Evaluation of arterial circulation using the ankle/brachial blood pressure index in patients with chronic venous ulcers

Anais Brasileiros de Dermatologia (Impact Factor: 0.72). 03/2006; 81(2):131-135. DOI: 10.1590/S0365-05962006000200003


FUNDAMENTOS: As úlceras venosas dos membros inferiores são freqüentes e têm grande impacto na qualidade de vida e produtividade do indivíduo, além de alto custo para a saúde pública. OBJETIVOS: Detecção de alterações arteriais em pacientes de úlcera venosa crônica dos membros inferiores com emprego de método não invasivo, de modo a discriminar aqueles em que estaria contra-indicado o tratamento compressivo. MÉTODOS: Foram estudados 40 doentes portadores de úlcera venosa crônica, com o intuito de se avaliar a presença de doença arterial periférica pela medida do índice tornozelo/braço por doppler-ultra-som. RESULTADOS: O índice tornozelo/braço mostrou-se alterado (menor que 1) em 9/22 (40,9%) doentes com úlcera venosa crônica e hipertensão arterial concomitante, e apenas em 1/13 (7,7%) doentes de úlcera venosa crônica sem hipertensão arterial. CONCLUSÕES: Doentes de úlcera venosa crônica e hipertensão arterial concomitantes devem ser submetidos rotineiramente à medida do índice tornozelo/braço para detecção de possível insuficiência arterial periférica associada.

10 Reads
  • [Show abstract] [Hide abstract]
    ABSTRACT: Nurses are active participants in caring for people with wounds and use their systematic knowledge to plan care. However, to apply adequate treatment, nurses need efficient tools to assess their patients' conditions. The purpose of this study was to characterize the tissue integrity and perfusion of the lower limbs of patients with venous ulcers based on Nursing Outcomes Classification (NOC) indicators. This cross-sectional, exploratory and descriptive study consisted of questionnaire information and physical examination of 49 patients with venous ulcers monitored in an outpatient clinic in the metropolitan region of Maracanaú. The statistical software package SPSS v. 13.0 was used to store and process data. Female patients were predominant; most were 60 years old or older and most were retirees or pension holders living with their partners. Growth of hair and peripheral edema were the most critical operational indicators. The nursing outcome indicators for tissue integrity and perfusion were shown to be moderately compromised. The variable representing age was shown to be inversely related to tissue integrity. The presence of heart disease was also shown to influence tissue integrity. The diastolic blood pressure variable showed a negative correlation with tissue perfusion. The assessment of tissue integrity and perfusion based on NOC indicators presented as advantages the possibility of examining several characteristics of the skin from the many operational indicators, the adaptation of parameters according to the study's results and the quantification of the compromise of these outcomes.
    Journal of vascular nursing: official publication of the Society for Peripheral Vascular Nursing 03/2010; 28(1):14-20. DOI:10.1016/j.jvn.2009.11.001
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: The aim of this study was to analyze the sociodemographic and clinical characteristics of people with vascular ulcers and to investigate the association between these variables. This cross-sectional, observational clinical study was conducted in outpatient clinics from February to August 2009. Interview, clinical exam, Pressure Ulcer Scale Healing and photographic registry of the wounds were performed. Forty-two individuals participated who were, on average, 60 (± 12) years old, 73.8% males, with single wounds (66.7%) resulting from alterations in venous circulation (90.5%). Their wounds had lasted for up to one year (55.5%). There was an association between the PUSH score (p=0.019) and depth of wound (p=0.027) with currently performing occupational activity, as well as between history of tobacco use and gender (p=0.049). The sociodemographic characteristics that were observed were similar to the others, except for being male, which indicates the need for more studies in the population in Goiânia, Brazil.
    Revista da Escola de Enfermagem da U S P 04/2012; 46(2):302-10. DOI:10.1590/S0080-62342012000200006 · 0.45 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Objective: To assess the impact of health care services and clinical characteristics on the quality of life of patients with venous ulcer. Methods: Cross-sectional study with convenience sampling encompassing 100 patients with venous ulcer. The research was conducted using a structured form composed of sociodemographic and health variables, caregiving characteristics and venous ulcer characteristics, as well as a health-related quality of life instrument. Results: The study showed a low mean for SF-36 domains and pointed out an association between health care characteristics, and functional capacity and pain domains. Clinic characteristics of the wound were associated with the following domains: functional capacity, pain, general health status, vitality, and social aspects. Conclusion: Patients with venous ulcer present impairments in all quality of life domains. The characteristics of both the caregiving service and the wound influenced the quality of life of this group of patients, indicating that a comprehensive and high quality care may contribute towards the improvement of these patients' quality of life.
    Acta Paulista de Enfermagem 01/2013; 26(6):529-534. · 0.30 Impact Factor
Show more

Similar Publications

Preview (2 Sources)

10 Reads
Available from