Care pathways, access to expertise and artificial intelligence in the treatment of chronic lower limb wounds
Seance of wednesday 24 september 2025 (Le traitement des plaies chroniques des membres inférieurs)
DOI number : 10.26299/aqzw-ex10/emem.2025.39.04
Abstract
The presentation focuses on the combined contributions of telemedicine and artificial intelligence (AI) in the management of chronic and/or complex wounds, particularly those affecting the lower limbs.
The Domoplaies experiment, conducted in Occitanie under Article 51, proposes an innovative model for monitoring patients via telemedicine, combining specialised teleconsultations and coordination of primary care. The results show a significant improvement in the patient journey: shorter episodes of care, fewer recurrences and hospitalisations, and an estimated average saving of €11,000 per patient.
At the same time, advances in AI are offering new prospects for the analysis of images and clinical data. Deep learning, already used in radiology and dermatology, is being explored in the field of wounds and healing in order to automate tissue segmentation, standardise descriptions and move towards predictive tools.
These two approaches—telemedicine implemented in a coordinated organisation and technological AI—appear to be complementary: they reinforce medical expertise, improve the efficiency of care, and pave the way for a sustainable transformation in the management of patients with chronic wounds.
The Domoplaies experiment, conducted in Occitanie under Article 51, proposes an innovative model for monitoring patients via telemedicine, combining specialised teleconsultations and coordination of primary care. The results show a significant improvement in the patient journey: shorter episodes of care, fewer recurrences and hospitalisations, and an estimated average saving of €11,000 per patient.
At the same time, advances in AI are offering new prospects for the analysis of images and clinical data. Deep learning, already used in radiology and dermatology, is being explored in the field of wounds and healing in order to automate tissue segmentation, standardise descriptions and move towards predictive tools.
These two approaches—telemedicine implemented in a coordinated organisation and technological AI—appear to be complementary: they reinforce medical expertise, improve the efficiency of care, and pave the way for a sustainable transformation in the management of patients with chronic wounds.