Barrois B, Labalette C, Rousseau P, Corbin A, Colin D, Allaert F, Saumet J L
Rehabilitation Ward, Gonesse Hospital, France.
J Wound Care. 2008 Sep;17(9):373-6, 378-9. doi: 10.12968/jowc.2008.17.9.30934.
To ascertain pressure ulcer prevalence rate in French hospitals.
In 2004, a cross-sectional study was conducted in all French hospitals, except university hospitals. The National Pressure Ulcer Advisory Panel (NPUAP) staging was used. Data were collected using two self-administered questionnaires.
A total of 37,307 inpatients in 1170 wards in 1149 hospitals were assessed, representing a response rate of 93.5%. Their mean age was 72.3 years and 62% were females. In all, 3314 patients had at least one pressure ulcer, giving a prevalence rate of 8.9%. A total of 4991 pressure ulcers were recorded; 64% of the patients had only one pressure ulcer. Fifty-five per cent of the patients had at least two concomitant diseases. When patients with only one ulcer were assessed, the most common locations were the heels (53%) and sacrum (29%). Heel pressure ulcers were more common in patients with obliterative arterial disease, and sacral pressure ulcers were more frequent in incontinent (urine, faecal and double incontinence) patients. Patients with multiple pressure ulcers had more severe lesions.
These results indicate that the prevalence of pressure ulcers in French hospital inpatients has remained stable since the last prevalence study undertaken 10 years before, when the rate was 8.9%. Such studies should be encouraged in all health-care settings as a means of improving the care provided.
确定法国医院中压疮的患病率。
2004年，在除大学医院外的所有法国医院进行了一项横断面研究。采用美国国家压疮咨询委员会（NPUAP）的分期标准。通过两份自填式问卷收集数据。
对1149家医院1170个病房的37307名住院患者进行了评估，回复率为93.5%。他们的平均年龄为72.3岁，62%为女性。共有3314名患者至少有一处压疮，患病率为8.9%。共记录了4991处压疮；64%的患者只有一处压疮。55%的患者至少有两种合并症。在评估只有一处溃疡的患者时，最常见的部位是足跟（53%）和骶骨（29%）。足跟压疮在闭塞性动脉疾病患者中更常见，骶骨压疮在大小便失禁（尿失禁、大便失禁和双重失禁）患者中更常见。有多处压疮的患者病变更严重。
这些结果表明，自10年前上次患病率研究以来，法国医院住院患者中压疮的患病率一直保持稳定，当时的患病率为8.9%。应鼓励在所有医疗环境中开展此类研究，作为改善医疗服务的一种手段。
