SEARCHCOHORTcardiology, surgery

cohort·cardiology, surgery, internal medicine, family medicine, geriatrics·PMC10512747

Enhancing Functional Efficiency and Quality of Life through Revascularization Surgery in Peripheral Arterial Disease: A Comparative Analysis of Objective and Subjective Indicators

Medical Science Monitor : International Medical Journal of Experimental and Clinical Research · 4 authors, 3 centres

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TL;DR

Revascularization significantly improved ankle-brachial index, claudication walking distances, pain levels, and quality of life scores.

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This prospective cohort study evaluated 98 patients with advanced PAD (Fontaine IIb) at a single center in Poland before and 3 months after revascularization surgery. Noninvasive assessments included ABI measured by Doppler, treadmill walking distances (PFWD and MCD) using the Gardner-Skinner protocol, pain intensity (NRS11), and quality of life (ICQ). Pain intensity decreased during both PFWD (7.26 vs 6.05, P<0.001) and MCD (9.24 vs 8.11, P<0.001). Patients with longer disease duration achieved smaller improvements.

STUDY TYPE

cohort

SPECIALTY

cardiology

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ORIGINAL PAPER

PMC10512747

Enhancing Functional Efficiency and Quality of Life through Revascularization Surgery in Peripheral Arterial Disease: A Comparative Analysis of Objective and Subjective Indicators

Medical Science Monitor : International Medical Journal of Experimental and Clinical Research

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ABSTRACT

Abstract Background This study aimed to compare the ankle-brachial index (ABI), maximal claudication distance (MCD), pain-free walking distance (PFWD), claudication pain, and quality of life (intermittent claudication questionnaire [ICQ]) before and 3 months after revascularization surgery in 98 patients diagnosed with peripheral arterial disease (PAD) at a single center in Poland. Material/Methods Ninety-eight patients were examined (77% men, 23% women, 65.65±7.27 years old), diagnosed with PAD, and qualified for revascularization. The diagnosis of PAD was made on the basis of ABI ≤0.9 and medical records. The patients underwent a noninvasive examination, including measurement of ABI (by Doppler with the EZ8 probe), assessment of the quality of life by ICQ, distance of intermittent claudication on a treadmill using the Gardner-Skinner protocol (including PFWD and MCD), and pain intensity during walking (numeric rating scale [NRS11]). The assessment was carried out twice: 1 to 5 days before surgery and 3 months after surgery. Results There was an increase of ABI (0.4 vs 0.62, P <0.001), PFWD (26.64 vs 80.21, P <0.001), MCD (60.08 vs 181.85, P <0.001), and ICQ (79.92 vs 60.23, P <0.001) and reduction of PFWD pain (7.26 vs 6.05, P <0.001) and MCD pain (9.24 vs 8.11, P <0.001). Conclusions Revascularization surgery improved the ABI and patients functional efficiency expressed in the improvement of subjective indicators PFWD, MCD, NRS11, and ICQ. Patients who had a longer duration of disease had worse outcomes after revascularization. More attention should be paid to increasing access to preventive examinations aimed at early detection of PAD and the possibility of implementing conservative treatment. Keywords: Angioplasty, Ankle Brachial Index, Peripheral Arterial Disease, Atherosclerosis, Quality of Life

CITATION EXPORT

Anna Nowaczyk, Justyna Cwajda-Białasik, Arkadiusz Jawień et al.. Enhancing Functional Efficiency and Quality of Life through Revascularization Surgery in Peripheral Arterial Disease: A Comparative Analysis of Objective and Subjective Indicators. Medical Science Monitor : International Medical Journal of Experimental and Clinical Research. (2023). https://doi.org/10.12659/MSM.941673

AUTHORS

4 · 3 CENTRES

Anna Nowaczyk, Justyna Cwajda-Białasik, Arkadiusz Jawień, Maria Teresa Szewczyk

1Department of Cardiac Rehabilitation and Health Promotion, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, Bydgoszcz, Poland
2Department of Perioperative Nursing, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, Bydgoszcz, Poland
3Department of Vascular Surgery and Angiology, Antoni Jurasz University Hospital No. 1, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, Bydgoszcz, Poland