Sensitivity analysis of Toe Brachial Index vs Ankle Brachial Pulse Index in Peripheral vascular disease.

Abstract

Introduction: The prevalence of Peripheral Vascular Disease is strikingly higher in a younger diabetic population, affecting one in three diabetics older than 50 years Methodology: Diabetic disease cases admitted in B.L.D.E.U’s Shri B. M. Patil Medical College, Hospital & Research Centre / attending surgical OPD during period of Oct 2014 to July 2016. All cases of Diabetes admitted in B.L.D.E.U’s Shri B. M. Patil Medical College, Hospital & Research Centre / attending surgical OPD will be included in the study. Results: In this study, Toe Brachial Index (TBI) was compared with Ankle Brachial Pulse Index (ABPI) to ascertain which one would be a better diagnostic test for the diagnosis of PVD in patients of Diabetes. The study was performed using Hand held Doppler and the results were confirmed using Colour Doppler. Conclusion : Toe Brachial Index is a more Sensitive & Accurate diagnostic modality when compared to Ankle Brachial Pulse Index for the diagnosis of PVD in patients with diabetes and is therefore a better screening tool for the diagnosis of PVD in diabetics.