Activity Worth: 1 CPD hours

Australasian Podiatry Conference 2017: Are Toe Pressures useful? Absolutely! A systematic review to support the clinical use of Absolute Toe Pressures - APodC

by Katrina Richards1, Nicholas Taylor1,2 on Sunday, 24 February 2019 - 7:20am

The Australasian Podiatry Conference 2017 featured an array of great speakers and exemplary papers.

We are pleased to provide here a selection of conference abstracts and invite you to read the abstract and then complete the writing task detailed below.

CPD Activity: Value – 1 hour – Consider category 4 Self-directed Learning under Podiatry Board of Australia Guidelines.  Consider also Category 3 Quality Improvement Activities under the guidelines

 

69 Are Toe Pressures useful? Absolutely! A systematic review to support the clinical use of Absolute Toe Pressures

Katrina Richards1, Nicholas Taylor1,2

1Eastern Health, Melbourne, VIC, Australia; 2La Trobe University, Melbourne, VIC, Australia

Correspondence: Katrina Richards

 

Objectives

The Absolute Toe Pressure (ATP) is a simple test used for non-invasive lower limb vascular screening. An ATP of 40 mmHg or less is thought to indicate critical limb ischaemia. At Eastern Health, a Melbourne Metropolitan health network, the Podiatry department saw an increase in requests from Vascular Surgeons to perform ATPs.

Method

Searches were conducted in MEDLINE, CINAHL and EMBASE from the earliest available date to August 2016. Methodological quality of included studies was assessed using the QUADAS-2 tool. Eight studies were included in the review.

Results

The studies varied in how they assessed low ATP and clinical outcomes. Reference standards included the ability to heal ulcers or amputation sites (1 study); clinical end points such as rest pain, ulceration, amputation or vascular surgery (6 studies); and ATP compared to angiographic findings (1 study). The studies were of low to moderate quality and were assessed as having a risk of bias in at least 1 of the 4 criteria using the QUADAS-2 tool. Most studies reported that the ATP was more accurate than other quick screening tests, although sensitivity and specificity values were mostly moderate.

Conclusions

The ATP may be an effective screening tool to determine a patient’s risk of a poor treatment outcome. A cut-off value of between 30 mmHg or 40 mmHg may be indicative of impaired healing and should be part of a quick screening assessment for patients with peripheral arterial disease.

The task

Read the abstract, then prepare a brief paper (250 – 500 words) in which you explain why the subject matter is important to you. Give your initial response, and then write about the aspect you have chosen to reflect upon. You may wish to relate to your own skills, professional experience or discipline knowledge.

Outline any changes in your understanding and/or behaviour as a result of the experience. What actions may flow from your engagement? Explain the implications for this in your future professional practice. What actions might you take and why?

 

Don’t forget to upload your completed work to your e-portfolio, citing paper number and title, as evidence of completion.

This abstract can be viewed at the below link.  This abstract is number 69.

 

 

 

 

 

 

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