Tehan PE, Barwick AL, Casey SL, Lanting SM, Chuter VH, et al.
The international journal of lower extremity wounds. Date of publication 2020 Sep 1;volume 19(3):215-226.
1. Int J Low Extrem Wounds. 2020 Sep;19(3):215-226. doi:
10.1177/1534734620913705. Epub 2020 May 5.
Accurate Noninvasive Arterial Assessment of the Wounded Lower Limb: A Clinical
Challenge for Wound Practitioners.
Tehan PE(1)(2), Barwick AL(3), Casey SL(1), Lanting SM(1), Chuter VH(1).
Author information:
(1)University of Newcastle, Ourimbah, New South Wales, Australia.
(2)Hunter Medical Research Institute, New Lambton Heights, New South Wales,
Australia.
(3)Southern Cross University, Gold Coast, Queensland, Australia.
Arterial investigations are an essential part of lower extremity wound
assessment. The results of these investigations assist the wound clinician to
determine the etiology of the wound, predict healing capacity, and inform
further management. There are a number of noninvasive testing methods available
to practitioners, all with varying levels of reliability and accuracy. Clinical
wound assessment guidelines give varied recommendations when it comes to lower
limb vascular assessment in the presence of a wound. This leaves clinicians with
little guidance on how to choose the most appropriate test, and uncertainty
remains about which tests provide the most accurate information in different
patient-specific contexts. Conditions such as advanced age, diabetes, and renal
disease are known to affect the accuracy of some commonly used lower limb
arterial assessment methods, and alternate testing methods should be considered
in these cases. This seminal review discusses the reliability and accuracy of
lower limb vascular assessment methods used to guide lower limb arterial
assessment in the presence of wounds.
DOI: 10.1177/1534734620913705
PMID: 32370628 [Indexed for MEDLINE]
