Use of toe systolic blood pressures and toe brachial pressure indices in people receiving dialysis: A scoping review.

IF 1.5 4区 医学 Q3 NURSING Journal of renal care Pub Date : 2024-12-01 Epub Date: 2024-11-06 DOI:10.1111/jorc.12514
Rachel Carle, Peta E Tehan, Sarah Stewart, Matthew R Carroll
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Abstract

Introduction: Current guidelines for noninvasive lower limb vascular testing specify a preference for toe brachial pressure measurement to aid in the diagnosis of peripheral arterial disease populations with high suspicion of peripheral vessel calcification, such as those with kidney failure with replacement therapy.

Objectives: The aim was to identify the current literature on toe systolic blood pressure and toe brachial pressure index for individuals with kidney failure who are receiving replacement therapy.

Design: A scoping review.

Methods: MEDLINE, CINAHL, AMED and SPORTDiscus were systematically searched between July 15 and July 30, 2023. The scoping review followed the Arksey and O'Malley framework, with data reported according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses extension for scoping reviews.

Results: Sixteen studies were included in the review. There was limited data examining the significance of toe systolic blood pressure and toe brachial pressure index during a dialysis session. There were differences in the normative values for toe brachial pressure index values used in the studies and limited reporting on the measurement protocols used to determine toe systolic blood pressure and toe brachial pressure index.

Conclusion: The review found limited data examining the clinical utility of toe systolic blood pressure and toe brachial pressure index in populations receiving dialysis. The use of toe systolic blood pressure and toe-brachial index to identify peripheral artery disease in this population is important. However, there is limited evidence and conflicting information on measurement protocols, reliability, diagnostic accuracy, and prognostic capacity.

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透析患者脚趾收缩压和脚趾肱动脉压指数的使用:范围综述。
导言:目前的无创下肢血管检测指南规定,应优先测量趾肱压,以帮助诊断高度怀疑外周血管钙化的外周动脉疾病人群,如接受替代疗法的肾衰竭患者:目的:确定目前关于接受替代疗法的肾衰竭患者脚趾收缩压和脚趾肱压指数的文献:设计:范围综述:方法:在 2023 年 7 月 15 日至 7 月 30 日期间系统检索了 MEDLINE、CINAHL、AMED 和 SPORTDiscus。范围界定综述遵循Arksey和O'Malley框架,并根据范围界定综述的《系统综述和元分析首选报告项目》扩展版报告数据:16 项研究被纳入审查范围。研究透析过程中脚趾收缩压和脚趾肱压指数重要性的数据有限。研究中使用的趾肱压指数标准值存在差异,用于确定趾收缩压和趾肱压指数的测量方案的报告也很有限:综述发现,研究透析人群中脚趾收缩压和脚趾肱压指数临床实用性的数据有限。使用脚趾收缩压和脚趾肱动脉压指数来识别该人群的外周动脉疾病非常重要。然而,关于测量方案、可靠性、诊断准确性和预后能力的证据有限,信息相互矛盾。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of renal care
Journal of renal care Nursing-Advanced and Specialized Nursing
CiteScore
3.50
自引率
5.30%
发文量
36
期刊介绍: The Journal of Renal Care (JORC), formally EDTNA/ERCA Journal, is the official publication of the European Dialysis and Transplant Nursing Association/European Renal Care Association (EDTNA/ERCA). The Journal of Renal Care is an international peer-reviewed journal for the multi-professional health care team caring for people with kidney disease and those who research this specialised area of health care. Kidney disease is a chronic illness with four basic treatments: haemodialysis, peritoneal dialysis conservative management and transplantation, which includes emptive transplantation, living donor & cadavaric transplantation. The continuous world-wide increase of people with chronic kidney disease (CKD) means that research and shared knowledge into the causes and treatment is vital to delay the progression of CKD and to improve treatments and the care given. The Journal of Renal Care is an important journal for all health-care professionals working in this and associated conditions, such as diabetes and cardio-vascular disease amongst others. It covers the trajectory of the disease from the first diagnosis to palliative care and includes acute renal injury. The Journal of Renal Care accepts that kidney disease affects not only the patients but also their families and significant others and provides a forum for both the psycho-social and physiological aspects of the disease.
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