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Table 3 Vascular assessment prompts and equipment

From: Lower limb vascular assessment techniques of podiatrists in the United Kingdom: a national survey

Reasons/indicators to perform a vascular assessment Symptoms of claudication 274 (89.3%)
Rest pain 264 (86.0%)
Diabetes 262 (85.3%)
Active wound 261 (84.7%)
New patient assessment 252 (82.1%)
History of poor healing 249 (81.1%)
Assessment for nail surgery eligibility 221 (71.7%)
Discolouration of skin 210 (68.4%)
Cold feet 205 (66.8%)
Referral request 183 (59.6%)
Night cramps 183 (59.6%)
Raynaud’s phenomena 176 (57.3%)
History of cardiovascular disease 175 (57.0%)
Chilblains 169 (55.0%)
Active smoking 168 (54.7%)
Smoking history 165 (53.7%)
Burning feet 133 (43.3%)
History of cerebrovascular disease 119 (38.8%)
Advanced age 110 (35.8%)
Hypertension 77 (25.1%)
Widespread anhidrosis 76 (24.8%)
Dyslipidaemia 67 (21.8%)
Other 20 (6.5%)
Vascular assessment equipment available in clinic Hand-held Doppler without visual waveform display 265 (86.3%)
Blood Pressure Cuff and sphygmomanometer 166 (54.1%)
Stethoscope 76 (24.8%)
Hand-held Doppler with visual waveform display 67 (21.8%)
Toe pressure cuff 50 (16.3%)
Automated ankle brachial index machine 27 (8.8%)
Photoplethysmography probe 19 (6.2%)
TcPO2 unit 17 (5.5%)
Automated toe pressure unit 12 (3.9%)
None of the above 6 (2.0%)
Other 10 (3.3%)
Diagnostic testing used during a vascular assessment Hand-held Doppler (waveform and/or pulses) 222 (72.3%)
Pedal pulse palpation 160 (52.1%)
Visual assessment of skin and/or nails 98 (31.9%)
Ankle brachial index 98 (31.9%)
Patient medical history/symptoms 69 (22.5%)
Capillary refill time 60 (19.5%)
Temperature gradient 51 (16.6%)
Buerger’s test 26 (8.5%)
Toe brachial index 18 (5.9%)
Edinburgh Claudication Questionnaire 13 (4.2%)
Toe systolic pressure 9 (2.9%)
Brachial Blood pressure 7 (2.3%)
Pole test 5 (1.6%)
SpO2 2 (0.7%)
TcP02 1 (0.3%)
Heart rate 1 (0.3%)
  1. Values are presented as n (%). SpO2 = Saturation of Peripheral Oxygen; TcPO2 = Transcutaneous Partial Pressure of Oxygen