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Pattern of Chronic Venous Insufficiency among Patients Presenting to a Vascular Surgery Clinic in Low- to Middle-Income Countries (LMIC): A Cross-Sectional Study
Objective: To measure the pattern and severity of chronic venous insufficiency (CVI) in patients presenting to a vascular surgery clinic in Pakistan. Materials and Methods: This cross-sectional study has examined patients presenting with CVI for the first time. Patients were assessed for severity of...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology
2021
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8241560/ https://www.ncbi.nlm.nih.gov/pubmed/34239636 http://dx.doi.org/10.3400/avd.oa.20-00088 |
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author | Rehman, Zia Ur |
author_facet | Rehman, Zia Ur |
author_sort | Rehman, Zia Ur |
collection | PubMed |
description | Objective: To measure the pattern and severity of chronic venous insufficiency (CVI) in patients presenting to a vascular surgery clinic in Pakistan. Materials and Methods: This cross-sectional study has examined patients presenting with CVI for the first time. Patients were assessed for severity of the disease using clinical, etiological, anatomical and pathological (CEAP) score and venous clinical severity score (VCSS). Patients were then divided into two groups depending on the severity of the disease: ‘mild/moderate’ CVI if the CEAP classification was ≤C3 or VCSS was <5 and ‘severe’ if CEAP classification was >3 or VCSS was ≥5. Both groups were then compared to determine the factors associated with the more ‘severe’ form of CVI. Results: During the study duration, 121 patients presented with CVI with mean age of 47.83±12.02 years; 74 (61.2%) were female. Mean body mass index of the patients was 32.49±18.3 kg/m(2). Mean VCSS was 5.49±3.84, indicating most patients presented with the severe form of CVI. Field workers were determined to be three to five times more likely to present with severe CVI compared to housewives and office workers. Conclusion: Majority of the patients who presented to a tertiary care facility had the severe form of CVI. Thus, there is a need to raise awareness on this disease at community level. |
format | Online Article Text |
id | pubmed-8241560 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology |
record_format | MEDLINE/PubMed |
spelling | pubmed-82415602021-07-07 Pattern of Chronic Venous Insufficiency among Patients Presenting to a Vascular Surgery Clinic in Low- to Middle-Income Countries (LMIC): A Cross-Sectional Study Rehman, Zia Ur Ann Vasc Dis Original Article Objective: To measure the pattern and severity of chronic venous insufficiency (CVI) in patients presenting to a vascular surgery clinic in Pakistan. Materials and Methods: This cross-sectional study has examined patients presenting with CVI for the first time. Patients were assessed for severity of the disease using clinical, etiological, anatomical and pathological (CEAP) score and venous clinical severity score (VCSS). Patients were then divided into two groups depending on the severity of the disease: ‘mild/moderate’ CVI if the CEAP classification was ≤C3 or VCSS was <5 and ‘severe’ if CEAP classification was >3 or VCSS was ≥5. Both groups were then compared to determine the factors associated with the more ‘severe’ form of CVI. Results: During the study duration, 121 patients presented with CVI with mean age of 47.83±12.02 years; 74 (61.2%) were female. Mean body mass index of the patients was 32.49±18.3 kg/m(2). Mean VCSS was 5.49±3.84, indicating most patients presented with the severe form of CVI. Field workers were determined to be three to five times more likely to present with severe CVI compared to housewives and office workers. Conclusion: Majority of the patients who presented to a tertiary care facility had the severe form of CVI. Thus, there is a need to raise awareness on this disease at community level. Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology 2021-06-25 /pmc/articles/PMC8241560/ /pubmed/34239636 http://dx.doi.org/10.3400/avd.oa.20-00088 Text en © 2021 The Editorial Committee of Annals of Vascular Diseases. https://creativecommons.org/licenses/by/2.5/This article is distributed under the terms of the Creative Commons Attribution License, which permits use, distribution, and reproduction in any medium, provided the credit of the original work, a link to the license, and indication of any change are properly given, and the original work is not used for commercial purposes. Remixed or transformed contributions must be distributed under the same license as the original. |
spellingShingle | Original Article Rehman, Zia Ur Pattern of Chronic Venous Insufficiency among Patients Presenting to a Vascular Surgery Clinic in Low- to Middle-Income Countries (LMIC): A Cross-Sectional Study |
title | Pattern of Chronic Venous Insufficiency among Patients Presenting to a Vascular Surgery Clinic in Low- to Middle-Income Countries (LMIC): A Cross-Sectional Study |
title_full | Pattern of Chronic Venous Insufficiency among Patients Presenting to a Vascular Surgery Clinic in Low- to Middle-Income Countries (LMIC): A Cross-Sectional Study |
title_fullStr | Pattern of Chronic Venous Insufficiency among Patients Presenting to a Vascular Surgery Clinic in Low- to Middle-Income Countries (LMIC): A Cross-Sectional Study |
title_full_unstemmed | Pattern of Chronic Venous Insufficiency among Patients Presenting to a Vascular Surgery Clinic in Low- to Middle-Income Countries (LMIC): A Cross-Sectional Study |
title_short | Pattern of Chronic Venous Insufficiency among Patients Presenting to a Vascular Surgery Clinic in Low- to Middle-Income Countries (LMIC): A Cross-Sectional Study |
title_sort | pattern of chronic venous insufficiency among patients presenting to a vascular surgery clinic in low- to middle-income countries (lmic): a cross-sectional study |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8241560/ https://www.ncbi.nlm.nih.gov/pubmed/34239636 http://dx.doi.org/10.3400/avd.oa.20-00088 |
work_keys_str_mv | AT rehmanziaur patternofchronicvenousinsufficiencyamongpatientspresentingtoavascularsurgeryclinicinlowtomiddleincomecountrieslmicacrosssectionalstudy |