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. Author manuscript; available in PMC: 2017 Dec 1.
Published in final edited form as: J Vasc Surg. 2016 Jul 16;64(6):1770–1779.e1. doi: 10.1016/j.jvs.2016.05.046

Table I.

Prevention, screening, counseling, and examination

Screening, counseling and evaluation Facility level
PH
C
First-
level
Referr
al
Tertia
ry
Dietary screening and counseling E E E E
Exercise screening and counseling E E E E
Smoking screening and counseling E E E E
Smoking cessation opportunities E E E E
Blood pressure measurement E E E E
Recognize and screen patients at high-risk for vascular
disease
E E E E
Take vascular history and physical exam E E E E
Prevent, recognize and evaluate diabetic foot lesion in a
diabetic
E E E E
DVT risk-assessment and evaluation D E E E
Recognize and evaluate possible compartment syndrome E E E E
Blunt cerebrovascular injury evaluation D E E E
HIV- and HAART-related vascular disease screening and
counseling*
E E E E
Protocols for timely triage and treatment or transfer of
vascular conditions
E E E E

PHC – primary health center; DVT – deep vein thrombosis; HIV – human immunodeficiency virus; HAART – highly active anti-retroviral therapy; PHC – outpatient clinics, staffed by non-physicians; First-level hospital – typically staffed by general practitioners, may or may not provide surgical services; Referral hospital – typically staffed by specialists, usually including a general surgeon; Tertiary hospital – offer a wider range of specialists, and laboratory and imaging capabilities; Resource designation at a particular level: E – essential; D – desirable; I – irrelevant (not considered to be available at the particular level even with full resource availability);

*

Essential when the local epidemiology warrants.