PMID: 8970490Dec 1, 1996Paper

The diagnostic value of the measurement of the ankle-brachial systolic pressure index in primary health care

Journal of Clinical Epidemiology
H E StoffersJ A Knottnerus

Abstract

We investigated the value of the ankle-brachial systolic pressure index (ABPI) as a test for the diagnosis of peripheral arterial occlusive disease (PAOD) in general practice. ABPI measurements on 231 legs of 117 subjects performed in three general practice centers (GPC) were compared with the diagnostic conclusions of a Vascular Laboratory. The optimum cutoff value for the ABPI, its accuracy and diagnostic value were estimated. In a subpopulation of 51 subjects for whom repeated measurements were available, we checked whether taking the mean of three consecutive ABPIs for test outcome would enhance diagnostic performance. Receiver Operating Characteristic analysis showed that overall performance of the GPC ABPI was good (area under the curve approximately 0.9). Performing repeated ABPI measurements was superior to performing a single measurement. The optimum cutoff value for the ABPI was 0.97, associated with a diagnostic odds ratio (OR) of 17 and an accuracy of 81%. In a somewhat more selected subpopulation, the optimum cutoff value was 0.92 (OR 70, accuracy 90%). On the basis of our results, we suggest the following rule of thumb: if the ABPI < 0.8 or if the mean of three ABPIs < 0.9, it is highly probable that PAOD is prese...Continue Reading

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Citations

Feb 8, 2011·Internal and Emergency Medicine·Claudio CimminielloUNKNOWN PANDORA Study Investigators
May 20, 2011·Hypertension Research : Official Journal of the Japanese Society of Hypertension·Anastasios KolliasGeorge S Stergiou
Jul 11, 2001·Journal of the European Academy of Dermatology and Venereology : JEADV·A K GuptaK A Harris
Mar 30, 2006·Journal of Cardiopulmonary Rehabilitation·Tracie C CollinsBarbara F Sharf
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Oct 7, 2009·Journal of Preventive Medicine and Public Health = Yebang Ŭihakhoe Chi·Hye Yeon KimJung Ae Rhee
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