Please use this identifier to cite or link to this item: http://cris.unibe.edu.do/handle/123456789/323
Title: Prevalence of peripheral arterial disease among diabetic patients in Santo Domingo, Dominican Republic and associated risk factors
Autores: González Mejías, Stephanie
Ramphul, K.
Researchers (UNIBE): González Mejías, Stephanie 
Affiliations: Facultad de Ciencias de la Salud 
Research area: Ciencias de la Salud
Keywords: Risk factors; Diabetes; Peripheral arterial disease; Dominican Republic; Santo Domingo
Issue Date: 2018
Publisher: Termedia Publishing House
Source: Archives of Medical Sciences. Atherosclerotic Diseases, 3, e35-e40
Journal: Archives of Medical Sciences. Atherosclerotic Diseases 
Volume: 3
Issue: e35
Start page: e40
Abstract: 
Introduction:
Peripheral arterial disease (PAD) is a major risk factor of coronary artery disease and a major complication of atherosclerosis. Peripheral arterial disease can be diagnosed with simple and low cost techniques. There are major risk factors of PAD that have been studied for different countries. However, no such study has been done for the Dominican Republic. We conducted a cross-sectional study to determine the prevalence of PAD and the risk factors among patients with diabetes in Santo Domingo, Dominican Republic.
Material and methods:
Six hundred randomly chosen patients with previously diagnosed diabetes were enrolled in our study. Their blood pressure and ankle brachial index were calculated and a questionnaire was provided to gather information regarding gender, age, weight, ethnicity, known duration of diabetes along with any history of smoking, hypertension and hyperlipidemia. A physical examination was also done to assess for any active diabetic ulcers, previous foot ulcers and non-traumatic amputation. A microfilament test was conducted to check for peripheral neuropathy.
Results:
Eighty-four diabetic patients were diagnosed with PAD with a prevalence of 14% in Santo Domingo, Dominican Republic. Statistically significant associations (p < 0.05) was found for female gender, presence of active foot ulcers, history of past foot ulcer, non-traumatic amputation, hypertension, hyperlipidemia and peripheral neuropathy. Glycated hemoglobin (HbA1c), age and smoking were not statistically significant in our study.
Conclusions:
Diabetic patients who are either female, have active foot ulcers, a history of past foot ulcer, non-traumatic amputation, hypertension, hyperlipidemia or peripheral neuropathy are more at risk of developing PAD.
URI: http://cris.unibe.edu.do/handle/123456789/323
DOI: 10.5114/amsad.2018.73527
Appears in Collections:Publicaciones de la Facultad de Ciencias de la Salud

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