Prevalencia de safenectomía por insuficiencia venosa crónica, y factores asociados en el Hospital José Carrasco Arteaga, Cuenca 2017

Abstract

INTRODUCTION: The prevalence of chronic venous insufficiency in most countries is 60%, while saphenectomy represents the 20% of the surgical procedures done world wide. OBJECTIVE: Determinate the prevalence of saphenectomy for chronic venous insufficiency and its related risk factors in the Hospital José Carrasco Arteaga, 2017.

METODOLOGY: Epidemiologic and analytic study in 360 patients from the Hospital José Carrasco Arteaga, who met the inclusion criteria. The sample was obtained by simple aleatoric system. Chronic venous insufficiency was accounted by CEAP and ultrasound. Associated risk factors like age, overweight, sedentary status and deep vein thrombosis were determinated. Values were analyzed by SPSS program version 20.0; results are shown in frequency and percentages tables, and the association between risk factors and saphenectomy was analyzed by bivariate analysis. RESULTS: Saphenectomy as treatment for chronic Venous Insufficiency represents the 74.4%. The prevalence of chronic Venous Insufficiency is 90.8% and it is associated with risk factors such as age, overweight, sedentary status and deep veins thrombosis. CONCLUSION: Saphenectomies are performed on 74.4% of patients with chronic venous insufficiency who attended to the vascular surgery consult at the HJCA, a little higher than other literatures. Patients attended by a vascular specialist have a better diagnosis and treatment than the ones seen at general practice services; who should be trained for better outcomes and prevention of progression of the disease. Risk factors associated with Chronic venous insufficiency and saphenectomy are age, sedentary status, overweight and deep vein thrombosis.