保守疗法显著减轻患者的慢性静脉疾病症状：VEIN Act 项目对加勒比地区的洞察。

Conservative therapy significantly reduces patients' chronic venous disease symptoms: A Caribbean insight into the VEIN Act Program.

机构信息

Department of Mathematics and Statistics, Faculty of Science and Technology, 37612The University of the West Indies, St Augustine Campus, St Augustine, Trinidad.

Department of Clinical Medical Sciences, Faculty of Medical Sciences, 37612The University of the West Indies, St Augustine Campus, St Augustine, Trinidad.

出版信息

Phlebology. 2022 Oct;37(9):651-661. doi: 10.1177/02683555221114542. Epub 2022 Jul 18.

DOI:10.1177/02683555221114542

PMID:35848710

Abstract

OBJECTIVES

We sought to determine the baseline demographic and clinical characteristics of patients with Chronic Venous Disease (CVD) across the Caribbean, and to evaluate patients' compliance to conservative therapy and the effectiveness of such therapy in reducing patients' CVD symptoms.

METHOD

Patients were enrolled into the VEIN Act Program, and their demographic data, CVD symptoms (and their intensity) and CEAP C-classification was recorded at the first visit. Patients were prescribed conservative therapy, and symptom intensity and patient compliance and satisfaction evaluated at a follow-up visit.

RESULTS

We enrolled 193 patients into the study, most of which (76%) were female, between 39-78 years (80%) and within the C-C classes (56.1%). Pain (61.1%) and heaviness (58.5%) were the most common symptoms. Patient compliance to the prescribed treatment was relatively high for all modalities (>75%) and most patients (92.1%) were at least somewhat satisfied with their treatment.

CONCLUSIONS

Patient compliance to conservative therapy for management of CVD is high across the Caribbean, and such therapy is effective in reducing intensity of CVD symptoms.

摘要

目的

我们旨在确定加勒比地区慢性静脉疾病（CVD）患者的基线人口统计学和临床特征，并评估患者对保守治疗的依从性以及该治疗在减轻患者 CVD 症状方面的有效性。

方法

患者被纳入 VEIN Act 计划，在首次就诊时记录他们的人口统计学数据、CVD 症状（及其严重程度）和 CEAP C 分级。为患者开具保守治疗方案，并在随访就诊时评估症状严重程度、患者依从性和满意度。

结果

我们共招募了 193 名患者入组研究，其中大多数（76%）为女性，年龄在 39-78 岁之间（80%），处于 C-C 级（56.1%）。疼痛（61.1%）和沉重感（58.5%）是最常见的症状。对于所有治疗方式，患者对规定治疗的依从性相对较高（>75%），大多数患者（92.1%）对其治疗至少有些满意。