Bendermacher et al reported a clinical decision rule for peripheral arterial disease (PAD). This can help to identify a patient who may benefit for further evaluation of peripheral perfusion. The authors are from multiple institutions in The Netherlands.
Patient selection: age >= 55 years with complaints suggestive of intermittent claudication
Parameters:
(1) age in years
(2) sex
(3) smoking behavior
(4) hypertension
(5) hypercholesterolemia
(6) Edinburgh Claudication Questionnaire (ECQ)
Parameter
Finding
Points
age in years
55 to 59 years
0
60 to 64 years
1
65 to 69 years
2
70 to 74 years
3
75 to 79 years
4
80 to 84 years
5
>= 85 years
6
sex
female
0
male
1
smoking behavior
never
0
ever
3
current
8
hypertension
no
0
adequately treated
1
not adequately treated
2
hypercholesterolemia
absent
0
present
1
Edinburgh Claudication Questionnaire
negative
0
positive
3
total score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: 0
• maximum score: 21
Total Score
Percent with Abnormal ABI (< 0.9)
<=3
15%
4
20%
5
26%
6
36%
7
43%
8
51%
9
53%
10
64%
11
65%
12
65%
>= 13
71%
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