The prevalence of asymptomatic and unrecognized peripheral arterial occlusive disease.
The prevalence of peripheral arterial occlusive disease (PAOD), including asymptomatic cases and cases unknown to the general practitioner (GP) was estimated in 18 884 men and women, aged 45-74 years, on the list of 18 general practice centres (GPC).
The study population (n=3171) consisted of a stratified sample of the total population.
In the GPC data were collected on intermittent claudication (IC), peripheral pulses, vascular risk factors, cardio-and cerebrovascular disease (CCVD) and the ankle brachial systolic pressure ratio (AB ratio) and PAOD was defined as an AB ratio<0.95 on two consecutive occasions.
Results were recalculated for the total population.
The prevalence of PAOD was 6.9% (95% confidence interval [CI] : 5.7-8.2%), of which one-third (2.2%) had an AB ratio<0.75.
The prevalence of IC was 6.6% (95% CI : 5.2-7.9%), a quarter of which (1.6%) met the classic WHO criteria.
Peripheral arterial occlusive disease did not occur significantly more often among men than among women but men suffered more often from an advanced stage of PAOD.
Of all PAOD cases, 22% were symptomatic.
The proportion of symptomatic cases correlated positively with higher age, male gender and lower AB ratio.
Among asymptomatic PAOD cases the prevalence of concomitant CCVD was three to four times as high as in the group of subjects without PAOD.
Of all PAOD cases 68% were unknown to the GP and this group mainly represented less advanced cases ...
Mots-clés Pascal : Artériopathie oblitérante, Prévalence, Epidémiologie, Homme, Diagnostic, Médecin généraliste, Asymptomatique, Pays Bas, Europe, Appareil circulatoire pathologie, Vaisseau sanguin pathologie, Artère pathologie
Mots-clés Pascal anglais : Occlusive arterial disease, Prevalence, Epidemiology, Human, Diagnosis, General practitioner, Asymptomatic, Netherlands, Europe, Cardiovascular disease, Vascular disease, Arterial disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0244444
Code Inist : 002B12B03. Création : 199608.