STUDY ON ANKLE - BRACHIAL INDEX IN PATIENTS WITH END - STAGE RENAL DISEASE ON HEMODIALYSIS

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Abstract

Objective: To investigate the prevalence, the association of peripheral arterial disease and poorly compressible arteries with some cardiovascular’s risk factors in patients with end - stage renal disease on hemodialysis.

Methods: The cross - sectional descriptive study was conducted in 42 patients with end - stage renal disease on hemodialysis at the Department of Intensive care and Dialysis at the Hospital of Vinh Medical University. Ankle - brachial index (ABI) was assessed by VP - 1000 plus (Omron Healthcare Co., Ltd., Kyoto, Japan). Results: Peripheral artery disease (PAD) and poorly compressible arteries were diagnosed in 26.2% and 19.0% of patients with end - stage renal disease on hemodialysis. We found 57.9 % asymptomatic patients in abnormal ABI group (p = 0.0006). The cadiovascular’s risk factor related to abnormal ABI in this study are diabetes mellitus (OR = 7; p = 0.02; 95%CI: 1.0922 - 34.3472), male gender (OR = 9.35; p = 0.0435; 95% CI: 1.0672 - 82.3563), smoking (OR = 6.1; p = 0.0081; 95%CI: 1.6036 - 23.5008), central obesity ((OR = 21; p = 0.0068; 95%CI: 1.7706 - 144.5859), obesity (OR = 16.8; p= 0.013; 95%CI: 1.4075 - 117.0129) and long - term dialysis (p < 0.05).

Conclusions: Abnormal ankle - brachial index was common in the groups studied. Diabetes mellitus, male gender, smoking, central obesity, obesity and long - term dialysis are significant risk factors for the abnormal ankle - brachial index in patients with end - stage renal disease on hemodialysis.

https://doi.org/10.38103/jcmhch.79.9%20

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Published 05-01-2025
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Issue No. 79 (2022)
Section Original article
DOI 10.38103/jcmhch.79.9
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Pham, C. T., Tran, T. A. T., & Nguyen, V. T. (2025). STUDY ON ANKLE - BRACHIAL INDEX IN PATIENTS WITH END - STAGE RENAL DISEASE ON HEMODIALYSIS. Journal of Clinical Medicine Hue Central Hospital, (79). https://doi.org/10.38103/jcmhch.79.9