Relationship between Diabetic Duration and the Severity of Peripheral Arterial Disease among Thai Patients with Type-2 Diabetes

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Kessiri Wongkongkam
Orapan Thosingha
Ketsarin Utriyaprasit
Barbara Riegel
Chanean Ruangsetakit
Chukiat Viwatwongkasem


Purpose: Peripheral arterial disease commonly results from thenarrowing of peripheral arteries due to atherosclerosis. Diabetesmellitus is a significant risk factor related to peripheral arterialdisease development. The relationship between diabetic durationand the severity of peripheral arterial disease is needed for healthcare providers as the basic knowledge to assess peripheral arterialdisease in early stageamong type-2 diabetes patients. Thissecondary analysis of a previous research aimed to explore therelationship between diabetic duration and the severity ofperipheral arterial disease among Thai patients with type-2diabetes.

Design: A secondary analysis.

Methods: A sample was collected by a simple random samplingprocedure with inclusion criteria. Four hundred and five patientswith type-2 diabetes were enrolled. Primary data was collectedusing interviewing and measuring an ankle-brachial index.Descriptive statistics and Chi-square test were used for the dataanalysis.

Main findings: Diabetic duration was significantly associatedwith the severity of peripheral arterial disease (p < .05).

Conclusion and recommendations: The suggestion from thisstudy is that patients with type-2 diabetes should be examined forperipheral arterial disease, particularly in those who have type-2diabetes for longer than 10 years. Peripheral pulses palpation,chief complaint interview and an ankle-brachial indexmeasurement are recommended as the screening tools.

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Wongkongkam, K., Thosingha, O., Utriyaprasit, K., Riegel, B., Ruangsetakit, C., & Viwatwongkasem, C. (2011). Relationship between Diabetic Duration and the Severity of Peripheral Arterial Disease among Thai Patients with Type-2 Diabetes. Nursing Science Journal of Thailand, 29(3), 124–132. Retrieved from
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