Health and Social Care Research Centre, University of Derby, UK.
College of Nursing, King Saud University, Saudi Arabia.
J Tissue Viability. 2021 Feb;30(1):137-145. doi: 10.1016/j.jtv.2020.10.003. Epub 2020 Oct 27.
A recent global review of pressure ulcers contained no studies from Africa.
To identify the prevalence and incidence of pressure ulcers in Africa.
Bibliographic databases, African specific databases, grey literature.
Studies with prevalence or incidence data of pressure ulcers from Africa since the year 2000.
Any age, including children, in any setting, specifically including hospital patients from any clinical area but not restricted to hospital settings.
Hoy score for bias, Joanna Briggs Institute Critical Appraisal Instrument.
We followed the PRISMA guideline for systematic reviews. We searched Embase, Medline, Scopus, CINHAL, Google Scholar, specialist African databases and grey literature for studies reporting incidence or prevalence data.
Nineteen studies met the inclusion criteria and were included in the study. Point prevalence rates varied from 3.4% to 18.6% for medical/surgical and other general hospital units with a pooled prevalence of 11%, for grades II-IV 5%. For spinal injury units the pooled prevalence was 44%.
restricted to English, French and Arabic.
Prevalence of pressure ulcers in Africa reported here is similar to figures from a recent review of prevalence in Europe and two recent global reviews of hospitalised patients. Prevalence of pressure ulcers in spinal cord injury patients is similar to figures from a review of developing countries. The reporting of prevalence is lacking in detail in some studies. Studies using an observational design employing physical examination of patients showed higher prevalence than those relying on other methods such as medical notes or databases.
Further prevalence and incidence studies are needed in Africa. Reporting of such studies should ensure items in the "Checklist for Prevalence Studies" from Joanna Briggs Institute (or similar well regarded resources) are addressed and the PICOS model and PRISMA guidelines are employed.
Prospero registration number CRD42020180093.
最近的一项全球压疮综述中没有来自非洲的研究。
确定非洲压疮的患病率和发生率。
文献数据库、非洲特定数据库、灰色文献。
自 2000 年以来，来自非洲的压疮患病率或发生率数据的研究。
任何年龄，包括儿童，任何环境，包括来自任何临床领域的医院患者，但不限于医院环境。
Hoy 偏倚评分， Joanna Briggs 研究所批判性评价工具。
我们遵循 PRISMA 系统评价指南。我们在 Embase、Medline、Scopus、CINHAL、Google Scholar、专门的非洲数据库和灰色文献中搜索报告发病率或患病率数据的研究。
19 项研究符合纳入标准，并纳入本研究。点患病率在医疗/外科和其他综合医院科室从 3.4%到 18.6%不等，汇总患病率为 11%，II-IV 级为 5%。脊髓损伤病房的汇总患病率为 44%。
仅限于英语、法语和阿拉伯语。
这里报告的非洲压疮患病率与最近一项欧洲患病率综述和最近两项全球住院患者综述的数字相似。脊髓损伤患者压疮的患病率与发展中国家综述的数字相似。一些研究在报告患病率方面缺乏细节。使用观察性设计对患者进行体格检查的研究显示出比其他方法（如医疗记录或数据库）更高的患病率。
非洲需要进一步开展患病率和发病率研究。此类研究的报告应确保纳入 Joanna Briggs 研究所（或类似的备受推崇的资源）的“患病率研究检查表”中的项目，并采用 PICOS 模型和 PRISMA 指南。
Prospero 注册号 CRD42020180093。
