基于全球疾病负担大数据的中国压力性损伤疾病负担分析

目的 分析中国55岁及以上人群因压力性损伤导致的疾病负担情况，为预防和减少压力性损伤的发生提供参考依据。方法 利用全球疾病负担数据库2019(GBD2019)，选取中国55岁及以上人群因压力性损伤导致的死亡数、死亡率、伤残调整生命年（DALY）等指标，描述并分析1990—2019年压力性损伤造成的疾病负担及变化趋势。结果1990—2019年我国55岁及以上人群压力性损伤死亡率由0.288/10万上升至0.725/10万、DALY率由0.890/10万上升至4.114/10万、YLL率由3.756/10万上升至8.390/10万、YLD率由2.402/10万上升至3.305/10万。女性患者死亡数（率）、DALY、YLL（率）均高于男性，女性YLD率（APC=1.224%,P<0.05）增幅高于男性（APC=1.070%,P<0.05）。≥85岁组死亡数（率）、DALY（率）、YLL（率）、YLD（率）最高。结论 1990—2019年我国55岁及以上人群压力性损伤疾病负担及死亡数呈上升趋势，压力性损伤问题依旧严重；压力性损伤DALY主要源于YLL；男性压力性损伤疾病负担逐渐高...

Analysis of disease burden of pressure injury in China based on global burden of disease database

Objective To analyze the disease burden caused by pressure injury in Chinese people aged 55 and above, and to provide reference basis for preventing and reducing the occurrence of pressure injury. Methods Using the Global Burden of Disease Database 2019 (GBD 2019), the number of deaths caused by pressure injury, disability-adjusted life years (DALY), and mortality rates in Chinese people aged 55 and over were selected to describe and analyze the disease burden and change trend caused by pressure injury from 1990 to 2019. Results From 1990 to 2019, the mortality rates of pressure injury increased from 0.288/100 000 to 0.725/100 000, DALY rates increased from 0.890/100 000 to 4.114/100 000, years of life lost (YLL) rates increased from 3.756/100 000 to 8.390/100 000, and YLD rates increased from 2.402/100000 to 3.305/100000. The mortality rates, DALY, and YLL of female patients were higher than those of male patients, and the increase of YLD rates of female patients (APC=1.224%， P<0.05) was higher than that of male patients (APC=1.070%, P<0.05). The death number (rates), DALY (rates), YLL (rates), and YLD (rates) were the highest in the age group ≥ 85 years old. Conclusion From 1990 to 2019, the burden of pressure injury disease and the number of deaths among people aged 55 and over in China are on the rise, and the problem of pressure injury is still serious. DALY of pressure injury is mainly caused by YLL, and the disease burden of pressure injury in men is gradually higher than that in women. The disease burden of pressure injury in the 85-year-old group is the most serious. Medical institutions, society, and communities need to work jointly to prevent pressure injury in middle-aged and elderly people.