Prevalence of Peripheral Arterial Disease among Adult Patients Attending Outpatient Clinic at a General Hospital in South Angola.

Feliciano Chanana Paquissi,Arminda Bimbi Paquissi Cuvinje,Almeida Bailundo Cuvinje

doi:10.1155/2016/2520973

Feliciano Chanana Paquissi, Arminda Bimbi Paquissi Cuvinje + Show 1 more

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https://doi.org/10.1155/2016/2520973

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Abstract

Background. Peripheral arterial disease (PAD) is a common manifestation of atherosclerosis, whose prevalence is increasing worldwide, and is associated with all-cause mortality. However, no study has assessed this disease in Huambo. The aim of this study was to evaluate the prevalence of PAD in patients attending an outpatient clinic at a general hospital in Huambo, South Angola. Methods. A cross-sectional study, including 115 patients aged 40 years and older attending an outpatient service. The evaluation included a basic questionnaire for lifestyle and medical history and ankle-brachial index (ABI) measurement using hand-held Doppler. PAD was defined as an ABI ≤0.9 in either lower limb. Results. Of 115 patients, 62.60% were women with a median age of 52.5 (range of 40 to 91) years. The prevalence of PAD was 42.6% (95% confidence intervals [CI]: 95%: 33.91–52.17%). Among patients with PAD, 95.92% had mild disease and 4.08% moderate to severe disease. The main risk factor for PAD was age (≥60 years) (χ 2 = 3.917, P ≤ 0.05). The prevalence was slightly higher in men and hypertensive subjects, but without statistical significance with ORs of 1.5 (95% CI: 0.69–3.21) and 1.42 (95% CI: 0.64–3.17), respectively. Hypertension was also high in the group (66.95%). Conclusion. The prevalence of PAD was 42.6%, higher in those aged 60 years and older. More studies, with representative samples, are necessary to clarify PAD prevalence and associated risk factors.

Highlights

Peripheral arterial disease (PAD) is an important manifestation of atherosclerosis, which in 2010 was estimated to affect more than 202 million people worldwide [1]
The prevalence of peripheral arterial disease (ABI ≤ 0.9) was 42.6% (n = 49; 95% CI: 33.91–52.17%) (Figure 1); and nobody had an ankle-brachial index (ABI) value >1.3
There was no significant association between PAD and hypertension (OR: 1.42; 95% CI: 0.64–3.17) or male sex (OR: 1.5; 95% CI: 0.69– 3.21) (Table 2 and Figure 1)

Summary

Introduction

Peripheral arterial disease (PAD) is an important manifestation of atherosclerosis, which in 2010 was estimated to affect more than 202 million people worldwide [1]. From 2000 to 2010, the number of people with the disease increased by 28.7% and 13.1% in low- and high-income countries, respectively [1] It affects about 4.3% of Americans aged 40 years and older [2], reaching 12.29% and 29% in those over 60 and 70 years of age, respectively [3, 4]. The main risk factors are advanced age (>65 years), smoking, diabetes, hypertension, and chronic kidney disease [3, 15, 16]. Peripheral arterial disease (PAD) is a common manifestation of atherosclerosis, whose prevalence is increasing worldwide, and is associated with all-cause mortality. A cross-sectional study, including 115 patients aged 40 years and older attending an outpatient service. With representative samples, are necessary to clarify PAD prevalence and associated risk factors

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