Evaluation of an automated anklebrachial pressure index calculator in a nurse-led leg ulcer clinic

Lynn Welsh, Linda Robinson, John Stephenson, Leanne Atkin

Research output: Contribution to journalArticle

1 Citation (Scopus)

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.
Original languageEnglish
Pages (from-to)80-87
Number of pages8
JournalWounds UK
Volume12
Issue number2
Publication statusPublished - Jul 2016

Fingerprint

Leg Ulcer
Reading
Hand
Nurses
Pressure
Ankle Brachial Index
Sphygmomanometers
Equipment and Supplies
Process Assessment (Health Care)
Blood Pressure
Costs and Cost Analysis

Cite this

Welsh, Lynn ; Robinson, Linda ; Stephenson, John ; Atkin, Leanne. / Evaluation of an automated anklebrachial pressure index calculator in a nurse-led leg ulcer clinic. In: Wounds UK. 2016 ; Vol. 12, No. 2. pp. 80-87.
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Evaluation of an automated anklebrachial pressure index calculator in a nurse-led leg ulcer clinic. / Welsh, Lynn; Robinson, Linda; Stephenson, John; Atkin, Leanne.

In: Wounds UK, Vol. 12, No. 2, 07.2016, p. 80-87.

Research output: Contribution to journalArticle

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AU - Robinson, Linda

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