Reliability of ankle-brachial pressure index measured by pulse palpation method in diagnosing peripheral arterial disease among patients with diabetes mellitus

Introduction: Ankle brachial pressure index (ABI) is a useful screening test to detect peripheral arterial disease (PAD). However, the limitation for the widespread use of this test is the lack of doppler devices in most of the resource poor settings. In contrast, the pulse palpation method requires only a blood pressure apparatus with a suitable cuff and is a cheaper and readily available alternative. Materials and methods: The objective of this study is to evaluate the accuracy and reproducibility of ABI measured by pulse palpation method and to study the correlation between the pulse palpation and doppler method. Population of 193 patients with diabetes were examined by two trained medical officers and ABI was measured by each examiner using pulse palpation method (pABI) and doppler method (dABI). Results: There was a statistically significant difference between the values obtained by the two observers for both dABI and pABI. There was a significant difference between dABI and pABI measurements (p