J Vasc Surg 2002;36:889-95 Performance characteristics of the venous clinical severity score Mark H Meissner, Cynthia Natiello, and Stephen C.Nicholls.

Apresentação em tema: "J Vasc Surg 2002;36:889-95 Performance characteristics of the venous clinical severity score Mark H Meissner, Cynthia Natiello, and Stephen C.Nicholls."— Transcrição da apresentação:

1 J Vasc Surg 2002;36:889-95 Performance characteristics of the venous clinical severity score Mark H Meissner, Cynthia Natiello, and Stephen C.Nicholls

2 Meissner H M, et al. Performance charact. of the venous clinical severity score. J Vasc Surg 2002;36:889-95 2/14 OBJETIVO: Facilitar a análise da evolução da IVC. Avaliar os 10 componentes da ESCALA DE GRAVIDADE NA CLíNICA VASCULAR

3 Meissner H M, et al. Performance charact. of the venous clinical severity score. J Vasc Surg 2002;36:889-95 3/14 VENOUS CLINICAL SEVERITY SCORE 1.Pain 2.Varicose Veins 3.Edema 4.Pigmentation 5.Inflamation 6.Induration 7.Stocking use 8.Ulcer size 9.Duration 10.Number of ulcer 0 a 3

4 Meissner H M, et al. Performance charact. of the venous clinical severity score. J Vasc Surg 2002;36:889-95 4/14

5 Meissner H M, et al. Performance charact. of the venous clinical severity score. J Vasc Surg 2002;36:889-95 5/14

6 Meissner H M, et al. Performance charact. of the venous clinical severity score. J Vasc Surg 2002;36:889-95 6/14 TIPO DO ESTUDO: COORTE, PROSPECTIVO, CEGO Aprovado pelo Human Subjects committee at The University of Washington Conflito de interesse: Nenhum

7 Meissner H M, et al. Performance charact. of the venous clinical severity score. J Vasc Surg 2002;36:889-95 7/14 Local: Department of Surgery. Harborview medical center. University of Washington school of medicine SEATTLE Washington

8 Meissner H M, et al. Performance charact. of the venous clinical severity score. J Vasc Surg 2002;36:889-95 8/14 Amostra Maio a Novembro 2000: –128 membros –64 pacientes 37 ♂ (58%) e 27♀ (42%)

9 Meissner H M, et al. Performance charact. of the venous clinical severity score. J Vasc Surg 2002;36:889-95 9/14 CEAPvcs C0-assintomaticoSEM DOENÇA C1-TelangiectasiasEXCLUIDO C2-Varizes C3-EdemaDOENÇA LEVE/MODERADA C4-Dermatoesclerose C5-Ulcera fechada DOENÇA SEVERA C6-Ulcera aberta

10 Meissner H M, et al. Performance charact. of the venous clinical severity score. J Vasc Surg 2002;36:889-95 10/14 Amostra Investigadores: –1-Enfermeira vascular –2-Cirurgião vascular assistencialista –3-Cirurgião vascular –01 e 03 pesquisadores

11 Meissner H M, et al. Performance charact. of the venous clinical severity score. J Vasc Surg 2002;36:889-95 11/14 Variaveis estudadas

12 Meissner H M, et al. Performance charact. of the venous clinical severity score. J Vasc Surg 2002;36:889-95 12/14 MÉTODO ESTATíSTICO Rockit statistical software (C.E.Metz, Depatment of Radiology – University of Chicago. t test pareado ( para VCS mesmo observador ) k estatistico ( Avaliar tabela 2x2 )

13 Meissner H M, et al. Performance charact. of the venous clinical severity score. J Vasc Surg 2002;36:889-95 13/14 Escore de 01 e 03 observadores 68 MMII. analisados (x2)por 01 observador em 28dias: Escore medio: (11,1±6) 1a (11,9±5,5) 2ap=0,15 »t test pareado 63 MMII analisados por 03 invest. ( mesmo dia): Pequena diferença p=0,02

14 Meissner H M, et al. Performance charact. of the venous clinical severity score. J Vasc Surg 2002;36:889-95 14/14 K =1- acerto total K =0- erro total K estatistico

15 Meissner H M, et al. Performance charact. of the venous clinical severity score. J Vasc Surg 2002;36:889-95 15/14 Conclusão: O venous clinical severity score é util na avaliação e seguimento dos pacientes de ICV. O CEAP é básico e a VCS aparece para somar na evolução dos pacientes com IVC.