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Calculator: Revised venous clinical severity score in adults (2010)


Calculator: Revised venous clinical severity score in adults (2010)

 
Pain or discomfort of presumed venous origin

None (0 points)

Occasional, not restricting activity (1 point)

Daily, with partial interference of activity (2 points)

Daily, limiting most activities (3 points)
Varicose veins*

None (0 points)

Few, scattered branch varicositis or clusters, or corona phebectatic (1 point)

Multiple varicosities confined to calf or thigh (2 points)

Multiple varicosities involving calf and thigh (3 points)
Venous edema

None (0 points)

Foot and or ankle only (1 point)

Above ankle but below knee (2 points)

Above knee (3 points)
PigmentationΔ

None or focal (0 points)

Perimalleolar area only (1 point)

Diffuse but limited to lower one-third of calf (2 points)

Wide distribution above lower one-third of calf (3 points)
Inflammation: Erythema related to cellulitis, dermatitis, or venous eczema

None (0 points)

Perimalleolar area only (1 point)

Diffuse but limited to lower one-third of calf (2 points)

Wide distribution above lower one-third of calf (3 points)
Induration

None (0 points)

Perimalleolar area only (1 point)

Diffuse but limited to lower one-third of calf (2 points)

Wide distribution above lower one-third of calf (3 points)
Number of active ulcers

None (0 points)

1 (1 point)

2 (2 points)

≥3 (3 points)
Duration of active ulcers

N/A (0 points)

<3 months (1 point)

>3 months <1 year (2 points)

>1 year (3 points)
Size of active ulcers

N/A (0 points)

<2 cm diameter (1 point)

2 to 6 cm diameter (2 points)

>6 cm diameter (3 points)
Compression therapy

None (0 points)

Intermittent stocking use (1 point)

Stocking use most days (2 points)

Continuous stocking use (3 points)

 
Important: Inputs must be complete to perform calculation.

 
Total criteria point count:
 
Notes
  • * Varicose veins must be ≥3 mm in diameter (while standing) to count in this score.
  • ¶ Venous edema must be a regular finding, not occasional. It is typically brawny rather than pitting and it is altered by leg elevation or standing.
  • Δ Pigment changes presume venous origin and must be relatively diffuse, not just focal over varicose veins.
  • The venous clinical severity score is a tool to help to objectively follow patient response to clinical management.

 
Only digits 0 to 9 and a single decimal point (".") are acceptable as numeric inputs. Attempted input of other characters into a numeric field may lead to an incorrect result.

Information on this page may not appear correctly if printed.

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