To compare the characteristics and trends of disease burden of pressure ulcers in children in China and globally from 1990 to 2021.
Data from the Global Burden of Disease 2021 (GBD 2021) were retrieved, and the incidence, prevalence, and disability-adjusted life years (DALYs) of pressure ulcers in children aged 0-14 years in China and globally from 1990 to 2021 were analysed. Age-standardized rate (ASR) and estimated annual percentage change (EAPC) were calculated to assess temporal trends, and the joinpoint regression model was employed to identify any turning points.
From 1990 to 2021, in China, the age-standardized incidence and prevalence rates of pressure ulcers among children aged 0-14 years both declined, with estimated EAPCs of -1.92% and -1.97%, respectively, ranking second worldwide in speed of decline. The age-standardized DALY rate remained relatively stable. The age-standardized incidence, prevalence, and DALYs rates of pressure ulcers in children globally all showed a downward trend, with estimated annual percentage changes of -0.44%,-0.46%, and -2.41%, respectively. In China, the incidence, prevalence and DALYs rate of pressure ulcers in children aged 0-14 years increased with age. Globally, the incidence and prevalence rates of pressure ulcers in children aged 0-14 years increased with age, and the rate of DALYs was higher in children aged 5-9 years. The age-standardized incidence and prevalence rates were higher in high SDI regions. The age-standardized DALYs rate was higher in low and low-middle SDI regions.
From 1990 to 2021, the burden of pressure ulcers in children aged 0-14 years globally and in China was gradually decreasing. Targeted prevention and intervention strategies are needed for children of different ages and in areas of different economic levels. Children with chronic or critical illnesses that require long-term bed rest should be paid paticular attention.
| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |