Journal of the American Geriatrics Society · 1993
The relationship between ankle-arm index and mortality in older men and women.
СтатьяПоддержка службы здравоохранения СШАНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Vogt M T, McKenna M, Anderson S J, Wolfson S K, Kuller L H
Аннотация
OBJECTIVE: To determine whether the ankle-arm blood pressure index is a useful predictor of mortality in a large group of patients aged 50 or older.
DESIGN: Cohort study over a 13-year period.
SETTING: Peripheral vascular laboratory in a hospital affiliated with an academic health center.
PARTICIPANTS: 1,027 male and 903 female patients referred for arterial evaluation.
OUTCOME MEASURES: All-cause and cause-specific mortality.
RESULTS: A decrease in ankle-arm index was a strong independent predictor of all-cause mortality [relative risk (RR) for men = 1.8(95% CI 1.5, 1.9); for women = 1.5, (1.2, 2.0)] and atherosclerotic heart disease mortality [RR for men = 2.0 (1.4, 2.9); for women = 2.1 (1.4, 3.1)]. The risk of mortality was inversely proportional to the ankle-arm index. No relationship was found between the index and mortality due to stroke or cancer.
CONCLUSIONS: These results suggest that a decreased ankle-arm index has important prognostic significance for mortality due to atherosclerotic heart disease in older men and women. Measurement of this index may be useful in identifying those at high risk who may benefit from aggressive therapeutic intervention.
DESIGN: Cohort study over a 13-year period.
SETTING: Peripheral vascular laboratory in a hospital affiliated with an academic health center.
PARTICIPANTS: 1,027 male and 903 female patients referred for arterial evaluation.
OUTCOME MEASURES: All-cause and cause-specific mortality.
RESULTS: A decrease in ankle-arm index was a strong independent predictor of all-cause mortality [relative risk (RR) for men = 1.8(95% CI 1.5, 1.9); for women = 1.5, (1.2, 2.0)] and atherosclerotic heart disease mortality [RR for men = 2.0 (1.4, 2.9); for women = 2.1 (1.4, 3.1)]. The risk of mortality was inversely proportional to the ankle-arm index. No relationship was found between the index and mortality due to stroke or cancer.
CONCLUSIONS: These results suggest that a decreased ankle-arm index has important prognostic significance for mortality due to atherosclerotic heart disease in older men and women. Measurement of this index may be useful in identifying those at high risk who may benefit from aggressive therapeutic intervention.
Предметные рубрики MeSH
Actuarial AnalysisAgedAnkleArmArteriosclerosisBlood Pressure DeterminationCase-Control StudiesCause of DeathCohort StudiesCoronary DiseaseFemaleHumansMalePennsylvaniaPeripheral Vascular DiseasesPredictive Value of TestsPrognosisProportional Hazards ModelsRisk FactorsSeverity of Illness IndexSex FactorsSurvival Rate