A CROSS-SECTIONAL STUDY ON CORRELATION OF VENOUS REFLUX GRADING IN VARICOSE VEINS PATIENTS BY VENOUS DOPPLER AND ITS CORRELATION WITH VENOUS CLINICAL SEVERITY SCORE (VCSS) AND VENOUS DISABILITY SCORE (VDS)

Abstract

Varicose veins are a common manifestation of chronic venous disease and are frequently associated with venous reflux, resulting in significant clinical symptoms and functional impairment. Doppler ultrasonography plays a vital role in evaluating venous reflux and disease severity. To correlate venous reflux grading assessed by Doppler ultrasonography with the Venous Clinical Severity Score (VCSS) and Venous Disability Score (VDS) in patients with varicose veins. This hospital-based analytical cross-sectional study included 60 patients with varicose veins who underwent clinical evaluation and venous Doppler ultrasonography. Venous reflux was graded based on reflux duration and correlated with VCSS and VDS. Statistical analysis was done using Chi-square test, one-way ANOVA, and Spearman correlation analysis. Grade II reflux was the most common reflux category. Significant positive correlations were observed among reflux grade and VCSS (r = 0.914, p < 0.001) and among reflux grade and VDS (r = 0.835, p < 0.001). Patients with severe reflux demonstrated significantly higher clinical severity and disability scores compared to those with lower reflux grades. Venous reflux grading by Doppler ultrasonography showed a strong positive correlation with both VCSS and VDS. Doppler-derived reflux assessment is a reliable objective tool for evaluating disease severity and functional disability in individual with varicose veins.