The National Varicose Vein Study is a cross-sectional, multicenter, observational study. The primary goal is to evaluate the 30 days outcome of the conventional great saphenous vein surgery (stripping) in the treatment of the symptomatic chronic venous insufficiency, comparing the results of difference Portuguese's health centers, comparing the following variables: thrombo-prophylaxis (pharmacology or mechanic; compliance); antimicrobial prophylaxis; quality of life; medication compliance; complications and work incapacity period.
Chronic venous disease is one of the most prevalent pathologies in the world population. It presents a spectrum of variable manifestations, culminating in the most severe form, active venous ulcer. The clinical evaluation, the study of venous anatomy by echo- Doppler and the indications for surgical treatment are standardized in guidelines. The same applies to the techniques for surgical treatment that, in the long term, present equally satisfactory results. Thus, currently, in the Portuguese national health system, the surgical technique most frequently used is conventional surgery. As for postoperative care, namely thromboprophylaxis regimens, analgesia regimens, there is greater variability in its application between clinics and institutions, which may result in significant differences in postoperative recovery. In this way, we intend to develop an observational, cross-sectional and multicenter study, comparing postoperative care protocols and patient compliance and impact on quality of life, as well as absence from work. The primary goal is to evaluate the 30 days outcome of the conventional great saphenous vein surgery (stripping) in the treatment of the symptomatic chronic venous insufficiency, comparing the results of difference Portuguese's health centers, comparing the following variables: thrombo-prophylaxis (pharmacology or mechanic; compliance); antimicrobial prophylaxis; quality of life; medication compliance; complications and work incapacity period.
Study Type
OBSERVATIONAL
Enrollment
250
Arch ligation and stripping of great saphenous vein. Prophilatic anticoagulation - Low molecular weight heparin vs DOACs Antibiotics Non-steoridal anti-inflamatory drugs
Faculdade de Medicina da Universidade do Porto
Porto, Portugal
RECRUITINGPharmacological and/or mechanical thromboprophylaxis
Regimen (low molecular weight Heparin vs direct oral anticoagulant; elastic stockings). duration of the thromboprophilaxis regimen
Time frame: In the postoperative period between 25 and 45 days
Antibiotic prophylaxis regimens
Duration of the regimen. Beta lactamic vs remaining antibiotics
Time frame: In the postoperative period between 25 to 45 days
Impact on quality of Life;
Eq5D5L; 5-level EQ-5D version (EQ-5D-5L)
Time frame: In the postoperative period between 25 to 45 days
Impact on quality of Life;
CIVIQ14 - ChronIc Venous Insufficiency QOL Questionnaire (CIVIQ)
Time frame: In the postoperative period between 25 to 45 days
Impact on quality of Life;
rVCSS - revised venous clinical seveity score
Time frame: In the postoperative period between 25 to 45 days
Compliance with drug therapy;
How many days were recomended to take the drug; How many days the patient took the drug
Time frame: In the postoperative period between 25 and 45 days
Complications and extraordinary recourse to health care
Observation in the outpatient clinic and urgency department
Time frame: In the postoperative period between 25 and 45 days
Period of work disability
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measured in days
Time frame: In the postoperative period between 25 and 45 days