Author/Editor     Flis, Vojko
Title     Ocena invalidnosti in telesne okvare po posegih na perifernih arterijah
Translated title     Disability and physical impairment assessment after peripheral artery surgery
Type     članek
Source     In: Zbornik predavanj 2. mednarodni kongres medicinskih izvedencev; 2011 apr 14-16; Maribor Ljubljana : Zavod za pokojninsko in invalidsko zavarovanje Slovenije
Publication year     2011
Volume     str. 86-91
Language     slv
Abstract     Ocenjevanje telesne okvare oziroma invalidnosti po revaskularizacijskih posegih zaradi periferne arterijske bolezni (PAB) je podobno kot pri vseh bolnikih s PAB. Narava revaskularizacijskega posega ne vpliva bistveno na oceno. Funkcionalno prizadetost klinično ocenimo običajno po Fontainovi ali Rutherfordovi lestvici. Klinično oceno morajo podpirati tudi objektivni podatki. Gleženjski indeks je v te namene ustrezen, vendar ga je potrebno v nekaterih primerih nadomestiti ali dopolniti z drugimi preiskavami ali podatki. Ker podatki o hemodinamiki (izraženi z gleženjskim indeksom) pogosto niso v sozvočju s kliničnimi simptomi, je potrebno objektivno opredeliti tudi klinično simptomatiko. Pri celotni oceni invalidnosti zaradi PAB je ovrednotenje enako kot pri boleznih mišično-skeletnega sistema, ovrednotiti moramo stopnjo bolnikovih gibalnih zmožnosti.In terms of assessing the impairment severity after invasive revascularization procedures in patients with peripheral arterial disease (PAD), the evaluation is similar as in all patients with PAD. The nature of revascularization procedure has small or no impact on assessment of functional limitations. Functional limitations are usually assessed by Fontain or Rutherford clinical criteria which should be accompanied with objective data. Ankle-brachial index (ABI) is appropriate test, but in some instances it needs to be augmented or replaced by other testing techniques. In addition, because hemodynamic severity as measured by ABI and other techniques is not strongly associated with degree of symptoms or functional limitation, evidence of functional limitation consistent with severe PAD should also be required. The evalution of social disability for PAD (before or after arterial revascularization) should be the same as that defined for the musculoskeletal system, that is, inability to ambulate effectively.
Descriptors     Peripheral Arterial Disease
Periferna arterijska bolezen
Work Capacity Evaluation
Delovna zmožnost, ocenitev
epidemiology
diagosis
surgery
Epidemiologija
Diagnostika
Kirurgija
Keywords     revaskularizacija