医学
疾病
慢性静脉功能不全
慢性病
重症监护医学
内科学
作者
Iara Nepomuceno de Souza,Pedro Henrique Scheidt Figueiredo,Keity Lamary Souza Silva,Matheus Ribeiro Ávila,Lucas Fróis Fernandes de Oliveira,Igor Lucas Geraldo Izalino de Almeida,Whesley Tanor Silva,Ana Cristina Rodrigues Lacerda,Vanessa Amaral Mendonça,Henrique Silveira Costa
标识
DOI:10.1016/j.jbmt.2024.03.015
摘要
Introduction Chronic venous disease (CVD) is a highly prevalent disease that presents a wide spectrum of clinical expressions due to abnormalities in the venous system. Patients often have major functional changes that can limit daily activities. However, the functional factors associated with the severity of the disease remain poorly understood. Objective To identify the functional factors associated with CVD severity. Methods Seventy-five patients with CVD (92.0% females, 49.6 ± 13.3 years) were evaluated through clinical examination, lower limb perimetry, ankle range of motion (AROM), and lower limb muscle strength by the Heel Rise test, and Sit-to-stand test. Patients were stratified according to the disease severity as mild (telangiectasia, varicose veins, or edema in the lower limbs) or severe CVD (trophic changes or venous ulcer). Results Patients with severe CVD (n = 13) were older (p = 0.002), predominantly male (p = 0.007), with reduced AROM in dorsiflexion (p = 0.028) and inversion (p = 0.009), reduced lower limb strength by the Heel Rise test (p = 0.040), and greater circumference of the calf (p = 0.020), ankle (p = 0.003), and plantar arch (p = 0.041) when compared to mild CVD (n = 62). Advanced age, male sex, lower ankle range of motion in dorsiflexion, and greater ankle and plantar arch circumferences were associated with CVD severity. However, the ankle circumference (OR 1.258, 95% CI: 1.008–1.570; p = 0.042), together with advanced age and male sex, was the only functional variable that remained independently associated with CVD severity. Conclusion The increased ankle circumference was a determinant of the CVD severity and may assist in risk stratification and guide treatment goals in this population.
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