确定静脉胀和更高静脉胀的临床病因学-解剖学-病理生理学分类的静脉临床严重性得分值
Halbert Bai1, Jason B Storch1, Vishal Gokani1
1Division of Vascular Surgery, Department of Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Vascular
|August 4, 2023
概括
静脉临床严重性评分 (VCSS) 确定了深静脉疾病阶段的门. 8.5,11.5和13.5的VCSS值分别检测CEAPC3,C4和C5分类,有助于慢性静脉疾病的评估.
科学领域:
- 血管医学 血管医学
- 医学诊断 医学诊断 医学诊断
- 生物统计学 生物统计学
背景情况:
- 静脉临床严重性评分 (VCSS) 是评估慢性静脉疾病 (CVD) 的标准.
- 对于区分深静脉疾病阶段的精确VCSS值尚未确立.
- 本研究旨在确定这些值,并评估VCSS的准确性.
研究的目的:
- 确定VCSS的诊断准确度和值,以确定深静脉疾病中的关键CEAP (临床病因学-解剖学-病理生理学) 类.
- 为了将VCSS复合和组件分数与CEAP分类相关联.
主要方法:
- 追溯分析840名患有慢性近道静脉外流阻塞 (PVOO) 的患者.
- 将VCSS分数与CEAP分类 (C3,C4,C5及以上) 的比较.
- 使用了接收器操作特征 (ROC) 曲线分析和斯皮尔曼等级相关性.
主要成果:
- 对于CEAP C3,C4和C5及以上,分别确定了8.5,11.5和13.5的VCSS值.
- 对于更严重的CEAP分类 (C4和C5),VCSS显示出更好的歧视.
- 总体而言,VCSS和CEAP之间的相关性很弱 (ρ = 0.372),但对于反映晚期疾病的VCSS组件来说,相关性更强.
结论:
- 已建立的VCSS复合值可以检测深静脉疾病的特定阶段 (CEAP C3,C4,C5).
- 在区分更先进的心血管疾病阶段时,VCSS更有效.
- 虽然总体VCSS-CEAP相关性很弱,但特定的VCSS组件与晚期疾病有很强的相关性.
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