Department of Dermatology, General Hospital of Le Mans, Le Mans, France.
Int Wound J. 2023 Dec;20(10):4097-4102. doi: 10.1111/iwj.14302. Epub 2023 Jul 24.
Pressure ulcers (PUs) are one of the most important care-related ailments, making their prevention a pressing concern for hospital structures. Epidemiology of PU is interesting to adapt human resources and observe the impact of targeted public health measures. Very few data are presented in the French literature. In this context, a dedicated "Pressure ulcer, Wounds and Healing" task force was created in 1996 by a multidisciplinary team of physicians, administrative staff, and paramedics in the CH of Le Mans. Alongside this, an annual prevalence study was performed between 1996 and 2019 in CH of Le Mans, collecting relevant data: the number of patients who presented pressure ulcers, the number of patients who were at risk of developing pressure ulcers, and the severity of these ulcers. This study brings new data about PU epidemiology in France and shows a significant decrease in the prevalence, becoming lower than the national prevalence. Also, a significant time-related regression of the prevalence was observed, the severity level continually decreased whereas the number of geriatric patients grew and patients with PU's risk remained constant. Finally, the number of patients who developed a PU within the hospitalization decreased too. We observed a link between the creation of the task force and the evolution of pressure ulcer epidemiology, thus recommending that the same practices be adopted in other hospitals and fields of application.
压力性溃疡（PU）是最重要的与护理相关的疾病之一，因此预防压力性溃疡成为医院结构的当务之急。PU 的流行病学对于调整人力资源和观察针对性公共卫生措施的影响很有意义。法国文献中很少有数据。在这种情况下，一个多学科的医生、行政人员和辅助医务人员团队于 1996 年在勒芒大学医院（CH）成立了一个专门的“压力性溃疡、伤口和愈合”工作组。与此同时，1996 年至 2019 年期间在勒芒大学医院进行了年度患病率研究，收集了相关数据：出现压力性溃疡的患者人数、有发生压力性溃疡风险的患者人数以及这些溃疡的严重程度。这项研究提供了法国关于 PU 流行病学的新数据，并显示患病率显著下降，低于全国患病率。此外，还观察到患病率与时间的显著回归，严重程度水平持续下降，而老年患者人数增加，PU 风险患者保持不变。最后，住院期间发生 PU 的患者人数也减少了。我们观察到工作组的创建与压力性溃疡流行病学的演变之间存在联系，因此建议在其他医院和应用领域采用相同的做法。
