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Welsh, Lynne, Robinson, Linda, Stephenson, John and Atkin, Leanne (2016) Evaluation of an automated ankle brachial pressure index calculator in a nurse-led leg ulcer clinic. Wounds UK, 12 (2). pp. 80-87. ISSN 1746-6814
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Abstract
The Dopplex Ability® is a new automated ankle brachial pressure index (ABPI) calculator, the increased use of which the authors are witnessing in clinical practice. Proposed benefits over the traditional hand-held Doppler machine and manual blood pressure (BP) sphygmomanometer include: ease of use, reduced procedure time and reduced time lying flat for patient, which may lead to more cost- effective treatment outcomes. Since it is routine practice in a number of clinical areas for two members of staff to carry out the holistic leg ulcer assessment process, an additional benefit may be the ability of a single member of staff with minimum training to use the Dopplex Ability. An evaluation of the Dopplex Ability was carried out at a busy nurse-led community leg ulcer clinic over a period of 3 months. A total of 22 patients who attended the clinic for Doppler assessment consented to participate. Participants underwent ABPI calculation using both the Dopplex Ability and the hand-held Doppler. Overall 56% of readings were marginally higher with the Dopplex Ability than with the hand-held Doppler; 9% of readings were lower and 34% were equal. ABPI readings from the Dopplex Ability equipment were on average 0.067 higher than corresponding readings taken from hand-held equipment; this difference was statistically significant (p=0.014). Differences between methods were greater in patients who had readings taken by the Dopplex Ability first than in patients who had hand-held readings taken first. The majority of patients found the Dopplex Ability to be tolerable and staff found it easy to use. The Dopplex Ability
was found to be a useful adjuvant to the hand-held Doppler.
| Item Type: | Article |
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| Subjects: | Q Science > Q Science (General) |
| Schools: | School of Human and Health Sciences |
| Related URLs: | |
| Depositing User: | Elizabeth Boulton |
| Date Deposited: | 27 Jun 2016 15:28 |
| Last Modified: | 29 Mar 2018 10:00 |
| URI: | http://eprints.hud.ac.uk/id/eprint/28734 |
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