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A Journal on Physiopathology and Therapy of Chronic Cutaneous Ulcers


Official Journal of the Italian Association for Cutaneous Ulcers
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Acta Vulnologica 2014 June;12(2):63-70

language: English, Italian

Case management of patients with chronic cutaneous ulcers: care pathways and collaborative problem solving

Spano L. A., Cocchieri C., Pierangeli M., Tartaglione C., Bolletta E., Scalise A.

Ambulatorio Ferite difficili, Z.T. ASUR Marche, A.V.5 Product Specialist, Unità Operativa di Chirurgia Plastica, Ospedale Torrette, ASUR Marche A.V.2, Ancona, Italia


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Chronic cutaneous ulcers, or hard-to-heal wounds, are characterized by tissue substance loss and absence of healing within 4 to 8 weeks. According to Andersson, chronic cutaneous ulcers affect 0.15-1.02% of the elderly, with a prevalence of 0.3% in those aged 60 years, 1% in those aged 65 years, and 5% in those aged 90 years. An estimated 40% of the population with chronic cutaneous ulcers is less than 60 years old, still working or self medicate.

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