Feasibility of performing treadmill walking test for patients with peripheral arterial occlusive disease by the advanced practice nurses

G. Dumas , A. Danjou , C. Richaud , R. Spear , M. Joly , S. Blaise
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Abstract

Aim

The treadmill walking test with post-exercise pressure measurement can be used as a diagnostic test and could classify peripheral arterial disease of the lower limbs. It can also exclude the diagnosis allowing to raise the possibility of differential diagnoses. In this study, we assessed the feasibility of performing treadmill test by advanced practice nurse to assess suspected lower extremity peripheral artery disease patients.

Design and method

This is a longitudinal monocentric study to assess the feasibility of a treadmill walking test performed by an advanced practice nurse. The primary endpoint was the number of tests performed during this period. The secondary objectives were to evaluate the reasons for requesting the test, the main results obtained in terms of the test's contribution and diagnoses, and patients’ clinical characteristics.

Results

From February to May 2023, amongst 31 patients who underwent the treadmill walking test, 4 tests were able to rule out peripheral arterial disease and to detect differential diagnoses. For the remaining 27 patients, 4 had stage IIa of the Leriche classification, 23 had stage IIb, 2 of which were associated with a narrow lumbar spine. In contrast to the usual report, the APN's report on the walking test included an identification of cardiovascular risk factors, as well as a possible medical reorientation linked to the correction of a detected cardiovascular risk factor.

Conclusion

The treadmill walking test can be performed by an advanced practice nurse. He/She added a comprehensive/global patient management, with the detection of cardiovascular risk factors. This new profession led to an increase in the number of tests performed of more than 50% over the period and reduced the time to access the test.

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由高级执业护士为外周动脉闭塞症患者进行跑步机行走测试的可行性
目的通过运动后压力测量进行的跑步机行走测试可用作诊断测试,并可对下肢外周动脉疾病进行分类。它还可以排除诊断,提高鉴别诊断的可能性。在这项研究中,我们评估了由高级执业护士对疑似下肢外周动脉疾病患者进行跑步机测试的可行性。设计和方法这是一项纵向单中心研究,旨在评估由高级执业护士进行跑步机步行测试的可行性。主要终点是在此期间进行的测试次数。结果从 2023 年 2 月到 5 月,在接受跑步机步行测试的 31 名患者中,有 4 人通过测试排除了外周动脉疾病并发现了鉴别诊断结果。其余 27 名患者中,4 人属于勒里切分类法 IIa 期,23 人属于 IIb 期,其中 2 人与腰椎狭窄有关。与通常的报告不同,全科护士的步行测试报告包括对心血管风险因素的识别,以及与纠正检测到的心血管风险因素相关的可能的医疗调整。通过检测心血管风险因素,他/她增加了对病人的综合/全面管理。这一新职业使测试次数在此期间增加了 50%以上,并缩短了测试时间。
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来源期刊
JMV-Journal de Medecine Vasculaire
JMV-Journal de Medecine Vasculaire Medicine-Cardiology and Cardiovascular Medicine
CiteScore
2.40
自引率
0.00%
发文量
184
期刊介绍: The JMV- Journal de Médecine Vasculaire publishes peer-reviewed clinical and research articles, epidemiological studies, review articles, editorials, guidelines. The journal also publishes abstracts of papers presented at the annual sessions of the national congress of French College of Vascular Pathology.
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