Risk factors and severity of chronic venous disorder at Phra Nakhon Si Ayutthaya Hospital
Keywords:
chronic venous disorder, varicose vein, highligation and venous stripping, endovenous thermal ablation, ultrasound-guided foam sclerotherapyAbstract
Chronic venous disorder is a common health problem. This study aims to evaluate the association of the risk factors and severity of chronic venous disorder and factors related to surgery in the patients at Ayutthaya Hospital. This descriptive observational study was conducted at Phra Nakhon Si Ayutthaya Hospital from July 2015 to September 2020 among 120 outpatients aged 18-80 years old with chronic venous disorder. All patients were diagnosed and classified using CEAP score. Duplex ultrasound was performed to identify affected location of the venous reflux in all patients. Data analysis was performed using t-test, one-way ANOVA and fisher’s exact test in SPSS. The diagnosed patients were majority females (60.8%) aged over 50 years old (68.3%) with prolonged occupational standing (99.2%), however there was no correlation between the prolonged standing and the severity of chronic venous disease (p=0.168). Majority of the patients have had 2 risk factors and the identified venous reflux location were saphenofemoral junction (60.8%) and great saphenous vein (61.7%). The associated risk factors to the surgery were male gender (p=0.018) and present of multiple clinical symptoms (p=0.002) and multiple locations of venous reflux (p<0.001). Chronic venous disorder is a common disease in Phra Nakhon Si Ayutthaya Hospital and the risk factors are identified however there is no correlation between the risk factors to the severity of the disease. Male gender, present of multiple clinical symptoms and multiple locations of venous reflux are associated with the surgical treatment. Accurated severity identification and location of venous reflux are related to proper of each patient treatment options.
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