The reliability of the ankle brachial index: a systematic review

Journal of Foot and Ankle Research
Sarah CaseyVivienne Chuter

Abstract

The ankle brachial index (ABI) is widely used in clinical practice as a non-invasive method to detect the presence and severity of peripheral arterial disease (PAD). Current guidelines suggest that it should be used to monitor potential progression of PAD in affected individuals. As such, it is important that the test is reliable when used for repeated measurements, by the same or different health practitioners. This systematic review aims to examine the literature to evaluate the inter- and intra-rater reliability of the ABI. A systematic search of MEDLINE, EMBASE and CINAHL Complete was conducted to 20 January 2019. Two authors independently reviewed and selected relevant studies and extracted the data. Methodological quality was determined using the Quality Appraisal of Reliability (QAREL) Checklist. Fifteen studies of ABI reliability in a range of patient populations were identified as suitable for inclusion in the review: seven considered inter-rater reliability, four intra-rater reliability, and four studies evaluated both inter- and intra-rater reliability. Inter-rater reliability was found to be highly variable, with intraclass correlation coefficients (ICC's) ranging from poor to excellent (ICC 0.42-1.00), while intra-...Continue Reading

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Citations

May 14, 2020·Journal of Foot and Ankle Research·Sarah Louise CaseyVivienne Helaine Chuter
Nov 20, 2020·Journal of Family Medicine and Primary Care·Elizabeth Pushpa RaniSanthosh Satheesh
Mar 10, 2021·The International Journal of Lower Extremity Wounds·Jialu WuHui Huang
Mar 17, 2021·Der Unfallchirurg·Adrian Matthias VaterRafael Jakubietz

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