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Pharmacotherapy. 2005 Jun;25(6):797-802.

Pharmacist detection of peripheral arterial disease through the use of a handheld Doppler.

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  • 1Department of Pharmacy and Therapeutics, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.

Abstract

STUDY OBJECTIVE:

To evaluate the effectiveness of a program in which pharmacists screened at-risk patients for peripheral arterial disease using a handheld doppler device.

DESIGN:

Prospective study.

SETTING:

Primary care and consultative outpatient clinic.

PATIENTS:

Forty-one physician-referred patients older than 55 years who had no documented history of peripheral arterial disease.

INTERVENTION:

The pharmacists administered the San Diego Claudication Questionnaire and performed doppler examinations to calculate ankle-to-brachial indexes (ABIs). Patients with symptoms of claudication or with an ABI of 0.9 or less were considered to have possible peripheral arterial disease. Each diagnosis was confirmed by a physician. These patients were either referred for further evaluation, provided with immediate treatment, or told to continue their current drug regimen, if appropriate.

MEASUREMENTS AND MAIN RESULTS:

Eight (19.5%) of the 41 patients were diagnosed with peripheral arterial disease. Antiplatelet therapy was started in five patients, and one patient was referred to a vascular specialist.

CONCLUSION:

This pharmacist-initiated program effectively detected peripheral arterial disease in previously unscreened patients.

PMID:
15927897
[PubMed - indexed for MEDLINE]
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