Document Detail

Pharmacist detection of peripheral arterial disease through the use of a handheld Doppler.
MedLine Citation:
PMID:  15927897     Owner:  NLM     Status:  MEDLINE    
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.
Kristin Zerumsky; Karen L Steinmetz; Steven M Handler; Eric G Rodriguez
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Pharmacotherapy     Volume:  25     ISSN:  0277-0008     ISO Abbreviation:  Pharmacotherapy     Publication Date:  2005 Jun 
Date Detail:
Created Date:  2005-06-01     Completed Date:  2005-09-27     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8111305     Medline TA:  Pharmacotherapy     Country:  United States    
Other Details:
Languages:  eng     Pagination:  797-802     Citation Subset:  IM    
Department of Pharmacy and Therapeutics, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
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MeSH Terms
Aged, 80 and over
Arteriosclerosis / diagnosis*,  etiology
Community Pharmacy Services*
Middle Aged
Prospective Studies
Referral and Consultation
Risk Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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