Department of Orthopedics, The Second Xiangya Hospital of Central South University, 139# Middle Renmin Road, Changsha, 410011, Hunan, China.
Liuzhou People's Hospital of Guangxi Medical University, Liuzhou, 545000, Guangxi, China.
Sci Rep. 2021 Nov 5;11(1):21750. doi: 10.1038/s41598-021-01188-4.
There are no studies assessing the epidemiology and burden of decubitus ulcers at global, regional, and national levels. We aim to report this issue from 1990 to 2019 by extracting data from the Global Burden of Disease Study (GBD) 2019 and stratifying it by age, gender, and socio-demographic index (SDI). Globally, the number of prevalent cases of decubitus ulcers in 2019 is 0.85 (95% UI 0.78 to 0.94) million. The age-standardized rates of prevalence, incidence, and years lived with disability (YLDs) in 2019 are 11.3 (95% UI 10.2 to 12.5), 41.8 (37.8 to 46.2), and 1.7 (1.2 to 2.2) per 100,000 population, and compared with 1990, it has decreased by 10.6% (95% UI 8.7% to 12.3%), 10.2% (8.2 to 11.9%), and 10.4% (8.1 to 12.5%), respectively. In addition, the global prevalence rate of decubitus ulcers increases with age, peaking at the > 95 age group among men and women. At the regional and national levels, we observe a positive correlation between age-standardized YLDs and SDI. Malaysia, Saudi Arabia, and Thailand experienced the most significant increases in age-standardized prevalence rates at the national level. Finally, we concluded that the age-standardized prevalence, incidence, and YLDs rates of decubitus ulcer declined from 1990 to 2019, with significant regional differences. In order to monitor the dynamic changes of decubitus ulcers burden, it is recommended to improve the quality of decubitus ulcer health data in all regions and countries.
目前尚无研究评估全球、区域和国家层面压疮的流行病学和负担情况。我们旨在通过从 2019 年全球疾病负担研究（GBD）中提取数据，并按年龄、性别和社会人口指数（SDI）进行分层，来报告这一问题。2019 年全球压疮现患病例数为 85 万（95%UI 为 78 万至 94 万）。2019 年压疮的年龄标准化患病率、发病率和伤残生命年（YLDs）分别为 11.3（95%UI 为 10.2 至 12.5）、41.8（37.8 至 46.2）和 1.7（1.2 至 2.2）/10 万人口，与 1990 年相比，分别下降了 10.6%（95%UI 为 8.7%至 12.3%）、10.2%（8.2%至 11.9%）和 10.4%（8.1%至 12.5%）。此外，全球压疮的患病率随着年龄的增长而增加，在男女中均在>95 岁年龄组达到峰值。在区域和国家层面，我们观察到年龄标准化 YLDs 与 SDI 之间存在正相关关系。在国家层面，马来西亚、沙特阿拉伯和泰国的年龄标准化患病率增长率最高。最后，我们得出结论，1990 年至 2019 年期间，压疮的年龄标准化患病率、发病率和 YLDs 呈下降趋势，且存在显著的区域差异。为了监测压疮负担的动态变化，建议提高所有地区和国家的压疮健康数据质量。
