PREVALENCE OF PERIPHERAL ARTERIAL DISEASE IN PEOPLE WITH DIABETES MELLITUS: SYSTEMATIC REVIEW AND METHANALYSIS

• Autor(a) principal: Lins, Brenda Sales
• Data de Publicação: 2021
• Outros Autores: Noronha, Juliana Andreia Fernandes, Santos, Sheila Milena Pessoa dos, Ramos, Thaynara Tavares Oliveira, Almeida, Taciana da Costa Farias, Gonçalves, Roberta Lima
• Tipo de documento: Artigo
• Idioma: por; eng
• Título da fonte: Revista Enfermagem Atual In Derme
• DOI: 10.31011/reaid-2021-v.95-n.36-art.1176
• Texto Completo: https://revistaenfermagematual.com/index.php/revista/article/view/1176
• topic: Doença Arterial Periférica; Diabetes mellitus; Prevalência; Índice Tornozelo-Braço; Cuidados de Enfermagem; Peripheral Arterial Disease; Diabetes Mellitus; Prevalence; Ankle Brachial Index; Nursing Care

Objective: To estimate the prevalence of Peripheral Arterial Disease in individuals with Diabetes Mellitus using evidence from the literature. Method: Systematic review and meta-analysis, carried out by two independent researchers, in national and international databases. The review protocol followed PRISMA recommendations and was registered in the International Prospective Register of Systematic Reviews (PROSPERO). Articles published in the last five years were included, and the methodological quality was assessed using the instrument proposed by The Joanna Briggs Institute, which assesses prevalence studies. In the meta-analysis, the random effects model was used, as well as analyzes to investigate heterogeneity. Results: 2594 studies were analyzed, which, after applying the eligibility criteria, totaled 14 articles, all of which performed the ankle-arm index test for the diagnosis of Peripheral Arterial Disease. The total sample consisted of 9335 people, prevalence of 6.30% of PAD, and the heterogeneity of the study was I² = 97%. In the analysis of subgroups, women, people with more than 5 years of diabetes, hypertension and obesity had a higher prevalence of peripheral arterial disease. Conclusion: This study demonstrates that the prevalence of Peripheral Artery Disease among diabetic patients is relevant, especially among women. The ankle-arm index test is widely indicated and useful for the assessment of diabetic patients and early diagnosis of Peripheral Arterial Disease and may contribute to the prevention of wounds and amputation, providing a better quality of life.