Open AccessImprovement of quality of life in diabetic patients treated with percutaneous transluminal angioplasty
Author(s) -
Fernando Luis Bernal Páez,
Miguel Alcaraz Baños,
José M. Abad,
Ana Bernal Belmonte,
Gabriel Gijón-Noguerón,
Manuel Pardo Ríos
Publication year - 2018
Publication title -
medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.59
H-Index - 148
eISSN - 1536-5964
pISSN - 0025-7974
DOI - 10.1097/md.0000000000012228
Subject(s) - medicine , percutaneous , quality of life (healthcare) , surgery , ankle , nursing
To assess the quality of life (QoL) of treated patients in order to evaluate the success of peripheral transluminal angioplasty (PTA) and correlate physical parameters with clinical progress at 6 months post-PTA. According to TASC II classifications, 69 patients were selected for PTA. Clinical evaluation and diagnostic tests were performed before, after and after 6 months following PTA. The SF-36 QoL questionnaire was added as an additional parameter. Fifty one patients were included in the study. The ankle-brachial index (ABI) increased from 0.49 ± 0.11 before PTA, to 0.81 ± 0.14 after PTA ( P < .001) and 0.76 ± 0.10 at 6 months following PTA ( P < .001). Transcutaneous oxygen pressure (TcPO 2 ) increased from 28.05 ± 3.15 mm Hg before PTA, to 39.89 ± 4.12 after PTA ( P < .001) and 46.4 ± 3.81 at 6 months following PTA ( P < .001). The lumen of the affected blood vessel increased from 29 ± 18% before PTA, to 81 ± 10.3% after PTA ( P < .001). SF-36 values increased from 29 ± 18 before PTA, to 81 ± 10.36 at 6 months following PTA ( P < .001). The improvement of QoL is the parameter that best describes the symptoms and functionality of the patient, therefore, should be used to determine the successful PTA. Although ABI and TcPO 2 with arteries functionality and tissue oxygenation, they are not show a significant correlation with all parameters determined in the QoL questionnaire.