Evaluation of the relationship between clinical manifestations of varicose veins (and grade of varicose veins) with patient risk factors and adaptation of ultrasound findings
School of Medicine Students' Journal,
Vol. 3 No. 4 (2021),
https://doi.org/10.22037/smsj.v3i4.36085
Abstract
Introduction and objective: varicose veins are common and can make some complaints about patients such as cosmetic problems and pain. This disorder has some risk factors such as long time standing, high body mass index, pregnancy. In this study, we aimed to investigate the relationship between clinical presentations on varicose veins and patient's risk factors and also, this relationship with sonographic findings.
Method: in this cross-sectional study, all patients who came to Shohad-e –Tajrish hospital (Tehran-Iran) with varicose vein presentation were evaluated. Age, sex, standing time, smoking, multi-gravidity, and symptoms were recorded. A color Doppler sonography was taken from the veins of the involved legs.
Result: finally, 158 patients were evaluated and based on CEAP classification, 15.2% of patients had grade C0, 20.9% had grade C1, 24.1% had grade C2, 19.6% had grade C3, 7% had grade C4, 8.2% had grade C5, and 5.1% had grade C6. There was no relationship between symptoms of varicose veins and varicose veins severity. There was a relationship between the severity of varicose veins with age, sex, smoking, obesity, multi gravidity, and standing time. Also, there was a relationship between sonographic findings of venous valves insufficiencies and severity of varicose veins.
Conclusion: symptoms of varicose veins have no relationship with varicose vein severity but venous valve insufficiency, age, sex, smoking, obesity, multi gravidity, and standing time have an association with varicose vein severity.
- varicose vein, CEAP classification, venous insufficiency
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References
2. Kohno K, Niihara H, Hamano T, Takeda M, Yamasaki M, Mizumoto K, et al. Standing posture at work and overweight exacerbate varicose veins: Shimane Co HRE Study. The Journal of dermatology. 2014;41(11):964-8.
3. Rabe E, Berboth G, Pannier F. Epidemiologie der chronischen Venenkrankheiten. Wiener Medizinische Wochenschrift. 2016;166(9):260-3.
4. Oliveira RdÁ, Mazzucca ACP, Pachito DV, Riera R, Baptista-Silva JCdC. Evidence for varicose vein treatment: an overview of systematic reviews. Sao Paulo Medical Journal. 2018;136:324-32.
5. Abramson J, Hopp C, Epstein L. The epidemiology of varicose veins. A survey in western Jerusalem. Journal of Epidemiology & Community Health. 1981;35(3):213-7.
6. Brand FN, Dannenberg AL, Abbott RD, Kannel WB. The epidemiology of varicose veins: the Framingham Study. American journal of preventive medicine. 1988;4(2):96-101.
7. Criqui MH, Jamosmos M, Fronek A, Denenberg JO, Langer RD, Bergan J, et al. Chronic venous disease in an ethnically diverse population: the San Diego Population Study. American journal of epidemiology. 2003;158(5):448-56.
8. Dindelli M, Parazzini F, Basellini A, Rabaiotti E, Corsi G, Ferrari A, et al. Risk factors for varicose disease before and during pregnancy. Angiology. 1993;44(5):361-7.
9. Gourgou S, Dedieu F, Sancho-Garnier H. Lower limb venous insufficiency and tobacco smoking: a case-control study. American journal of epidemiology. 2002;155(11):1007-15.
10. Hirai M, Naiki K, Nakayama R. Prevalence and risk factors of varicose veins in Japanese women. Angiology. 1990;41(3):228-32.
11. Scott TE, LaMorte WW, Gorin DR, Menzoian JO. Risk factors for chronic venous insufficiency: a dual case-control study. Journal of vascular surgery. 1995;22(5):622-8.
12. Seidell JC, Bakx KC, Deurenberg P, van den Hoogen HJ, Hautvast JG, Stijnen T. Overweight and chronic illness—a retrospective cohort study, with a follow-up of 6–17 years, in men and women of initially 20–50 years of age. Journal of chronic diseases. 1986;39(8):585-93.
13. Darvall K, Bate G, Adam D, Bradbury A. Generic health-related quality of life is significantly worse in varicose vein patients with lower limb symptoms independent of CEAP clinical grade. European Journal of Vascular and Endovascular Surgery. 2012;44(3):341-4.
14. Fowkes F, Lee AJ, Evans C, Allan P, Bradbury A, Ruckley C. Lifestyle risk factors for lower limb venous reflux in the general population: Edinburgh Vein Study. International journal of epidemiology. 2001;30(4):846-52.
15. Palfreyman SJ, Drewery‐Carter K, Rigby K, Michaels JA, Tod AM. Varicose veins: a qualitative study to explore expectations and reasons for seeking treatment. Journal of clinical nursing. 2004;13(3):332-40.
16. Aquila I, Sacco MA, Gratteri S, Di Nunzio C, Ricci P. Sudden death by rupture of a varicose vein: case report and review of literature. Medico-Legal Journal. 2017;85(1):47-50.
17. Tolu I, Durmaz MS. Frequency and significance of perforating venous insufficiency in patients with chronic venous insufficiency of lower extremity. The Eurasian journal of medicine. 2018;50(2):99.
18. Nybo J, Nybo M, Hvas A-M. Diagnostic work-up and treatment of superficial vein thrombosis. Ugeskrift for laeger. 2018;180(33).
19. Porciunculla MdM, Leiderman DBD, Altenfeder R, Pereira CSB, Fioranelli A, Wolosker N, et al. Clinical, ultrasonographic and histological findings in varicose vein surgery. Revista da Associação Médica Brasileira. 2018;64:729-35.
20. Yun M-J, Kim Y-K, Kang D-M, Kim J-E, Ha W-C, Jung K-y, et al. A study on prevalence and risk factors for varicose veins in nurses at a university hospital. Safety and health at work. 2018;9(1):79-83.
21. Shakya R, Karmacharya RM, Shrestha R, Shrestha A. Varicose veins and its risk factors among nurses at Dhulikhel hospital: a cross sectional study. BMC nursing. 2020;19(1):1-7.
22. Tüchsen F, Krause N, Hannerz H, Burr H, Kristensen TS. Standing at work and varicose veins. Scandinavian journal of work, environment & health. 2000:414-20.
23. Radhakrishnan N, George D, Jayakrishnan R, Sumi S, Kartha C. Vein size and disease severity in chronic venous diseases. International Journal of Angiology. 2018;27(04):185-9.
24. Criqui MH, Denenberg JO, Bergan J, Langer RD, Fronek A. Risk factors for chronic venous disease: the San Diego Population Study. Journal of vascular surgery. 2007;46(2):331-7.
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