Mortality of older persons with and without abnormalities in the physical examination of arterial system.
Aging Clin Exp Res
; 34(11): 2897-2904, 2022 Nov.
Article
em En
| MEDLINE
| ID: mdl-35995914
ABSTRACT
BACKGROUND:
Ankle-brachial index (ABI) is a screening tool for peripheral arterial disease (PAD). However, persons with normal ABI may still exhibit abnormalities in the physical examination of arterial system (PHEA).OBJECTIVE:
In older persons from the PolSenior study, we aimed to assess the risk of total mortality associated with abnormalities in PHEA in the context of dichotomised ABI.METHODS:
We used data from the PolSenior survey and matched them with mortality information from the Polish Census Bureau. We obtained sociodemographic, medical history, and lifestyle data. The PHEA by a geriatrician included carotid, femoral, popliteal, posterior tibial and the dorsalis pedis arterial pulses, and auscultation of aorta, carotid, femoral, and renal arteries. Ankle-brachial index was tibial to brachial SBP ratio. We plotted the stratified Kaplan-Meier curves and used Cox's regression to assess the unadjusted and adjusted influence of PHEA result on time to death.RESULTS:
The mean (standard deviation, SD) age of 852 persons (46.7% women) was 74.7 (10.6) years. In the ABI < 0.9 group, the PHEA was not associated with mortality. However, in the ABI ≥ 0.9 group, both in unadjusted and adjusted (RHR; 95% CI 1.08; 1.02-1.16, p = 0.01) Cox regression, PHEA greater by 1 score was associated with mortality. Presence of 4 or more PHEA abnormalities was raising the risk in the ABI ≥ 0.9 group to the level associated with ABI < 0.9.CONCLUSIONS:
In the older persons with normal ABI, the greater number of abnormalities during physical examination of arteries may be indicative of higher risk of death.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Exame Físico
/
Doença Arterial Periférica
Tipo de estudo:
Diagnostic_studies
Limite:
Aged
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Aged80
/
Female
/
Humans
/
Male
Idioma:
En
Ano de publicação:
2022
Tipo de documento:
Article