Chronic venous insufficiency in persons with a history of injection drug use¶
Article first published online: 23 OCT 2001
Copyright © 2001 John Wiley & Sons, Inc.
Research in Nursing & Health
Volume 24, Issue 5, pages 423–432, October 2001
How to Cite
Pieper, B. and Templin, T. (2001), Chronic venous insufficiency in persons with a history of injection drug use. Res. Nurs. Health, 24: 423–432. doi: 10.1002/nur.1042
The authors thank Kristin Szczepaniak and Karen Nutting for assistance with data collection.
- Issue published online: 23 OCT 2001
- Article first published online: 23 OCT 2001
- Manuscript Accepted: 28 MAR 2001
- Manuscript Received: 13 MAR 2000
- Summer Research Initiative, College of Nursing, Wayne State University
- chronic venous insufficiency;
- injection drug use
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