Relationship between Diabetic Duration and the Severity of Peripheral Arterial Disease among Thai Patients with Type-2 Diabetes
Purpose: Peripheral arterial disease commonly results from thenarrowing of peripheral arteries due to atherosclerosis. Diabetesmellitus is a significant risk factor related to peripheral arterialdisease development. The relationship between diabetic durationand the severity of peripheral arterial disease is needed for healthcare providers as the basic knowledge to assess peripheral arterialdisease in early stageamong type-2 diabetes patients. Thissecondary analysis of a previous research aimed to explore therelationship between diabetic duration and the severity ofperipheral arterial disease among Thai patients with type-2diabetes.
Design: A secondary analysis.
Methods: A sample was collected by a simple random samplingprocedure with inclusion criteria. Four hundred and five patientswith type-2 diabetes were enrolled. Primary data was collectedusing interviewing and measuring an ankle-brachial index.Descriptive statistics and Chi-square test were used for the dataanalysis.
Main findings: Diabetic duration was significantly associatedwith the severity of peripheral arterial disease (p < .05).
Conclusion and recommendations: The suggestion from thisstudy is that patients with type-2 diabetes should be examined forperipheral arterial disease, particularly in those who have type-2diabetes for longer than 10 years. Peripheral pulses palpation,chief complaint interview and an ankle-brachial indexmeasurement are recommended as the screening tools.
Barthlomew JR, OlinJW. Pathophysiology of peripheral arterial disease and risk factors in its development. Clev Clin J Med. 2006;73(4):S8-S14.
American Diabetes Association. Peripheral arterial disease in people with diabetes. Diabetes Care. 2003;26(12):3333-41.
Rhee SY, Guan H, Liu ZM, Cheng SW-K, Waspadji S, Palmes P, et al. Multi-country study on the prevalence and clinical features of peripheral arterial disease in Asian type 2 diabetes patients at high risk of atherosclerosis. Diabetes Res Clin Pract. 2007;76:82-92.
Aekpalagorn W. Tracing of diabetes among 3 million Thai people. Survey of the Thai public health newsletter 2554;1(4):1-20. Retrieve 11/10/2011 http://www.nheso.or.th
The National Statistical Office of Thailand, Statistics of diabetes mellitus patients [database on the Internet]. 2007 [cited October 3, 2011]. Available from: http://web.
Gregg EW, Sorlie P, Paulose-Ram R, Gu Q, Eberhardt MS, Wolz M, et al. Prevalence of lower-extremity disease in the US adult population > 40 years of age with and
without diabetes: 1999-2000 national health and nutrition examination survey. Diabetes Care. 2004;27:1591-7.
Mutirangura P. Emergency in vascular surgery. Bangkok:Augshonsumpan; 2011. 8. Ross R. The pathogenesis of atherosclerosis: a prospective for 1990’s. Nature. 1993;362:801-9.
Domandy JA, Rutherford RB. TransAtlantic Inter-Society Concensus (TASC). Management of peripheral arterial disease (PAD). J Vasc Surg. 2000;31:S1-296.
Hirsch AT, Haskal ZJ, Hertzer NR, Bakal CW, Creager MA, Halperin JL, et al. ACC/ AHA 2005 Guidelines for management of patients with peripheral arterial disease.
Hanucharurnkul S, Achanaupap S, Plodnaimung P, Promokul P. The effectiveness of educative-supportive
program to improve perceived self-care efficacy and diabetic control in uncontrolled type 2 diabetes mellitus patients. Thai J Nurs. 2002;1:36-53.
Keeratiyutawong P, Thampanichawat W, Melkus GD, Khuwatsamrit K, Youngpradith A. Self-care experiences of Thai patients with type 2 diabetes. Thai J Nurs 2003;7(4):254-65.
Teanchairoj A. Determination of risk factors and prevalence of vascular complications among Thai diabetic patients in five government hospitals. (Thesis). Bangkok,
Thailand: Mahidol University; 2005. 140 p.
Al-Delaimy WK, Merchant AT, Rimm EB, Willett W, Stampfer MJ, Hu FB. Effects of type 2 diabetes and its duration on the risk of peripheral arterial disease among men. Am J Med. 2004;116:236-40.
Leelawattana R, Pratipanawatr T, Bunnag P, Kosachunhanan N, Suwanwalaikorn S, Krittiyawong S, et al. Thailand Diabetes Registry Project: prevalence of vascular complications in long-standing type 2
diabetes. J Med Assoc Thai. 2006;89(Suppl 1):S54-S9.
Beckman JA, Creager MA, Libby P. Diabetes and atherosclerosis epidemiology, pathophysiology, and management. JAMA. 2002;287:2570-81.
Aboyans V, Ho E, Denenberg JO, Ho LA, Natarajan L, Criqui MH. The association between elevated ankle systolic pressures and peripheral arterial occlusive disease in diabetic and nondiabetic subjects. J Vasc
Wongkongkam K, Thosingha O, Utriyaprasit K, Riegel B, Ruangsetakit C, Viwatwongkasem C. Factors influencing the presence of peripheral arterial disease
among patients with type-2 Diabetes. (Dissertation). Bangkok, Mahidol University; 2010. 175 p.
Isaacs B, Akhtar AJ. The set Test: a rapid test of mental function in old people. Age Ageing 1972;1:222-6.
Li J, Hasimu B, Yu J, Wang J, Hu D. Prevalence of peripheral arterial disease and risk factors for low and high ankle-brachial index in Chinese patients with type 2
diabetes. J Health Sci. 2006;52(2):97-102.
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