Correlation of Ankle Brachial Index (ABI) To The Risk of Diabetic Wound Ondiabetes Mellitus Type 2
Abstract
Diabetes mellitus is a chronic disease caused by inherited and or acquired deficiency inproduction of insulin by the pancreas, or by the ineffectiveness of the insulin produced. Such a deficiency result in increased concetrations of glucosa in the blood, which in turn damage blood vessel. Peripheral arterial disease (PAD) is a complication of diabetes that happens when blood vessels in the legs become blocked or narrowed due to fat deposits. Diabetic patient with PAD have a high risk to get diabetic wound caused high concetrations of blood. Simple test used to document PAD is measure of the ankle brachial index (ABI). ABI compares the systolic blood pressures of the ankle or legs with brachial or arms to give a ratio that can suggest various severity of
PAD. This study aimed to determine the relationship between the ABI and diabetes type 2 patient’s wound risk of type 2 in Santa Maria Hospital Pekanbaru. These study was quantitative research with cross sectional approach with 55 respondents. The study was conducted in April 15 to May 20 2018. The study measured the ABI and anamnese signs and symptoms of PAD. The results of this study showed that there was a relationship between the ABI and wound risk in diabetic type 2 patient in Santa Maria Hospital Pekanbaru (p= 0,000). This study recommended healthcare service do the ABI measurement for diabetes patients to early detection PAD and prevent the diabetic wound.
Keywords: ABI, diabetic type 2, wound risk
References
[1] American Diabetes Association (ADA). (2017). Standards of Medical Care in Diabetes 2017.
[2] Choi dan Jeon SB.(2014). Predictive factors for successful limb salvage surgery in diabetic foot patients, 14:113. Retrieved from http://www.biomedcentral.com/ 1471- %0A2482/14/113.%0A. Diakses 10 Juni 2017.
[3] Gerhard Herman, et.al. (2016). AHA/ACC Guideline on the Management of Patients With Lower Extremity Peripheral Artery Disease: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines.
[4] Journal of the American College of Cardiology, 69(11), 1465–1508. https://doi.org/10. 1016/j.jacc.2016.11.008
[5] Gitarja, W. S. (2008). Perawatan Luka Diabetes. (T. W. Publishing, Ed.) (Seri Peraw). Bogor: WOCARE INDONESIA.
[6] Huang, Y., Ogurtsova, K., Fernandes, R., Cavan, D., Makaroff, L. E., Shaw, J., & Cho, N. H. (2015). IDF Diabetes Atlas Estimates for the Global Diabetes Prevalence of Adults Aged 18 to 99 years, (1671), 1671.
[7] International Diabetes Federation (IDF). (2011). IDF Diabetes Atlas Fifth edition. (online) http://www.idf.org/sites/default/ files/ EN_6E_Atlas_Full_pdf, diakses 30 Oktober 2017.
[8] Kirsner, M. F. (2010). The Standard of Care for Evaluation and Treadment of Diabetic Foot Ulcers.
[9] Osei D, Brechow A, Slesaczeck T, Münch D, Nanning T, Paetzold H, et al. (2013). Improving major amputation rates in the multicomplex diabetic foot patient focus on the severity of peripheral arterial disease;4(3):83-94.
[10] PERKENI. (2015). Pencegahan dan pengelolaan Diabetes Melitus Tipe 2 di Indonesia, (Online) http:labcito.co.id/wpcontent/upload/2015/03/RevisiFinal.pdf. diakses 30 Oktober2017.
[11] Potier, L., Khalil, C. A., Mohammedi, K., & Roussel, R. (2011). Use and Utility of Ankle Brachial Index in Patients with Diabetes. European Journal of Vascular & Endovascular Surgery, 41(1), 110–116. https://doi.org/10.1016/j.ejvs.2010.09.020
[12] Pratomo, I. B. (2014). Gambaran ABI Penderita DM tipe 2 di Puskesmas Kotabumi II Kabupaten Lampung Utara tahun 2014, 1–37.
[13] Rekam Medis. RS Santa Maria 2016. Pekanbaru.
[14] Riset Kesehatan Dasar, (2013). Penelitian & Pengembangan.(online).www.d epkes.go.id. Diakses 10 Agustus 2017.
[15] Standards of Medical Care in Diabetes (2017), American Diabetes Asosiation (ADA). 40( January).
[16] Resnick, H. E., Lindsay, R. S.,Mcdermott, M. M., Devereux, R. B., Jones, K. L., Fabsitz, R. R., & Howard, B. V. (2014). Relationship of High and Low Ankle Brachial Index to AllCause and Cardiovascular Disease Mortality. https://doi.org/10.1161/01. CIR.0000112642.63927.54
[17] Standards of Medical Care in Diabetes (2017), American Diabetes Asosiation (ADA). 40( January).
[18] World Health Organization (WHO). (2016a). Diabetes Magazine is on the Rise 3.7, 1–2. ( Januari 2016)
[19] World Health Organization (WHO). (2016). Global Report on Diabetes. www.who.int. Diakses 1 September 2017.
[20] Yuliani, F., Oenzil, F., & Iryani, D. (2014). Artikel Penelitian Hubungan Berbagai Faktor Risiko Terhadap Kejadian Penyakit Jantung Koroner Pada Penderita Diabetes Melitus Tipe 2, 3(1), 37–40.