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Normahani, Pasha; Agrawal, Rishi; Bravis, Vasilliki; Falinska, Agnieszka; Bloomfield, Linda; Mehar, Zaheer; Gaulton, Dawn; Sangster, Alex; Arkle, Tracey; Gomm, Corinna; Aslam, Mohamed; Standfield, Nigel J.; Jaffer, Usman

Effectiveness of a multicenter training programme to teach point‐of‐care vascular ultrasound for the detection of peripheral arterial disease in people with diabetes

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  • Media type: E-Article
  • Title: Effectiveness of a multicenter training programme to teach point‐of‐care vascular ultrasound for the detection of peripheral arterial disease in people with diabetes
  • Contributor: Normahani, Pasha; Agrawal, Rishi; Bravis, Vasilliki; Falinska, Agnieszka; Bloomfield, Linda; Mehar, Zaheer; Gaulton, Dawn; Sangster, Alex; Arkle, Tracey; Gomm, Corinna; Aslam, Mohamed; Standfield, Nigel J.; Jaffer, Usman
  • imprint: Wiley, 2018
  • Published in: Journal of Foot and Ankle Research
  • Language: English
  • DOI: 10.1186/s13047-018-0283-0
  • ISSN: 1757-1146
  • Keywords: Orthopedics and Sports Medicine
  • Origination:
  • Footnote:
  • Description: <jats:title>Abstract</jats:title><jats:sec><jats:title>Background</jats:title><jats:p>The primary aim of this study was to evaluate the effectiveness of a training programme to teach a focused bedside ultrasound scan (PAD‐scan; Podiatry Ankle Duplex Scan) for the detection of arterial disease in people with diabetes.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>Five podiatrists and one diabetologist across two hospitals were enrolled in a structured training programme consisting of a training course (1‐day), supervised scanning (5‐weeks), independent scanning (3‐weeks) and a final evaluation of performance (1‐day).</jats:p><jats:p>Time, technical skills <jats:italic>(Duplex Ultrasound Objective Structured Assessment of Technical Skills tool (DUOSATS); minimum score = 6, maximum score = 26)</jats:italic> and accuracy (level of agreement with vascular scientist PAD‐scan assessment) were assessed for every supervised scan and again for the final evaluation of performance.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>A total of 90 PAD‐scans in 65 patients were performed during the supervised phase. Participants demonstrated significant improvements in median time <jats:italic>(19 min(IQR 13.9–25.5)</jats:italic> vs <jats:italic>9.3 min (IQR 7.3–10.5)</jats:italic><jats:bold><jats:italic>;</jats:italic></jats:bold><jats:italic>p = 0.028)</jats:italic> and DUOSATS scores <jats:italic>(17.5 (IQR 16.8–21)</jats:italic> vs <jats:italic>25 (IQR 24–25.3); p = 0.027)</jats:italic>. At the final evaluation, participants completed scans in 5.4 min (IQR 5.3–5.9), achieved full DUOSAT scores and perfect agreement with the vascular scientist.</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>A structured training programme, integrated into diabetic foot clinics, was effective in teaching the PAD‐scan</jats:p></jats:sec>
  • Access State: Open Access