{"title":"在测量用于诊断外周动脉疾病的踝臂指数时,摆动测量装置与动脉多普勒的比较","authors":"","doi":"10.1016/j.medcle.2024.02.008","DOIUrl":null,"url":null,"abstract":"<div><h3>Introduction</h3><p>Peripheral arterial disease<span> is a marker of vascular damage that is diagnosed by measuring the ankle-brachial index. The aim of this study was to determine the validity and agreement of the MESI ABPI-MD and Microlife WatchBP Office-ABI oscillometric devices with respect to the gold standard arterial Doppler.</span></p></div><div><h3>Materials and methods</h3><p>Observational, cross-sectional, descriptive study of inpatients who underwent ABI measurement with the three devices. Values are considered normal between 1–1.4, indeterminate between 0.91–0.99 and pathological ≤0.9 and >1.4.</p></div><div><h3>Results</h3><p>A total of 187 patients (54.4% male) with a mean age of 66 years were included. The Doppler results were inferior to those of the oscillometric devices (median [IQR] 1.1 [0.2] vs. 1.2 [0.2], p < 0.05), with no significant differences between the automated devices (p = 0.29 for the right lower limb and p = 0.342 for the left lower limb). Both devices had high specificity (96.5–99.2%) and low sensitivity (29.5–45.4%). The evaluation of the results was good-moderate for MESI and moderate for Microlife. The agreement between the two was acceptable-moderate.</p></div><div><h3>Conclusion</h3><p>Automated oscillometric devices could be useful in asymptomatic patients as an alternative to arterial Doppler.</p></div>","PeriodicalId":74154,"journal":{"name":"Medicina clinica (English ed.)","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2024-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Oscillometric devices vs. arterial Doppler in measuring the ankle-arm index for the diagnosis of peripheral arterial disease\",\"authors\":\"\",\"doi\":\"10.1016/j.medcle.2024.02.008\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Introduction</h3><p>Peripheral arterial disease<span> is a marker of vascular damage that is diagnosed by measuring the ankle-brachial index. The aim of this study was to determine the validity and agreement of the MESI ABPI-MD and Microlife WatchBP Office-ABI oscillometric devices with respect to the gold standard arterial Doppler.</span></p></div><div><h3>Materials and methods</h3><p>Observational, cross-sectional, descriptive study of inpatients who underwent ABI measurement with the three devices. Values are considered normal between 1–1.4, indeterminate between 0.91–0.99 and pathological ≤0.9 and >1.4.</p></div><div><h3>Results</h3><p>A total of 187 patients (54.4% male) with a mean age of 66 years were included. The Doppler results were inferior to those of the oscillometric devices (median [IQR] 1.1 [0.2] vs. 1.2 [0.2], p < 0.05), with no significant differences between the automated devices (p = 0.29 for the right lower limb and p = 0.342 for the left lower limb). Both devices had high specificity (96.5–99.2%) and low sensitivity (29.5–45.4%). The evaluation of the results was good-moderate for MESI and moderate for Microlife. The agreement between the two was acceptable-moderate.</p></div><div><h3>Conclusion</h3><p>Automated oscillometric devices could be useful in asymptomatic patients as an alternative to arterial Doppler.</p></div>\",\"PeriodicalId\":74154,\"journal\":{\"name\":\"Medicina clinica (English ed.)\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-08-16\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Medicina clinica (English ed.)\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S238702062400305X\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Medicina clinica (English ed.)","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S238702062400305X","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
摘要
导言外周动脉疾病是通过测量踝肱指数来诊断的血管损伤标志。本研究旨在确定 MESI ABPI-MD 和 Microlife WatchBP Office-ABI 示波测量设备与金标准动脉多普勒的有效性和一致性。结果共纳入 187 名患者(54.4% 为男性),平均年龄为 66 岁。多普勒结果不如示波设备(中位数[IQR] 1.1 [0.2] vs. 1.2 [0.2],p <0.05),自动设备之间无显著差异(右下肢 p = 0.29,左下肢 p = 0.342)。两种设备的特异性都很高(96.5%-99.2%),灵敏度较低(29.5%-45.4%)。对结果的评估,MESI 为良好-中等,Microlife 为中等。结论 自动示波测量仪可用于无症状患者,作为动脉多普勒的替代方法。
Oscillometric devices vs. arterial Doppler in measuring the ankle-arm index for the diagnosis of peripheral arterial disease
Introduction
Peripheral arterial disease is a marker of vascular damage that is diagnosed by measuring the ankle-brachial index. The aim of this study was to determine the validity and agreement of the MESI ABPI-MD and Microlife WatchBP Office-ABI oscillometric devices with respect to the gold standard arterial Doppler.
Materials and methods
Observational, cross-sectional, descriptive study of inpatients who underwent ABI measurement with the three devices. Values are considered normal between 1–1.4, indeterminate between 0.91–0.99 and pathological ≤0.9 and >1.4.
Results
A total of 187 patients (54.4% male) with a mean age of 66 years were included. The Doppler results were inferior to those of the oscillometric devices (median [IQR] 1.1 [0.2] vs. 1.2 [0.2], p < 0.05), with no significant differences between the automated devices (p = 0.29 for the right lower limb and p = 0.342 for the left lower limb). Both devices had high specificity (96.5–99.2%) and low sensitivity (29.5–45.4%). The evaluation of the results was good-moderate for MESI and moderate for Microlife. The agreement between the two was acceptable-moderate.
Conclusion
Automated oscillometric devices could be useful in asymptomatic patients as an alternative to arterial Doppler.