ความชุกของภาวะหลอดเลือดแดงส่วนปลายตีบตันที่ไม่มีอาการ ในผู้เป็นเบาหวานที่มารับบริการ ณ โรงพยาบาลศิริราช
ความชุกของภาวะหลอดเลือดแดงส่วนปลายตีบตันที่ไม่มีอาการ ในผู้เป็นเบาหวานที่มารับบริการ ณ โรงพยาบาลศิริราช
Keywords:
prevalence, diabetes mellitus, asymptomaticperipheral arterial disease, risk factorAbstract
Objective: To study the prevalence of asymptomatic peripheral arterial disease in diabetic patients at Siriraj Hospital.
Study design: A cross-sectional descriptive study
Setting: Siriraj Hospital, Thailand
Subjects: Two hundred and fifty diabetic patients from outpatient diabetes mellitus (DM) clinic between February and April 2014
Methods: Diabetic patients were randomly sampled. All participants were interviewed for background information, co-morbid diseases and current medications. Vascular claudication symptoms were evaluated by using the Edinburgh Claudication Questionnaire. Ankle-brachial index (ABI) and foot protective sensation were also examined and recorded.
Results: Most of the patients were females (57.6 %) with an average age of 61.79 years. Most of them (56%) were diagnosed with diabetes more than 10 years. The majority of the patients (70%) had hypertension as a co-morbid disease and 24% had a history of smoking or current smoking. Forty-three patients (17.2%) had loss protective sensation. The prevalence of peripheral arterial disease (PAD) was 6%. The factor associated with PAD was age 70 years old or older (odds ratio=4.68, 95% CI 1.50-14.68). Furthermore, the prevalence of asymptomatic PAD or atypical symptomatic PAD was 5.2%. The factor associated with asymptomatic or atypical symptomatic PAD was losing protective sensation (odds ratio=14.27, 95% CI 4.15-49.09).
Conclusion: The prevalence of asymptomatic or atypical symptomatic PAD in diabetic patients at the outpatient diabetes mellitus clinic, Siriraj Hospital was 5.2%, and loss of protective sensation was associated with asymptomatic or atypical symptomatic PAD.
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