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Published on: June 15, 2020
Chronic venous disease cases at the Iaşi dermatology clinic
Laura Stătescu1, D Vâţă, Elena Andrese
1University of Medicine and Pharmacy Grigore T. Popa - Iaşi, Department of Medical Specialties (II).
Insights
Chronic venous disease (CVD) affects over half of dermatology patients, with severe cases impacting many older adults. This lifelong condition requires multidisciplinary management and impacts healthcare systems.
Area of Science:
- Vascular Medicine
- Epidemiology
- Dermatology
Background:
- Chronic venous disease (CVD) is a lifelong condition affecting blood return in the venous system.
- Severe CVD of the lower limbs is highly prevalent, impacting up to 25% of adults in industrialized nations.
- CVD presents with diverse clinical manifestations requiring a multidisciplinary approach.
Purpose of the Study:
- To determine the incidence of CVD in patients at a Dermatology Clinic in Iasi.
- To analyze CVD incidence based on sex, age, and residence.
- To identify pathogens in superinfected ulcerative lesions associated with CVD.
Main Methods:
- A retrospective study was conducted over five years.
- Data were collected from patients admitted to the Dermatology Clinic of "Sf. Spiridon" Emergency Clinical Hospital Iasi.
- The CEAP classification system was used to assess venous insufficiency severity.
Main Results:
- Out of 9375 patients, 57% were diagnosed with CVD.
- 26.61% of CVD patients presented with CEAP 6 class chronic venous insufficiency.
- The study observed an equal sex distribution, with 44% of patients older than 65 years.
Conclusions:
- CVD is a significant medical problem with varied clinical presentations.
- The revised CEAP classification aids in understanding CVD's scope.
- CVD poses a considerable challenge to healthcare systems and insurance providers.
Unlabelled:
Chronic venous disease (CVD) is defined as a disturbance of blood return to the deep venous system, superficial venous system, and communicating (perforating) veins. Once present, CVD persists throughout life, so like heart failure it is nowadays considered "a condition for life". Severe CVD of the lower limbs is one of the most common medical problems, affecting up to 25% of the general adult population of industrialized countries.
Aim:
to determine the incidence of CVD among the cases admitted to the Dermatology Clinic of the' "Sf. Spiridon" Emergency Clinical Hospital Iasi, CVD incidence by sex, age, area of residence and the main pathogens incriminated in super infection of ulcerative lesions.
Material And Methods:
We did a retrospective study of patients admitted to the Dermatology Clinic of the Iasi "Sf. Spiridon" Emergency Hospital over a five years period.
Results:
Of the total number of patients admitted to our clinic (9375), 57% were diagnosed with CVD and 26.61% of them were with CEAP 6 class chronic venous insufficiency. There was an approximately equal sex distribution and most patients (44%) were older than 65 years.
Conclusions:
We did a large epidemiological study of venous disease, based on revised CEAP classification, showing again that it is not only a very important medical problem, with various clinical manifestation and multidisciplinary approach, but also an important issue for health insurance system.
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