Prevalence of Chronic Venous Diseases in Students of Ivano-Frankivsk National Medical University
PDF

Keywords

CVD
varicose veins
students
questionnaire
survey

Abstract

The Objective of the Research was to increase the frequency of detecting chronic venous disorders in young people by surveing the students using a specially designed questionnaire with an analysis of its results for timely treatment.          Materials and Methods. To detect lower extremity chronic venous disorders, 1,007 students of the Ivano-Frankivsk National Medical University were interviewed using questionnaire that was based on the VEIN-TERM, the Venous Clinical Severity Score, the Chronic Venous Insufficiency Quality of Life Questionnaire. In the surveyed people, there were estimated the following data: age; gender; objective symptoms of chronic venous disorders such as telangiectasia, reticular (spider) veins, varicose veins and leg swelling; 11 most common symptoms of chronic venous disorders; risk factors such as the presence of lower extremity varicose veins in parents, previous childbirth and frequent or rare use of high heels in females.          Results. In 617 (61.3%; 95 CI, 58.2 - 64.3%) respondents, phlebopathy was detected; 63 (6.3%, 95 CI 4.8 - 7.9%) students reported lower extremity telangiectasias; 11 (1.1%; 95 CI 0.5 - 1.9%) students reported reticular veins. Varicose veins were detected in 33 (3.3%; 95 CI 2.3 - 4.6%) cases. Among them, there were 14 (1.4%, 95 CI 0.8 - 2.3%) cases of leg swelling. Only two symptoms, namely calf cramps (p=0.01) and leg pain (p=0.04) turned out to occur significantly more frequent in the respondents with varicose veins. Varicose veins were more often found in the students whose fathers suffered from varicose veins as compared to those whose mothers had varicose veins – 12.1% (95% CI 5.4 - 22.5%) versus 4.2% (95% CI 2.1 - 7.5%), respectively (p=0.008). Among females without lower extremity varicose veins, 34.1% (95% CI 29.7 - 38.3%) of the respondents indicated wearing high heels (above 5 cm) which was approximately 3 times more often as compared to female respondents with varicose veins - 11.2% (95% CI 0.0 - 21.7%) of women (p=0.001).          Conclusions. 1. Leg pain and calf cramps can be considered as the most important subjective symptoms for early diagnosis of lower extremity varicose veins in young people. 2. The presence of lower extremity varicose veins in a father results in higher risk of detecting this pathology in the respondent than the presence of lower extremity varicose veins in a mother: 12.1% (95% CI 5.4-22.5%) versus 4.2% (95% CI 2.1 - 7.5%) (p = 0.008). 3. Early diagnostics of lower extremity varicose veins in young people with the aim of further adequate treatment to prevent their progression and the development of complications can be implemented by questioning students in different educational institutions.
https://doi.org/10.21802/gmj.2019.3.6
PDF

References

Whiteley MS. Understanding venous reflux - the cause of varicose veins and venous leg ulcers. Whiteley Publishing Ltd. c2011. 98p.

Clark A, Harvey I, Fowkes FG. Epidemiology and risk factors for varicose veins among older people: cross-sectional population study in the UK. Phlebology. 2010;25(5):236-240. DOI: https://doi.org/10.1258/phleb.2009.009045 [PMid:20870870]

Zolotukhin IA, Seliverstov EI, Shevtsov YN et al. Prevalence and risk factors for chronic venous disease in the general Russian population. Eur J Vasc Endovasc Surg. 2017;54(6):752-758. DOI: https://doi.org/10.1016/j.ejvs.2017.08.033 [PMid:29031868]

Ruckley CV, Evans CJ, Allan PL et al. Chronic venous insufficiency: clinical and duplex correlations. The Edinburgh Vein Study of venous disorders in the general population. J Vasc Surg. 2002;36(3):520-525. DOI: https://doi.org/10.1067/mva.2002.126547 [PMid:12218976]

Criqui MH, Denenberg JO, Bergan J et al. Risk factors for chronic venous disease: the San Diego Population Study. J Vasc Surg. 2007;46(2):331-337. DOI: https://doi.org/10.1016/j.jvs.2007.03.052 [PMid:17600666 PMCid:PMC2023874]

Jawien A, Grzela T, Ochwat A. Prevalence of chronic venous insufficiency in men and women in Poland: multicentre cross-sectional study in 40,095 patients. Phlebology. 2003;18(3):110-122. DOI: https://doi.org/10.1258/026835503322381315

Chiesa R, Marone EM. Limoni C et al. Chronic venous insufficiency in Italy: the 24-cities cohort study. Eur J Vasc Endovasc Surg. 2005;30(4):422-429. DOI: https://doi.org/10.1016/j.ejvs.2005.06.005 [PMid:16009576]

Diken AI, Yalçınkaya A, Aksoy E et al. Prevalence, presentation and occupational risk factors of chronic venous disease in nurses. Phlebology. 2016;31(2):111-117. DOI: https://doi.org/10.1177/0268355514567491 [PMid:25577573]

Vuylsteke ME, Thomis S, Guillaume G et al. Epidemiological study on chronic venous disease in Belgium and Luxembourg: prevalence, risk factors, and symptomatology. Eur J Vasc Endovasc Surg. 2015;49(4):432-439. DOI: https://doi.org/10.1016/j.ejvs.2014.12.031 [PMid:25701071]

Studennikova VV, Severgina LO, Dzyundzya AN, Korovin IA. Lower extremity varicose veins in childhood and at a young age: Mechanism of development and specific features. Archive of Pathology. 2017;79(4):56-60. DOI: https://doi.org/10.17116/patol201779456-60 [PMid:28792000]

Chernukha LM, Guch AA, Todosyev AV. Khronicheskaya venoznaya nedostatochnost nizhnikh konechnostey ili tyazhelyye formy khronicheskikh zabolevaniy ven. Strategiya lecheniya. Klinicheskaya flebologiya. 2012;5(1):84-88.

Eklof B, Perrin M, Delis KT et al. Updated terminology of chronic venous disorders: the VEIN-TERM transatlantic interdisciplinary consensus document. J Vasc Surg. 2009;49(2):498-501. DOI: https://doi.org/10.1016/j.jvs.2008.09.014 [PMid:19216970]

Launois R, Reboul-Marty J, Henry B. Construction et validation d'un indicateur spécifique de qualité de vie: le cas de l'insuffisance veineuse chronique des membres inférieurs. J Econ Med. 1994;12:109-126.

Eklöf B, Rutherford RB, Bergan JJ et al. Revision of the CEAP classification for chronic venous disorders: consensus statement. J Vasc Surg. 2004;40(6):1248-1252. DOI: https://doi.org/10.1016/j.jvs.2004.09.027 [PMid:15622385]

Launois R, Mansilha A, Jantet G. International psychometric validation of the Chronic Venous Disease quality of life Questionnaire (CIVIQ-20). Eur J Vasc Endovasc Surg. 2010;40(6):783-789. DOI: https://doi.org/10.1016/j.ejvs.2010.03.034 [PMid:20920862]

R Development Core Team (2011). R: A language and environment for statistical computing. R Foundation for Statistical Computing, Vienna, Austria. Available from: http://www.R-project.org/

Ruckley CV, Evans CJ, Allan PL et al. Telangiectasia in the Edinburgh Vein Study: epidemiology and association with trunk varices and symptoms. Eur J Vasc Endovasc Surg. 2008;36(6):719-274. DOI: https://doi.org/10.1016/j.ejvs.2008.08.012 [PMid:18848475]

Cornu-Thenard A, Boivin P, Baud JM et al. Importance of the familial factor in varicose disease. Clinical study of 134 families. J Dermatol Surg Oncol. 1994;20(5):318-326. DOI: https://doi.org/10.1111/j.1524-4725.1994.tb01631.x [PMid:8176043]

Kroeger K, Ose C, Rudofsky G et al. Risk factors for varicose veins. Int Angiol. 2004;23(1):29-34.

Potério-Filho J, Silveira SA, Potério GM et al. The effect of walking with high-heeled shoes on the leg venous pressure. Angiology. 2006;57(4):424-430. DOI: https://doi.org/10.1177/0003319706290744 [PMid:17022377]

Tedeschi WF, Dezzotti NR, Joviliano EE et al. Influence of high-heeled shoes on venous function in young women. J Vasc Surg. 2012;56(4):1039-1044. DOI: https://doi.org/10.1016/j.jvs.2012.01.039 [PMid:22483354]

Laurikka JO, Sisto T, Tarkka MR et al. Risk indicators for varicose veins in forty- to sixty-year-olds in the Tampere varicose vein study. World J Surg. 2002;26(6):648-651. DOI: https://doi.org/10.1007/s00268-001-0283-1 [PMid:12053212]

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Downloads

Download data is not yet available.