The CEAP (Clinical, Etiological, Anatomic, Pathophysiologic) classification for chronic venous disease of the lower extremity uses a clinical score to monitor the clinical severity of the venous disease. This can be monitored over time to evaluate disease progression and response to therapeutic interventions.
Parameters used for clinical score:
(1) pain
(2) edema
(3) venous claudication
(4) pigmentation
(5) lipodermatosclerosis
(6) ulcer size
(7) ulcer duration
(8) ulcer recurrences
(9) ulcer number
|
Parameter |
Finding |
Points |
|
pain |
none |
0 |
|
|
mild |
0 |
|
|
moderate, not requiring analgesics |
1 |
|
|
severe, requiring analgesics |
2 |
|
edema |
none |
0 |
|
|
mild |
1 |
|
|
moderate |
1 |
|
|
severe |
2 |
|
venous claudication |
none |
0 |
|
|
mild |
1 |
|
|
moderate |
1 |
|
|
severe |
2 |
|
pigmentation |
none |
0 |
|
|
localized |
1 |
|
|
extensive |
2 |
|
lipodermatosclerosis |
none |
0 |
|
|
localized |
1 |
|
|
extensive |
2 |
|
ulcer size |
none |
0 |
|
|
< 2 cm diameter |
1 |
|
|
>= 2 cm diameter |
2 |
|
ulcer duration |
none |
0 |
|
|
< 3 months |
1 |
|
|
>= 3 months |
2 |
|
ulcer recurrence |
none |
0 |
|
|
once |
1 |
|
|
more than once |
2 |
|
ulcer number |
none |
0 |
|
|
1 |
1 |
|
|
multiple (>= 2) |
2 |
after Table VI page 315 Beebe et al
clinical score =
= SUM(points for all 9 parameters)
|
Disability Score |
Score |
|
asymptomatic |
0 |
|
symptomatic but can function without support device |
1 |
|
can work an 8 hour day only with a support device |
2 |
|
unable to work even with a support device |
3 |
Interpretation:
• minimum clinical or disability score: 0
• maximum clinical score: 18
• maximum disability score: 3
• The higher the score, the more severe the disease.
Specialty: Cardiology
ICD-10: ,
