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Acta Phlebologica 2018 December;19(3):96-111

DOI: 10.23736/S1593-232X.18.00426-5

Copyright © 2018 EDIZIONI MINERVA MEDICA

lingua: Inglese

PREVENIR: an observational, cross-sectional, multicenter study for the epidemiological understanding of chronic venous disease in Argentina

Rubén F. VELLETTAZ

Clínica Colón, Mar del Plata, Buenos Aires, Argentina



BACKGROUND: The objective was to determine demographics data: rate of risk factors, previous treatments, symptoms, signs, C of CEAP, VCSS, CIVIQ 20. Correlate variables: this study is based on information obtained through Argentina’s campaign of primary prevention in Phlebology 2010.
METHODS: Population: 2163 patients; included: 2154, excluded: nine by severe flaws in data collection. Sixteen centers were involved simultaneously. The study spanned from the 23rd to the 27th of August, 2010. Neither reliability inter-observer index nor Kappa Index were performed.
RESULTS: Average age was 52.55 years; female subjects accounted for 86.8%. The rate of risk factors was consistent with international studies. All are more prevalent in men, less mesenchymal disease. Multiple risk factors (over three): 77%. Symptoms/signs: rate 50% higher than in international studies. CEAP: higher prevalence C3 50.98%. CEAP C1 prevalence in women: 89.81%. C1 higher prevalence in patients less than 55 years: 59.30%. CEAP C4-C6 correlates with elevated BMI, sedentary lifestyle, positive AHF and history of DVT. Higher C CEAP correlates with higher pretreatments rate and multiple risk factors. CVSS average overall: mild 0.48, Domains pain, varicose veins, edema: moderate. Higher CVSS in older men. CIVIQ 20: average overall 73.2%. Higher rate: moderate impairment CIVIQ 20. Females, younger age, multiple risk factors correlated with lower CIVIQ 20. Minor CEAP C with minor CIVIQ 20. Minor CVSS with minor CIVIQ 20. Higher CVSS with higher CEAP C.
CONCLUSIONS: High prevalence of high degree C of CEAP. Higher rate of symptoms and signs. Lower rate of previous treatments. Increased severity of CVD and lower HRQOL indicates late consultation for failure prevention. This study improves the knowledge of demographic factors and proposes preventive measures to promote health and prevention of CVD in Argentina.


KEY WORDS: Primary prevention - Health promotion - Risk factors - Vascular diseases

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