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Mortality of Older Persons with and Without Abnormalities in the Physical Examination of Arterial System.

Aging Clinical and Experimental Research(2022)

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摘要
Ankle-brachial index (ABI) is a screening tool for peripheral arterial disease (PAD). However, persons with normal ABI may still exhibit abnormalities in the physical examination of arterial system (PHEA). In older persons from the PolSenior study, we aimed to assess the risk of total mortality associated with abnormalities in PHEA in the context of dichotomised ABI. We used data from the PolSenior survey and matched them with mortality information from the Polish Census Bureau. We obtained sociodemographic, medical history, and lifestyle data. The PHEA by a geriatrician included carotid, femoral, popliteal, posterior tibial and the dorsalis pedis arterial pulses, and auscultation of aorta, carotid, femoral, and renal arteries. Ankle-brachial index was tibial to brachial SBP ratio. We plotted the stratified Kaplan–Meier curves and used Cox’s regression to assess the unadjusted and adjusted influence of PHEA result on time to death. The mean (standard deviation, SD) age of 852 persons (46.7
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关键词
Peripheral arterial disease,ABI,Physical examination,Screening
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