Kurian Shijimol, Moore Zena, Patton Declan, George Sherly
School of Nursing & Midwifery, Royal College of Surgeons, University of Medicine and Health Sciences, Dublin 2, Ireland.
St. Vincent's University Hospital, Dublin 4, Ireland.
Int Wound J. 2025 Aug;22(8):e70738. doi: 10.1111/iwj.70738.
The aim is to assess the incidence of pressure ulcers among adults undergoing surgery. Systematic review methodology was employed. Databases including Cochrane, Ovid Medline, Embase, EBSCO, CINAHL Plus and Scopus were searched in August 2024. The data extracted were imported into Excel for analysis. Simple descriptive statistics were used for the analysis purposes. The data are presented using means and standard deviations. The evidence-based Librarian checklist was used for the quality appraisal. The Systematic Review Protocol was registered in PROSPERO (CRD42023449194). A total of 35 studies were included. The mean pressure ulcer incidence was 17.22% (range from 0.05% to 74.2%). Studies from orthopaedics, mainly including patients undergoing hip surgeries, reported the highest pressure ulcer incidence. The most commonly reported pressure ulcer grade was stage one, and the most common anatomical locations were the sacral region and heels. Pressure ulcers remain a significant concern for surgical patients, especially those undergoing orthopaedic and cardiac surgeries. Most develop in early stages, often affecting the sacral and heel regions. However, gaps in data make it difficult to fully synthesise the scope of the problem. Standardised reporting and targeted prevention efforts are essential to reducing incidence and improving patient care.
目的是评估接受手术的成年人中压疮的发生率。采用了系统评价方法。2024年8月检索了包括Cochrane、Ovid Medline、Embase、EBSCO、CINAHL Plus和Scopus在内的数据库。提取的数据被导入Excel进行分析。使用简单描述性统计进行分析。数据以均值和标准差呈现。使用循证图书馆员清单进行质量评估。系统评价方案已在PROSPERO（CRD42023449194）注册。共纳入35项研究。压疮的平均发生率为17.22%（范围从0.05%至74.2%）。骨科研究，主要包括接受髋关节手术的患者，报告的压疮发生率最高。最常报告的压疮分级为一期，最常见的解剖部位是骶骨区域和足跟。压疮仍然是手术患者的一个重大问题，尤其是那些接受骨科和心脏手术的患者。大多数压疮在早期发生，常影响骶骨和足跟区域。然而，数据缺口使得难以全面综合该问题的范围。标准化报告和有针对性的预防措施对于降低发生率和改善患者护理至关重要。
