Revision of the CEAP classification for chronic venous disorders: Consensus statement

Eklöf, Bo; Rutherford, Robert B.; Bergan, John J.; Carpentier, Patrick; Gloviczki, Péter; Kistner, Robert L.; Meissner, Mark H.; Moneta, Gregory L.; Myers, Kenneth A.; Padberg, Frank T.; Perrin, Michel; Ruckley, C. V.; Smith, Philip C.; Wakefield, Thomas W.

doi:10.1016/j.jvs.2004.09.027

Cited by 1,611 publications

(664 citation statements)

References 7 publications

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“…The severity of PTS was scored according to both the clinical score (range 0-6) of the revised CEAP classification (Clinical, Etiologic, Anatomic, and Pathophysiologic) [8] and the Villalta score [3]. In the CEAP classification patients with class 0 represent no visible or palpable signs of venous disease symptoms of PTS; class 1 telangiectases, reticular veins or malleolar flare; class 2 varicose disease; class 3 oedema without skin changes; class 4 skin changes ascribed to venous disease (4a eczema and pigmentation, 4b lipodermatosclerosis and atrophy blanche); class 5 skin changes with a healed ulcer and class 6 skin changes with active ulceration.…”

Section: Methodsmentioning

confidence: 99%

Multilayer compression bandaging in the acute phase of deep-vein thrombosis has no effect on the development of the post-thrombotic syndrome

Roumen-Klappe

Heijer

Rossum

et al. 2008

J Thromb Thrombolysis

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Objective The purpose of this randomized study was to evaluate the influence of immediate multilayer compression bandages before application of elastic stockings in the acute phase of deep-vein thrombosis (DVT) on development of the post-thrombotic syndrome (PTS). Methods Sixty-nine patients with acute symptomatic DVT were randomized to immediate bandaging (n = 34) or no bandaging (n = 35). After reduction of edema sized-to-fit elastic stockings were applied in all patients after 7-14 days. Follow-up visits and non-invasive examinations were planned after 7, 30 and 90 days and 1 year. Venous outflow resistance (VOR) was measured by strain gauge plethysmography. Thrombosis score (TS) and reflux were measured by duplex scanning. After one year patients were evaluated for clinical PTS using both the clinical scale of the CEAP classification and the Villalta score. Results Improvement of clinical symptoms and decrease of leg circumference was better on day 7 in the bandaging group, but after 1 and 3 months clinical symptoms had improved equally in both groups. In 7 patients in the no-bandaging group a bandage was applied after all because of persistent edema after 10 days. There were no differences in VOR, TS and reflux. Using the CEAP classification the incidence of PTS was 39% in patients with bandages and 42% in patients without bandages (RR 0.91,. Using the Villalta score the incidence of PTS was resp. 29 and 33% (RR 0.87, 95% CI 0.41-1.8). There was no difference in severity of PTS. Conclusion Immediate multilayer compression bandaging in the acute phase of DVT is effective in reducing edema and complaints in the first week, but has no effect on thrombus regression, valve incompetence and the development of clinical PTS after 1 year.

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Section: Methodsmentioning

confidence: 99%

Multilayer compression bandaging in the acute phase of deep-vein thrombosis has no effect on the development of the post-thrombotic syndrome

Roumen-Klappe

Heijer

Rossum

et al. 2008

J Thromb Thrombolysis

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“…Another distinct group of patients are those representing with recurrent varicose veins following past interventions. The spectrum of clinical presentations in patients with CVI is broad, ranging from minor asymptomatic telangiectasiae and reticular veins, swelling, itching, venous eczema, symptomatic but small varicose veins, asymptomatic but large varicose veins, post‐phlebitic leg through to lipodermatosclerosis and ulceration 2 , 3 .…”

Section: Patients Presenting For CVI Duplex Ultrasoundmentioning

confidence: 99%

Duplex ultrasound in the assessment of lower extremity venous insufficiency

Nečas

2010

Australas J Ultrason Med

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“…Next, the lower limbs were examined in the standing position. The lower limbs were always evaluated by the same trained and qualified examiner who, by visual inspection, classified the lower limbs according to the severity of CVD, using the CEAP clinical classification 23,24 . In the event that both limbs were affected by CVD, the highest score according to the CEAP clinical classification was used.…”

Section: Introductionmentioning

confidence: 99%

Correlação entre classificação clínica ceap e qualidade de vida na doença venosa crônica

Moura¹,

Gonçalves²,

Navarro³

et al. 2010

Rev. bras. fisioter.

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Objectives: To evaluate the quality of life (QOL) of patients with chronic venous disease (CVD) and to analyze the relationship between QOL and disease severity. Methods: This was a cross-sectional study with a convenience sample of 50 participants with a diagnosis of CVD. The participants were classified according to disease severity using the CEAP clinical classification (Clinical manifestations, Etiological factors, Anatomical distribution of disease, Pathophysiological findings). They were then divided into two groups: CEAP 1, 2 and 3 (less clinically compromised) and CEAP 4, 5 and 6 (more clinically compromised). QOL was evaluated using the SF-36 questionnaire. The Mann-Whitney U test was used to compare the SF-36 scores between the groups. The Spearman correlation was used to evaluate the association between QOL and the CEAP. Differences were considered statistically significant with p < 0.05. The SPSS statistical software version 16.0 was used for the analyses. Results: Seventy-four percent of the sample was female. The mean age was significantly higher (p<0.001) among participants classified as CEAP 4, 5 and 6 (56.6±10.3) than among those classified as Key words: quality of life; venous insufficiency; physical therapy. ResumoObjetivos: Avaliar a qualidade de vida (QV) na doença venosa crônica (DVC) e analisar a relação entre QV e severidade da doença. Resultados: 74% da amostra eram mulheres e a média de idade foi significativamente maior (p<0,001) entre os indivíduos CEAP 4, 5, 6 (56,6±10,3) do que entre os CEAP 1, 2, 3 (40,6±10,7). Todos os domínios do Componente Saúde Física (CSF) do SF-36 apresentaram escores significativamente menores no grupo CEAP 4, 5, 6 (p<0,05), representando maior comprometimento físico e funcional. Apenas os domínios do CSF apresentaram correlação negativa e estatisticamente significativa com a CEAP. Conclusões: Os aspectos físicos e funcionais foram mais comprometidos, sobretudo nas formas mais graves da DVC. Estes achados podem contribuir para melhor compreensão dos efeitos da DVC na QV e melhor direcionamento das intervenções terapêuticas nessa população.Palavras-chave: qualidade de vida; insuficiência venosa; fisioterapia.

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Revision of the CEAP classification for chronic venous disorders: Consensus statement

Cited by 1,611 publications

References 7 publications

Multilayer compression bandaging in the acute phase of deep-vein thrombosis has no effect on the development of the post-thrombotic syndrome

Multilayer compression bandaging in the acute phase of deep-vein thrombosis has no effect on the development of the post-thrombotic syndrome

Duplex ultrasound in the assessment of lower extremity venous insufficiency

Correlação entre classificação clínica ceap e qualidade de vida na doença venosa crônica

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