[Chronic ulcers in the elderly – prevention and treatment]

The Swedish Council on Health Technology Assessment (SBU)
Record ID 32013000350
Authors' recommendations: The scientific evidence for the prevention and treatment of chronic ulcers in the elderly is limited. For the majority of interventions, more research of good scientific quality is required. The elderly population often has co-morbidities and multiple medications, which can affect ulcer healing and introduce bias into the studies. It is unclear to what extent different methods for the treatment and prevention of chronic ulcers are currently used in clinical praxis in Sweden. Based on this review the following conclusions can be drawn: – Surgery of varicose veins can reduce the recurrence of venous leg ulcers in the elderly. – Dressings containing calcium alginate may lead to shorter healing time of pressure ulcers in the elderly. Healing effects of other dressings in this specific age group are insufficiently studied. Substantial gaps in our knowledge exist regarding how the organisation of wound management (wound healing centres, education and training, communication, coordination and continuity) impacts both the healing and recurrence of chronic ulcers. Varicose vein surgery as causal treatment of venous leg ulcers can be cost effective.
Project Status: Completed
Year Published: 2014
English language abstract: An English language summary is available
Publication Type: Not Assigned
Country: Sweden
MeSH Terms
  • Humans
  • Wound Healing
  • Aged, 80 and over
  • Aged
Organisation Name: Swedish Agency for Health Technology Assessment and Assessment of Social Services
Contact Address: P.O. Box 3657, SE-103 59 Stockholm, Sweden. Tel: +46 8 4123200, Fax: +46 8 4113260
Contact Name: registrator@sbu.se
Contact Email: registrator@sbu.se
Copyright: The Swedish Council on Health Technology Assessment (SBU)
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