher J Abularrage, Elizabeth V Ratchford

引用次数: 0

Association of oxidized LDL with carotid wall layers in hypertensive patients. 氧化LDL与高血压患者颈动脉壁层的关系。

IF 3 3区医学

Vascular Medicine Pub Date : 2025-04-01 Epub Date: 2025-03-03 DOI: 10.1177/1358863X251323516

Saturne Barthold, Eduarda Oz Minin, Luís Frs Carvalho-Romano, Edmilson R Marques, Layde R Paim, Elisangela Cp Lopes, Camila Fl Vegian, José A Pio-Magalhães, José R Matos-Souza, Otavio R Coelho-Filho, Andrei C Sposito, Wilson Nadruz, Roberto Schreiber

引用次数: 0

Images in Vascular Medicine: Severe acrocyanosis with capillaroscopic findings. 血管医学影像：严重肢绀伴毛细血管镜检查。

IF 3 3区医学

Vascular Medicine Pub Date : 2025-04-01 Epub Date: 2025-01-17 DOI: 10.1177/1358863X241309834

Angelo Nigro

引用次数: 0

Images in Vascular Medicine: Naked and clothed right coronary artery in aortic intramural hematoma. 血管医学影像：主动脉壁内血肿的右冠状动脉。

IF 3 3区医学

Vascular Medicine Pub Date : 2025-04-01 Epub Date: 2025-01-06 DOI: 10.1177/1358863X241308208

Hisato Takagi

引用次数: 0