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Volume 41 Issue 8
Aug.  2025
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Article Navigation >  CHINESE JOURNAL OF BURNS AND WOUNDS  > 2025  >  41(8): 734-739
Guo GH,Huang SY,Zhu F.Managing refractory wounds in the elderly with the concept of chronic critical illness[J].Chin J Burns Wounds,2025,41(8):734-739.DOI: 10.3760/cma.j.cn501225-20250314-00130.
Citation: Guo GH,Huang SY,Zhu F.Managing refractory wounds in the elderly with the concept of chronic critical illness[J].Chin J Burns Wounds,2025,41(8):734-739.DOI: 10.3760/cma.j.cn501225-20250314-00130.
shu

Managing refractory wounds in the elderly with the concept of chronic critical illness

doi: 10.3760/cma.j.cn501225-20250314-00130
  • 1.

    Medical Center of Burn Plastic and Wound Repair, the First Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang 330006, China

  • 2.

    Department of Critical Care Medicine, Shanghai East Hospital, School of Medicine, Tongji University, Shanghai 200120, China

Funds:

Regional Science Foundation Project of National Natural Science Foundation of China 82160376, 81960352

Key Program for Key Research and Development Program of Science and Technology Department of Jiangxi Province of China 20171ACG70004

More Information
    Abstract
  • The skin structure undergoes alterations in the elderly, making the skin soft tissue more susceptible to injury and thereby increasing the risk of developing refractory wounds. Elderly patients exhibit unique pathophysiological characteristics, often accompanied by severe and complex comorbidities (such as organ diseases, psychiatric and psychological issues, geriatric syndromes, etc.) and polypharmacy. Some patients may already be in a state of chronic critical illness for an extended period. Advanced age, refractory wounds, and critical illness often interact clinically, creating a vicious cycle. The management of refractory wounds in elderly patients should be regarded as an essential component of the overall management of geriatric comorbidities. To this end, the author proposes incorporating the concept of chronic critical illness into the management of refractory wounds in the elderly, focusing on the interplay between comorbidities and polypharmacy through multidisciplinary, dynamic, and stratified approaches. While focusing on the diagnosis and treatment of refractory wounds in the elderly, it also takes into account the diagnosis and treatment of geriatric organ diseases, functional maintenance, and actual needs.

     

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