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Identification of International Classification of Functioning, Disability and Health Categories for Patients with Peripheral Arterial Disease

Vyskocil, Erich MD; Gruther, Wolfgang MD; Steiner, Irene MSc; Schuhfried, Othmar MD

American Journal of Physical Medicine & Rehabilitation:
doi: 10.1097/PHM.0000000000000063
Original Research Articles
Abstract

Objective: Disease-specific categories of the International Classification of Functioning, Disability and Health have not yet been described for patients with chronic peripheral arterial obstructive disease (PAD). The authors examined the relationship between the categories of the Brief Core Sets for ischemic heart diseases with the Peripheral Artery Questionnaire and the ankle-brachial index to determine which International Classification of Functioning, Disability and Health categories are most relevant for patients with PAD.

Design: This is a retrospective cohort study including 77 patients with verified PAD. Statistical analyses of the relationship between International Classification of Functioning, Disability and Health categories as independent variables and the endpoints Peripheral Artery Questionnaire or ankle-brachial index were carried out by simple and stepwise linear regression models adjusting for age, sex, and leg (left vs. right).

Results: The stepwise linear regression model with the ankle-brachial index as dependent variable revealed a significant effect of the variables blood vessel functions and muscle endurance functions. Calculating a stepwise linear regression model with the Peripheral Artery Questionnaire as dependent variable, a significant effect of age, emotional functions, energy and drive functions, carrying out daily routine, as well as walking could be observed.

Conclusions: This study identifies International Classification of Functioning, Disability and Health categories in the Brief Core Sets for ischemic heart diseases that show a significant effect on the ankle-brachial index and the Peripheral Artery Questionnaire score in patients with PAD. These categories provide fundamental information on functioning of patients with PAD and patient-centered outcomes for rehabilitation interventions.

Author Information

From the Department of Physical Medicine and Rehabilitation (EV, WG, OS) and Center for Medical Statistics, Informatics, and Intelligent Systems, Section for Medical Statistics (IS), Medical University Vienna, Vienna, Austria.

All correspondence and requests for reprints should be addressed to Othmar Schuhfried, MD, Department of Physical Medicine and Rehabilitation, Medical University Vienna, Waehringer Guertel 18-20, 1090 Vienna, Austria.

Financial disclosure statements have been obtained, and no conflicts of interest have been reported by the authors or by any individuals in control of the content of this article.

© 2014 by Lippincott Williams & Wilkins