The importance of accurate methodology in ABPI calculation when assessing lower limb wounds

British Journal of Community Nursing
P Vowden, Kath Vowden

Abstract

Recent health economic publications have highlighted the cost of wound care and demonstrated the important role played by community and practice nurses in delivering care. Leg ulcers form a significant proportion of the wounds managed in the community. Data indicates that many patients are managed with no specific diagnosis or without calculation of the ankle brachial pressure index (ABPI), despite care guidelines emphasising the importance of a full assessment including Doppler ABPI calculation in patient management. This article highlights the important role Doppler ABPI plays in patient assessment and describes the methodology, focusing on the importance of correct application of the technique if reliable reproducible results are to be obtained. The rationale for obtaining blood pressure readings from both arms is discussed, and the possible error resulting from reliance on single upper limb blood pressure measurement for both manual and automated ABPI calculation is highlighted and its impact on ABPI calculation illustrated.

References

Mar 1, 1996·Journal of Wound Care·K R VowdenP Vowden
Jul 25, 2000·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·N U JeelaniS T MacSweeney
Sep 11, 2003·Journal of Wound Care·K Vowden, P Vowden
Dec 11, 2007·Journal of Wound Care·N SrinivasaiahP J Drew
Oct 24, 2009·Vascular Health and Risk Management·Mo Al-QaisiSam Kaddoura
Nov 20, 2012·Circulation·Victor AboyansUNKNOWN Council on Cardiovascular Radiology and Intervention, and Council on Cardiovascular Surgery and Anesthesia
May 28, 2016·International Wound Journal·Julian F GuestPeter Vowden

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Citations

Jan 10, 2020·British Journal of Nursing : BJN·Aby Mitchell, Scott Elbourne

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