TY - CHAP
T1 - Operative debridements of chronic wounds
AU - Hanflik, Andrew M.
AU - Golinko, Michael S.
AU - Doft, Melissa
AU - Cain, Charles
AU - Flattau, Anna
AU - Brem, Harold
PY - 2008
Y1 - 2008
N2 - The term chronic wound does not refer to duration over time, but rather describes a wound that is physiologically impaired. All venous, pressure, and diabetic foot ulcers are defined as chronic wounds. Elderly patients are more likely to experience venous and pressure ulcers,1-4 which lead to more than half of all lower extremity amputations in persons with diabetes. 5 Chronic wounds heal at the same frequency of closure in elderly populations as they do in younger populations, but may heal at a slower rate, primarily because of comorbidities associated with age.6-9 The comorbidities that delay healing are prevalent among older populations and include venous insufficiency and diabetes. Although there are age-related changes to the skin, it has yet to be shown, clinically, that age alone decreases an elderly person's ability to heal.7,10,11 A synergistic effect of advanced age and diabetes significantly slows healing.12
AB - The term chronic wound does not refer to duration over time, but rather describes a wound that is physiologically impaired. All venous, pressure, and diabetic foot ulcers are defined as chronic wounds. Elderly patients are more likely to experience venous and pressure ulcers,1-4 which lead to more than half of all lower extremity amputations in persons with diabetes. 5 Chronic wounds heal at the same frequency of closure in elderly populations as they do in younger populations, but may heal at a slower rate, primarily because of comorbidities associated with age.6-9 The comorbidities that delay healing are prevalent among older populations and include venous insufficiency and diabetes. Although there are age-related changes to the skin, it has yet to be shown, clinically, that age alone decreases an elderly person's ability to heal.7,10,11 A synergistic effect of advanced age and diabetes significantly slows healing.12
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U2 - 10.1007/978-0-387-72527-7_12
DO - 10.1007/978-0-387-72527-7_12
M3 - Chapter
AN - SCOPUS:84895387373
SN - 9780387725260
SP - 165
EP - 178
BT - Geriatric Anesthesiology
PB - Springer New York
ER -