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Chronic venous insufficiency in persons with a history of injection drug use.
Abstract
Persons with a history of injection drug use have many risk factors for the development of chronic venous insufficiency (CVI), yet this phenomenon has not been studied systematically in this population. Persons (N = 204) with a history of injection drug use who were in enrolled in a treatment center were examined for clinical manifestations of CVI. The CVI clinical classification was graded on a 7‐point scale for each leg. Most participants (n = 179, 87.7%) exhibited clinical evidence of CVI. Significant predictors of CVI clinical manifestations were leg infections/cellulitis (ρ = .53); years injection in the veins of the groin, legs, and feet (ρ = .47); deep vein thrombosis (ρ = .37); and total years injection heroin (ρ = .27). There was a linear functional relationship between years of injection drug use and the CVI clinical classification, but only when the injections were in the veins of the groin, legs, or feet; otherwise, the specific mechanisms of this relationship were not evident. The findings indicate that CVI is a common occurrence in persons who have injected drugs. © 2001 John Wiley & Sons, Inc. Res Nurs Health 24:423–432, 2001
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“Vein injury occurs through scarring, non-sterile injection, and direct toxic effects of the drug and can lead to chronic venous insufficiency (CVI), which increases the risk for chronic lower extremity ulcers (Pieper & Templin, 2001; Pieper, Kirsner, Templin, & Birk, 2007).”
From High Rates of Abscesses and Chronic Wounds in Community-Recruited Injection Drug Users and Associated Risk Factors (2015) · cites this paper as Pieper & Templin, 2001
Citations
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Cited by
Sorted by citations
Cutaneous complications of intravenous drug abuse
Del Giudice, P. (2004) · British Journal of Dermatology · doi:10.1111/j.1365-2133.2004.05607.x · Cited by 187
Smith, M. E., Robinowitz, N., Chaulk, P., & Johnson, K. E. (2015) · Journal of Addiction Medicine · doi:10.1097/adm.0000000000000093 · Cited by 55
Metadata
- Authors
- Pieper, B., & Templin, T.
- Venue
- Research in Nursing & Health
- Publisher
- Wiley
- Published
- 2001-10
- Volume
- 24
- Issue
- 5
- Pages
- 423-432
- ISSN
- 0160-6891
- 1098-240X
- Cited by
- 50
- References
- 1
- Language
- en
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