Purpose:
The Villalta score is a clinical tool used to assess the severity of chronic venous disease (CVD) in the setting of Post Thrombotic Syndrome (PTS). This tool helps in longitudinal care by quantifying signs and symptoms.
Instructions for Use:
- Evaluate each of the 10 clinical criteria listed below and assign a score ranging from 0 to 3 based on the severity of signs and symptoms.
- Sum up the scores for each criterion to obtain the total Villalta score for the patient.
- Use the total score to assess the severity of CVD and monitor changes over time.
Villalta Score Table:
Patient Example:
| Pain: | 1 (Mild) |
| Cramps: | 2 (Moderate) |
| Heaviness: | 3 (Severe) |
| Paresthesia: | 0 (Absent) |
| Pruritus: | 1 (Mild) |
| Swelling: | 2 (Moderate) |
| Skin color changes: | 1 (Mild) |
| Inflammation: | 0 (Absent) |
| Induration or hardening of the skin: | 0 (Absent) |
| Ulceration: | 0 (Absent) |
| Total Villalta Score: | 10 |
Interpretation: Total Villalta Score of 10 indicates moderate severity of PTS.
References:
- Soosainathan, A., Moore, H. M., Gohel, M. S., & Davies, A. H. (2013). Scoring systems for the post-thrombotic syndrome. Journal of Vascular Surgery, 57(1), 254-261.
- Wik, H. S., Ghanima, W., Sandset, P. M., & Kahn, S. R. (2017). Scoring systems for postthrombotic syndrome. Seminars in Thrombosis and Hemostasis, 43(5), 500-504. doi: 10.1055/s-0037-1599142
- Ng, S., Rodger, M. A., Ghanima, W., Kovacs, M. J., Shivakumar, S., Kahn, S. R., Sandset, P. M., Kearon, C., Mallick, R., & Delluc, A. (2022). External validation of the patient-reported Villalta scale for the diagnosis of postthrombotic syndrome. Thrombosis and Haemostasis, 122(8), 1379-1383.
- Jayaraj, A., Natiello, C., Nicholls, S., & Meissner, M. (2011). A comparison of the Villalta and venous clinical severity scoring instruments in the assessment of post-thrombotic syndrome. Journal of Vascular Surgery, 53(1), 256. doi: 10.1016/j.jvs.2010.11.01