Long-term trends in the prevalence of pressure ulcer disease in elders
aged 60-94 years from 1990 to 2019 in China: A join-point regression and
trend analysis based on GBD 2019
Abstract
Introduction:Pressure ulcer disease (PUs) is a common geriatric
complication that impacts national public policy and brings a huge
social burden. Objective: To analyze the long-term trends in PUs
prevalence among Chinese elders aged 60-94 from 1990 to 2019 to inform
targeted public policies. Methods:The age-standardized prevalence rates
(ASPRs) and crude rates per 100,000 population of PUs were reported in
China from 1990 to 2019 from the Institute for Health Metrics and
Evaluation using the Global Health Data Exchange (GHDx) online query
tool.The ASPRs of elderly PUs were calculated and stratified by sex and
age. Individuals aged 60-94 were divided into a group according to 5
years. The Joinpoint regression model was used to evaluate the trend of
PUs elder prevalence across the time.The annual percentage rate
change(APC),average annual percentage change(AAPC) and 95% confidence
intervals (95%CIs) for the EAPCs were calculated to explore the
characteristics of the PUs elders prevalence in China. Results: Results
showed an upward trend in ASPRs for PUs in both sexes, with higher rates
in males.Join-point regression analyses also confirmed a significant
upward trend in ASPRs for both sexes among elders, with a more
pronounced increase in males.The prevalence of PUs has decreased among
60-69 years old elders but increased after 70 years old. Conclusion:The
disease burden of PUs has increased in China from 1990 to 2019, with
higher rates in men. The prevalence of PUs in elders showed an overall
upward trend but varies at different age stages.Different management and
treatment strategies should be developed for the elderly at different
age stages and gender.Collaborative efforts involving the government,
society, and medical institutions are needed to address the prevention
and management of pressure ulcers in China.