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[Peripheral arterial occlusive disease and its care in hemodialysis patients]

Hsing-Wan Chen1, Hsueh-Erh Liu

  • 1Department of Nursing, Chang Gung Institute of technology, School of Nursing, Chang Gung University, ROC.

Hu Li Za Zhi the Journal of Nursing
|April 2, 2011
PubMed

Insights

Peripheral arterial occlusive disease (PAOD) is common in hemodialysis patients, leading to amputations and higher mortality. Combining ankle-brachial index with other simple tests can improve early detection and patient outcomes.

Area of Science:

  • Vascular Medicine
  • Nephrology
  • Cardiovascular Disease

Context:

  • Peripheral arterial occlusive disease (PAOD) is significantly more prevalent in hemodialysis patients compared to the general population.
  • PAOD is a primary cause of amputations and increased cardiovascular mortality in this patient group.
  • Standard screening tools like the ankle-brachial index (ABI) may be unreliable in hemodialysis patients due to vascular calcification.

Purpose:

  • To highlight the high prevalence and severe consequences of PAOD in hemodialysis patients.
  • To discuss the limitations of the ankle-brachial index (ABI) in this population.
  • To advocate for improved screening methods for early PAOD detection.

Summary:

  • Hemodialysis patients exhibit a markedly higher incidence of peripheral arterial occlusive disease (PAOD), contributing to amputations and elevated cardiovascular mortality.
  • The ankle-brachial index (ABI), a common screening tool, may underestimate PAOD in hemodialysis patients due to calcified arteries.
  • Integrating limb oxygen saturation measurements and the Edinburgh Claudication Questionnaire with ABI can enhance screening accuracy.

Impact:

  • Early detection of PAOD through improved screening can lead to timely interventions.
  • Risk factor modification, medical management, and exercise rehabilitation are crucial for improving walking function.
  • Effective PAOD management in hemodialysis patients can reduce hospitalization rates and mortality.

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