Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

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Original article / research
Year : 2018 | Month : August | Volume : 12 | Issue : 8 | Page : OC08 - OC10

Clinical Predictors of Outcome in Buerger’s Disease using BVAS and DEI.Tak Scoring Systems

Prasanta Padhan, Sunil Agarwal, Debashish Danda

1. Associate Professor, Department of Rheumatology, Kalinga Institute of Medical Sciences, KIIT University, Bhubaneswar, Odisha, India. 2. Professor and Head, Department of Vascular Surgery, Christian Medical College, Vellore, Tamil Nadu, India. 3. Professor and Head, Department of Clinical Immunology and Rheumatology, Christian Medical College, Vellore, Tamil Nadu, India.

Correspondence Address :
Dr. Debashish Danda,
Professor and Head, Department of Clinical Immunology and Rheumatology,
Christian Medical College,Vellore-632004, Tamil Nadu, India.
E-mail: debashishdandacmc@hotmail.com

Abstract

Introduction: Buerger’s disease is an unclassifiable vasculitis of the small and medium-sized distal arteries and superficial veins. BVAS (Birmingham Vasculitis Activity Score) is a validated disease activity index for vasculitis of different types. DEI.Tak (Disease Extent Index. Takayasu’s arteritis) scoring system is a validated disease extent Index used for Takayasu arteritis.

Aim: The aim of this study was to assess outcome in patients with Buerger’s disease using various clinical features, laboratory parameters, BVAS and DEI.Tak scoring system.

Materials and Methods: Case records of 136 patients diagnosed with Buerger’s disease in our hospital between August 1996 and July 2006 were studied retrospectively. Various clinical features (smoking history, claudication pain, loss of pulse), laboratory parameters, treatment modalities and outcome measures were recorded in a defined proforma. BVAS and DEI.Tak scoring was done using the data from medical records documented during the patients’ last visit to the hospital. Outcome of any patient requiring amputation was considered as bad outcome. Others, who could be managed by antiplatelet drugs, sympathectomy and revascularization procedures without any amputation were classified within the good outcome subset. Statistical analysis was done using Chi-square test and Non parametric MannWhitney test was performed to correlate outcome with all the recorded parameters including those embedded in BVAS and DEI.Tak scoring systems.

Results: Sixty eight patients were in each group, namely the good outcome and bad outcome subsets. The mean BVAS score were 10.29±1.26 and 10.88±2.57 and mean DEI.Tak score were 5.29±1.75 and 7.93±2.43 and these scores were observed to be significantly different (p=0.038, p=0.014 respectively) among the good outcome subsets and bad outcome patients with respectively. Proportion of patients with claudication pain and absent upper limb pulse were observed significantly higher in the bad outcome group.

Conclusion: Buerger’s disease with higher DEI.Tak score has significantly higher risk of bad outcome. DEI.Tak score can be used as an important predictor of outcome in Buerger’s disease.

Keywords

Disease activity, TAO, Vasculitis

How to cite this article :

Prasanta Padhan, Sunil Agarwal, Debashish Danda. CLINICAL PREDICTORS OF OUTCOME IN BUERGER’S DISEASE USING BVAS AND DEI.TAK SCORING SYSTEMS. Journal of Clinical and Diagnostic Research [serial online] 2018 August [cited: 2018 Jul 18 ]; 12:OC08-OC10. Available from
http://www.jcdr.net/back_issues.asp?issn=0973-709x&year=2018&month=August&volume=12&issue=8&page=OC08-OC10&id=11859

DOI and Others

DOI: 10.7860/JCDR/2018/35554.11859

Date of Submission: Jan 14, 2018
Date of Peer Review: Mar 31, 2018
Date of Acceptance: May 18, 2018
Date of Publishing: Aug 01, 2018

There is no funding involved in this retrospective study.

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