Conf. Dr. Radu Daniela
Universitatea de Medicină și Farmacie “Victor Babeș” Timișoara
Influențele pandemiei COVID-19 asupra afecțiunilor venoase ale membrelor inferioare
Autor: Daniela Radu
Clinica 1 Chirurgie, Universitatea de Medicină și Farmacie Victor Babeș Timișoara
Cuvinte cheie: covid-19, afecțiuni venoase , scala de triaj
Introducere: În concordanță cu recomandările curente datorită pandemiei cu SARS CoV 2 spitalul nostru a instituit măsuri drastice cu modificări în practica medicală zilnică. Aceste măsuri au inclus sistarea intervențiilor elective în perioadele de maximă incidență a infecției inclusiv pentru afecțiunile venoase.
Scop: analiza influenței pandemiei asupra evoluției afecțiunilor venoase ale membrelor inferioare
Material și metodă: VELTAS este o scală de triaj dedicată îngrijirii pacienților cu afecțiuni venoase acute sau cronice. Experții UIP au dezvoltat un consens pentru a standardiza managementul acestor pacienți în condițiile actuale de pandemie. Triajul pacienților se bazează pe evaluarea clinică a cazurilor. În concordanță cu VELTAS, condițiile clinice se clasifică în 6 categorii: thromboembolism venos, insuficiență venoasă cronică, anomalii vasculare, trauma venoasă, compresie venoasă, limfedem. Gradul urgenței este apreciat ca: foarte urgent, urgent, semi-urgent, non-urgent. În această analiză am inclus 480 de pacienți dispensarizați prin ambulatoriul Clinicii 1 Chirurgie a SCJUPB Timișoara. Prioritizarea pacienților a fost efectuată de către medicul curant, în concordanță cu criteriile clinice, ținând cont de siguranța pacienților și posibilitatea evoluției rapide a bolii spre complicații invalidante.
Rezultate: Intervenția chirurgicală a fost reprogramată la 78% din pacienți pentru cel puțin 3 luni, pacienții rămânând acasă, cu tratament conservator. În primele 24 de luni de COVID-19 au fost reprogramate 229 de proceduri venoase și s-au efectuat 415 de consultații on-line.
1.Afecțiunile venoase cronice au fost în marea lor majoritate tratate conservator în timpul pandemiei de COVID-19.
2.Scala VELTAS este un instrument util pentru încadrarea corectă a afecțiunilor, prioritizarea cazurilor și prevenirea complicațiilor generate de întârzierea intervenției curative în afecțiunile venoase.
Pandemic influences on the treatment of venous disease
Author: Daniela Radu
Surgery Clinic 1, University of Medicine and Pharmacy Victor Babeș Timișoara
Key words: COVID-19, chronic venous diseases, triage scale,
Background: In accordance with current recommendations due to coronavirus disease our hospital has instituted drastic practice changes. These involved rescheduling of all elective procedures, including venous cases.
VELTAS is a triage and acuity scale dedicated to the care of patients with acute and chronic venous and lymphatic disorders. This Scale was developed to provide an international standard to help specialists in the management of this patients. Triage urgency was determined based on clinical assessment of urgency with which a patient would require medical treatment or surgical intervention.
Method: According to VELTAS, clinical conditions were classified into six categories: venous thromboembolism, chronic venous disease, vascular anomalies, venous trauma, venous compression, lymphatic disease. The degree of urgency is appreciated as: emergencies, urgent, semi-urgent, non-urgent.
Results: In this analysis, we included 480 patients. We delayed the intervention in 78% of patients for at least 3 month, with conservative treatment at home. During the first 24 month of the COVID-19 related practice changes, 229 vein procedures were rescheduled and 415 new consultations were performed using telehealth methods.
1.Venous chronic diseases (CVD) were mostly conservatively treated during the pandemic period
2.Scala VELTAS is a useful tool for correct classification of the condition, prioritizing cases and prevention of complications caused by delayed curative intervention in venous diseases
I was born in Sibiu, Romania, in 09 May 1960, married, no children. I graduated from the Faculty of Medicine, Institute of Medicine Timisoara in 1986. After graduation and I was employed by County Hospital Sibiu as a junior doctor. In 1991 I started my specialization in General Surgery at the Surgical Clinic no.1, of the County Emergency Hospital Timis, belonging to the University of Medicine and Pharmacy Timisoara. Since 1994 I was employed as a surgeon and Assistant Lecturer, then Senior Lecturer and from 2017 Associate Professor of the above mentioned university. I was awarded a Master’s Degree in 1998 and got the PhD title in 2002 from the University of Medicine “Iulius Hatieganu” of Cluj Napoca.
Member of International Committee a XXIX World congress of the International Union of Angiology, I virtual World Congress of the IUA 2020, International Scientific Board la UIP Chapter Meeting 13-17 April, Rome 2016, International Organizing Committee of The UIP Chapter Meeting Seoul UIP 2015. Member of the Editorial Board of Acta Phlebologica, European Journal of Physical and Rehabilitation Medicine, Aperito Journal Of Dermatology, Reviewer for World Journal of Surgical Oncology.
Member of Organizing Committee of 8 Romanian Congresses of Phlebology with International Participation (1996-2018) President of two other committees (2008, 2011), vice-president in 2013 and 2014.
Membership of Medical Associations: President of the Romanian Society of Phlebology (2011-2014), Founder Member of the Balkan Venous Forum 2009, Member of the Romanian Society of Surgery, Honorary Member of the National Society of Laparoscopic Surgery and Mechanical Sutures- 1996, Member of the Romanian Association for Endoscopic Surgery and Other Interventional Techniques (ARCE), Member of European Venous Forum (EVF), Member of the Union Internationale of Phlebology (UIP), Member of the International Union of Angiology (IUA), Member of the European Digestive Surgery (EDS), Member of European Association for Endoscopic Surgery (E.A.E.S),
Romanian awards: Diploma of Excellency for the promotion and contribution to the Angiology and Vascular Surgery in Romania in 2013; awarded by the Romanian Academy, the “Alexandru Radulescu/2011”award for Medical Sciences for the book Phlebopatology; Diploma of Excellency, for the promotion and contribution of the Angiology and Vascular Surgery in Romania in 2010; Diploma of Excellency for the promotion of the Laparoscopic Surgery in Romania, 2002.
• “XI International Congress of CEVF; II Meeting of the Multinational Chapter of IUA; XXVIII Congress of MLAVS – Advances in Cardiovascular Diseases Palermo Italy 2018
• UIP-Chapter meeting 14-17 aprilie Rome Italy 2016
• UIP-chapter meeting, Seoul Koreea 27-29 august 2015
• Central European Vascular Forum, Rome, Italy October 16-18, 2014
• 5th Balkan Venous Forum, Sofia Bulgary October 9-12, 2014
• AFI Sclerotherapy, Florence Italy 28-29 March 2014
• Balkan Venous Forum Belgrad Serbia 2013
• Balkan Venous Forum Istanbul Turkey 2012
• 2nd Balkan Venous Forum, Athens, Greece 2011
Published papers as first author: 21 books, monographs and student guides; 102 studies in volumes and journals.
Research interests: classic and laparoscopic in visceral surgery, varicose diseases, leg ulcers, diabetic foot, posttrombotic syndrome, congenital venous malformations of the lower leg.