To analyze trends in the disease burden of pressure injuries in China and globally from 1990 to 2021 and to project future patterns for 2022-2036.
Data on incidence, prevalence, disability-adjusted life years (DALYs), and their age-standardized rates for populations aged 0-95 years and above in China and worldwide were obtained from the GBD 2021 dataset released on May 16, 2024. Descriptive analyses were conducted to summarize the disease burden. Temporal trends were assessed using Join point regression. A decomposition analysis was applied to quantify the contributions of population growth, population aging, and epidemiological changes to variations in disease burden. Future trends were projected using a Bayesian age-period-cohort (BAPC) model.
From 1990 to 2021, the numbers of incident cases, prevalent cases, and DALYs attributable to pressure injuries increased both in China and globally. In China, the age-standardized incidence rate (ASIR), age-standardized prevalence rate (ASPR), and age-standardized DALY rate (ASDR) showed upward trends, whereas global rates generally declined. The increase was more pronounced among males than females in China. Age-specific analyses indicated that incidence, prevalence, and DALY rates increased with age in 2021. According to the average annual percent change (AAPC), China’s ASIR, ASPR, and ASDR exhibited an overall rising trend. Projections using the BAPC model suggest that these age-standardized rates in China will continue to increase in the coming years.
The disease burden of pressure injuries in China has increased over the past three decades, with a greater rise observed among males. The burden increases progressively with age. Future projections indicate a continued upward trend, highlighting the need for effective prevention and management strategies to mitigate the disease burden and improve patient outcomes.
| 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 |