{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T17:42:44Z","timestamp":1777916564688,"version":"3.51.4"},"reference-count":15,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2020,7,8]],"date-time":"2020-07-08T00:00:00Z","timestamp":1594166400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Phlebology"],"published-print":{"date-parts":[[2020,9]]},"abstract":"<jats:p>The coronavirus disease 2019 (COVID-19) global pandemic has resulted in diversion of healthcare resources to the management of patients infected with SARS-CoV-2 virus. Elective interventions and surgical procedures in most countries have been postponed and operating room resources have been diverted to manage the pandemic. The Venous and Lymphatic Triage and Acuity Scale was developed to provide an international standard to rationalise and harmonise the management of patients with venous and lymphatic disorders or vascular anomalies. Triage urgency was determined based on clinical assessment of urgency with which a patient would require medical treatment or surgical intervention. Clinical conditions were classified into six categories of: (1) venous thromboembolism (VTE), (2) chronic venous disease, (3) vascular anomalies, (4) venous trauma, (5) venous compression and (6) lymphatic disease. Triage urgency was categorised into four groups and individual conditions were allocated to each class of triage. These included (1) medical emergencies (requiring immediate attendance), example massive pulmonary embolism; (2) urgent (to be seen as soon as possible), example deep vein thrombosis; (3) semi-urgent (to be attended to within 30\u201390 days), example highly symptomatic chronic venous disease, and (4) discretionary\/non-urgent- (to be seen within 6\u201312 months), example chronic lymphoedema. Venous and Lymphatic Triage and Acuity Scale aims to standardise the triage of patients with venous and lymphatic disease or vascular anomalies by providing an international consensus-based classification of clinical categories and triage urgency. The scale may be used during pandemics such as the current COVID-19 crisis but may also be used as a general framework to classify urgency of the listed conditions.<\/jats:p>","DOI":"10.1177\/0268355520930884","type":"journal-article","created":{"date-parts":[[2020,7,8]],"date-time":"2020-07-08T12:00:12Z","timestamp":1594209612000},"page":"550-555","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Triage of patients with venous and lymphatic diseases during the COVID-19 pandemic \u2013 The Venous and Lymphatic Triage and Acuity Scale (VELTAS)"],"prefix":"10.1177","volume":"35","author":[{"given":"Kurosh","family":"Parsi","sequence":"first","affiliation":[{"name":"International Union of Phlebology (UIP)"},{"name":"Australasian College of Phlebology (ACP)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andre M","family":"van Rij","sequence":"additional","affiliation":[{"name":"Australasian College of Phlebology (ACP)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark H","family":"Meissner","sequence":"additional","affiliation":[{"name":"International Union of Phlebology (UIP)"},{"name":"American Venous Forum (AVF)"},{"name":"American Vein and Lymphatic Society (AVLS)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alun H","family":"Davies","sequence":"additional","affiliation":[{"name":"Imperial College London, Charing Cross and St Mary\u2019s Hospital, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marianne De","family":"Maeseneer","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Erasmus MC, Rotterdam, the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Gloviczki","sequence":"additional","affiliation":[{"name":"Division of Vascular and Endovascular Surgery, Mayo Clinic, Rochester, MN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen","family":"Benson","sequence":"additional","affiliation":[{"name":"Australasian College of Phlebology (ACP)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oscar","family":"Bottini","sequence":"additional","affiliation":[{"name":"International Union of Phlebology (UIP)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Victor Manuel","family":"Canata","sequence":"additional","affiliation":[{"name":"International Union of Phlebology (UIP)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul","family":"Dinnen","sequence":"additional","affiliation":[{"name":"Australasian College of Phlebology (ACP)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonios","family":"Gasparis","sequence":"additional","affiliation":[{"name":"American Venous Forum (AVF)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sergio","family":"Gianesini","sequence":"additional","affiliation":[{"name":"International Union of Phlebology (UIP)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Huber","sequence":"additional","affiliation":[{"name":"Australasian College of Phlebology (ACP)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Jenkins","sequence":"additional","affiliation":[{"name":"Australasian College of Phlebology (ACP)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brajesh K","family":"Lal","sequence":"additional","affiliation":[{"name":"American Venous Forum (AVF)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lowell","family":"Kabnick","sequence":"additional","affiliation":[{"name":"International Union of Phlebology (UIP)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adrian","family":"Lim","sequence":"additional","affiliation":[{"name":"Australasian College of Phlebology (ACP)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"William","family":"Marston","sequence":"additional","affiliation":[{"name":"American Venous Forum (AVF)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alberto Martinez","family":"Granados","sequence":"additional","affiliation":[{"name":"Pan-American Society of Phlebology and Lymphology"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nick","family":"Morrison","sequence":"additional","affiliation":[{"name":"International Union of Phlebology (UIP)"},{"name":"American Vein and Lymphatic Society (AVLS)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Nicolaides","sequence":"additional","affiliation":[{"name":"European Venous Forum (EVF)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Paraskevas","sequence":"additional","affiliation":[{"name":"Australasian College of Phlebology (ACP)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Malay","family":"Patel","sequence":"additional","affiliation":[{"name":"International Union of Phlebology (UIP)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stefania","family":"Roberts","sequence":"additional","affiliation":[{"name":"Australasian College of Phlebology (ACP)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher","family":"Rogan","sequence":"additional","affiliation":[{"name":"Australasian College of Phlebology (ACP)"},{"name":"Interventional Radiology Society of Australasia (IRSA)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marlin W","family":"Schul","sequence":"additional","affiliation":[{"name":"American Vein and Lymphatic Society (AVLS)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pedro","family":"Komlos","sequence":"additional","affiliation":[{"name":"Latin American Venous Forum (LAVF)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Stirling","sequence":"additional","affiliation":[{"name":"Australasian College of Phlebology (ACP)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Simon","family":"Thibault","sequence":"additional","affiliation":[{"name":"Australasian College of Phlebology (ACP)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roy","family":"Varghese","sequence":"additional","affiliation":[{"name":"Venous Association of India (VAI)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Harold J","family":"Welch","sequence":"additional","affiliation":[{"name":"American Venous Forum (AVF)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cees HA","family":"Wittens","sequence":"additional","affiliation":[{"name":"European College of Phlebology (ECoP)"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,7,8]]},"reference":[{"key":"bibr1-0268355520930884","doi-asserted-by":"crossref","unstructured":"Diaz A, Sarac BA, Schoenbrunner AR, et\u00a0al. Elective surgery in the time of COVID-19.\n                      Am J Surg.\n                      Epub ahead of print 16 April 2020, doi: 10.1016\/j.amjsurg.2020.04.014.","DOI":"10.1016\/j.amjsurg.2020.04.014"},{"key":"bibr2-0268355520930884","doi-asserted-by":"crossref","unstructured":"Bikdeli B, Madhavan MV, Jimenez D, et\u00a0al. COVID-19 and Thrombotic or thromboembolic disease: implications for prevention, antithrombotic therapy, and follow-up.\n                      J Am Coll Cardiol\n                      . Epub ahead of print 15 April 2020. pii: S0735-1097(20)35008-7, doi: 10.1016\/j.jacc.2020.04.031.","DOI":"10.1016\/j.jacc.2020.04.031"},{"key":"bibr3-0268355520930884","doi-asserted-by":"crossref","unstructured":"Obi AT, Barnes GD, Wakefield TW, et\u00a0al. Practical diagnosis and treatment of suspected venous thromboembolism during COVID-19 Pandemic.\n                      J Vasc Surg Venous Lymphat Disord.\n                      Epub ahead of print 2020, doi: 10.1016\/j.jvsv.2020.04.009.","DOI":"10.1016\/j.jvsv.2020.04.009"},{"key":"bibr4-0268355520930884","unstructured":"Klok FA, Kruip MJHA, van der Meer NJM, et\u00a0al. Incidence of thrombotic complications in critically ill ICU patients with COVID-19.\n                      Thromb Res\n                      . Epub ahead of print 10 April 2020. pii: S0049-3848(20)30120-1."},{"key":"bibr5-0268355520930884","unstructured":"Australian Institute of Health and Welfare.\n                      National definitions for elective surgery urgency categories: proposal for the Standing Council on Health\n                      . Canberra: AIHW, 2013."},{"key":"bibr6-0268355520930884","doi-asserted-by":"publisher","DOI":"10.1046\/j.1445-2197.2003.02605.x"},{"key":"bibr7-0268355520930884","doi-asserted-by":"publisher","DOI":"10.1097\/01.CCM.0000065130.18337.05"},{"issue":"8","key":"bibr8-0268355520930884","volume":"14","author":"Stahel PF.","year":"2020","journal-title":"Patient Saf Surg"},{"key":"bibr9-0268355520930884","unstructured":"American College of Surgeons. COVID-19 Guidelines for triage of vascular surgery patients, https:\/\/www.facs.org\/covid-19\/clinical-guidance\/elective-case\/vascular-surgery (publication 24 March 2020; accessed 6 May 2020)."},{"key":"bibr10-0268355520930884","unstructured":"Society for Interventional Radiology. COVID-19 case classification, https:\/\/www.sirweb.org\/practice-resources\/toolkits\/covid-19-toolkit\/covid-19-case-classification\/ (publication 8 April 2020; accessed 6 May 2020)."},{"key":"bibr11-0268355520930884","first-page":"533","volume":"29","author":"Parsi K","year":"2010","journal-title":"Int Angiol"},{"key":"bibr12-0268355520930884","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-152-4-201002160-00006"},{"key":"bibr13-0268355520930884","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvsv.2017.08.016"},{"key":"bibr14-0268355520930884","doi-asserted-by":"publisher","DOI":"10.1097\/01.RVI.0000203418-39769.0D"},{"key":"bibr15-0268355520930884","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvsv.2019.12.075"}],"container-title":["Phlebology: The Journal of Venous Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0268355520930884","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0268355520930884","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0268355520930884","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T17:51:14Z","timestamp":1777657874000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0268355520930884"}},"subtitle":["A consensus document of the International Union of Phlebology (UIP), Australasian College of Phlebology (ACP), American Vein and Lymphatic Society (AVLS), American Venous Forum (AVF), European College of Phlebology (ECoP), European Venous Forum (EVF), Interventional Radiology Society of Australasia (IRSA), Latin American Venous Forum, Pan-American Society of Phlebology and Lymphology and the Venous Association of India (VAI)    This consensus document has been co-published in\n                    <i>Phlebology<\/i>\n                    [DOI: 10.1177\/0268355520930884] and\n                    <i>Journal of Vascular Surgery: Venous and Lymphatic Disorders<\/i>\n                    [DOI: 10.1016\/j.jvsv.2020.05.002]. The publications are identical except for minor stylistic and spelling differences in keeping with each journal\u2019s style. The contribution has been published under a Attribution-Non Commercial-No Derivatives 4.0 International (CC BY-NC-ND 4.0), (https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/)."],"short-title":[],"issued":{"date-parts":[[2020,7,8]]},"references-count":15,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2020,9]]}},"alternative-id":["10.1177\/0268355520930884"],"URL":"https:\/\/doi.org\/10.1177\/0268355520930884","relation":{},"ISSN":["0268-3555","1758-1125"],"issn-type":[{"value":"0268-3555","type":"print"},{"value":"1758-1125","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,7,8]]}}}