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Alavi A, Sibbald RG, Nabavizadeh R, Valaei F, Coutts P, Mayer D, et al.
Vascular. Date of publication 2015 Dec 1;volume 23(6):622-9.
1. Vascular. 2015 Dec;23(6):622-9. doi: 10.1177/1708538114568703. Epub 2015 Jan 27. Audible handheld Doppler ultrasound determines reliable and inexpensive exclusion of significant peripheral arterial disease. Alavi A(1), Sibbald RG(2), Nabavizadeh R(3), Valaei F(4), Coutts P(5), Mayer D(6). Author information: (1)Department of Medicine (Dermatology), University of Toronto, Canada afsaneh.alavi@utoronto.ca. (2)Department of Medicine (Dermatology), University of Toronto, Canada Mississauga Wound Clinic, Toronto, Canada. (3)Medical College of Virginia at Virginia Commonwealth University, USA. (4)Virginia Commonwealth University School of Dentistry, USA. (5)Mississauga Wound Clinic, Toronto, Canada. (6)University Hospital of Zurich, Switzerland. Comment in Vascular. 2015 Aug;23(4):445-6. Vascular. 2015 Aug;23(4):444. OBJECTIVE: To determine the accuracy of audible arterial foot signals with an audible handheld Doppler ultrasound for identification of significant peripheral arterial disease as a simple, quick, and readily available bedside screening tool. METHODS: Two hundred consecutive patients referred to an interprofessional wound care clinic underwent audible handheld Doppler ultrasound of both legs. As a control and comparator, a formal bilateral lower leg vascular study including the calculation of Ankle Brachial Pressure Index and toe pressure (TP) was performed at the vascular lab. Diagnostic reliability of audible handheld Doppler ultrasound was calculated versus Ankle Brachial Pressure Index as the gold standard test. RESULTS: A sensitivity of 42.8%, a specificity of 97.5%, negative predictive value of 94.10%, positive predictive value of 65.22%, positive likelihood ratio of 17.52, and negative likelihood ratio of 0.59. The univariable logistic regression model had an area under the curve of 0.78. There was a statistically significant difference at the 5% level between univariable and multivariable area under the curves of the dorsalis pedis and posterior tibial models (p < 0.001). CONCLUSION: Audible handheld Doppler ultrasound proved to be a reliable, simple, rapid, and inexpensive bedside exclusion test of peripheral arterial disease in diabetic and nondiabetic patients. © The Author(s) 2015. DOI: 10.1177/1708538114568703 PMID: 25628222 [Indexed for MEDLINE]
Appears in following Topics:
Compression Therapy
How to Select Adequate Compression Therapy Pressure Levels and Products
Diabetic Foot Ulcer - Introduction and Assessment
How to Interpret Audible Handheld Doppler Ultrasound and Waveforms to Rule out PAD
Arterial Ulcer - Introduction and Assessment
How to Assess a Patient with Chronic Wounds