Department of Dermatology, Boston University School of Medicine, Boston, Massachusetts.
Department of Dermatology, Boston University School of Medicine, Boston, Massachusetts.
J Am Acad Dermatol. 2019 Oct;81(4):881-890. doi: 10.1016/j.jaad.2018.12.069. Epub 2019 Jan 18.
Though preventable in most cases, pressure ulcers continue to pose a major burden to the individual and society, affecting ≤3 million adults annually in the United States alone. Despite increased national attention over the past 20 years, the prevalence of pressure ulcers has largely remained unchanged, while the associated costs of care continue to increase. Dermatologists can play a significant role in pressure ulcer prevention by becoming aware of at-risk populations and implementing suitable preventive strategies. Moreover, dermatologists should be able to recognize early changes that occur before skin breakdown and to properly identify and stage pressure ulcers to prevent delay of appropriate care. The aim of the first article in this continuing medical education series is to discuss the pathophysiology, risk factors, epidemiology, social and economic burdens, and clinical presentation of pressure ulcers.
尽管在大多数情况下可以预防，但压疮仍然给个人和社会带来了沉重的负担，仅在美国，每年就有≤300 万成年人受到影响。尽管在过去 20 年里，全国对压疮的关注度有所提高，但压疮的患病率基本保持不变，而护理相关成本仍在继续增加。皮肤科医生可以通过了解高危人群并实施适当的预防策略，在压疮预防中发挥重要作用。此外，皮肤科医生应该能够识别皮肤破损前发生的早期变化，并正确识别和分期压疮，以避免延迟适当的治疗。本继续教育系列的第一篇文章旨在讨论压疮的病理生理学、危险因素、流行病学、社会和经济负担以及临床表现。
