Prevalence of pressure injuries in Japanese older people: A population-based cross-sectional study
The prevalence of pressure injuries is an essential indicator of prevention and quality of care. Population-based prevalence data on pressure injuries are scarce in Japan. This study aimed to estimate the prevalence of pressure injuries per 1000 adults and per 1000 older people in Japan. Cross-secti...
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description | The prevalence of pressure injuries is an essential indicator of prevention and quality of care. Population-based prevalence data on pressure injuries are scarce in Japan. This study aimed to estimate the prevalence of pressure injuries per 1000 adults and per 1000 older people in Japan.
Cross-sectional survey.
This study was conducted in Goto, a city located on a remote rural archipelago in Japan. In 2017, the population was 37,855; older people aged ≥65 years accounted for 37.7%.
Participants were enrolled in various facilities in the city. In total, 1126 participants (median age 85 years) were assessed to calculate age-specific numbers of people with pressure injuries.
Participants were directly evaluated by the research team between August and September 2017, and pressure injuries were classified using DESIGN-R schema. We calculated the number of adults with pressure injuries in Goto based on the proportion of pressure injuries in specific age categories. In these prevalence estimations, we assumed that all cases aged ≥65 years were long-term care insurance-certified older people, and all cases aged 18-64 years were people with physical disabilities who received social welfare services.
Of the 1126 participants, 113 (10%) had one or more pressure injuries. Overall, the estimated number of adults with pressure injuries in Goto was 301.4. The prevalence rate of pressure injuries was 9.2 per 1000 population in adults aged ≥18 years (95% confidence interval [CI] 8.1-10.2), 20.3 in those aged ≥65 years (95% CI 18.1-22.7), and 44.6 in those aged ≥80 years (95% CI 39.5-50.2).
This study revealed a high population-based prevalence of pressure injuries in a rural Japanese community. A key reason for this high disease burden in Japan appears to be the susceptibility of the aged population to pressure injuries. |
doi_str_mv | 10.1371/journal.pone.0198073 |
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Cross-sectional survey.
This study was conducted in Goto, a city located on a remote rural archipelago in Japan. In 2017, the population was 37,855; older people aged ≥65 years accounted for 37.7%.
Participants were enrolled in various facilities in the city. In total, 1126 participants (median age 85 years) were assessed to calculate age-specific numbers of people with pressure injuries.
Participants were directly evaluated by the research team between August and September 2017, and pressure injuries were classified using DESIGN-R schema. We calculated the number of adults with pressure injuries in Goto based on the proportion of pressure injuries in specific age categories. In these prevalence estimations, we assumed that all cases aged ≥65 years were long-term care insurance-certified older people, and all cases aged 18-64 years were people with physical disabilities who received social welfare services.
Of the 1126 participants, 113 (10%) had one or more pressure injuries. Overall, the estimated number of adults with pressure injuries in Goto was 301.4. The prevalence rate of pressure injuries was 9.2 per 1000 population in adults aged ≥18 years (95% confidence interval [CI] 8.1-10.2), 20.3 in those aged ≥65 years (95% CI 18.1-22.7), and 44.6 in those aged ≥80 years (95% CI 39.5-50.2).
This study revealed a high population-based prevalence of pressure injuries in a rural Japanese community. A key reason for this high disease burden in Japan appears to be the susceptibility of the aged population to pressure injuries.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0198073</identifier><identifier>PMID: 29879151</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adults ; Age ; Aged ; Aged, 80 and over ; Archipelagoes ; Confidence intervals ; Cross-Sectional Studies ; Decubitus ulcer ; Dementia ; Disabilities ; Elderly ; Female ; Health aspects ; Health surveillance ; Hospitals ; Humans ; Injuries ; Injury prevention ; Japan - epidemiology ; Long term care insurance ; Long term health care ; Long-term care ; Male ; Mathematical analysis ; Medicine ; Medicine and Health Sciences ; Older people ; People and Places ; Population ; Population studies ; Population-based studies ; Pressure ; Pressure Ulcer - epidemiology ; Pressure ulcers ; Prevalence ; Public health ; Quality ; Risk factors ; Rural communities ; Rural Population - statistics & numerical data ; Social Sciences ; Statistics ; Studies ; Surveys and Questionnaires ; University graduates ; Wound healing</subject><ispartof>PloS one, 2018-06, Vol.13 (6), p.e0198073-e0198073</ispartof><rights>COPYRIGHT 2018 Public Library of Science</rights><rights>2018 Nakashima et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2018 Nakashima et al 2018 Nakashima et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c802t-19ee2196930ec53b975738d0d3749054095c89fa8291f3aebac5d2083613d9b53</citedby><cites>FETCH-LOGICAL-c802t-19ee2196930ec53b975738d0d3749054095c89fa8291f3aebac5d2083613d9b53</cites><orcidid>0000-0002-8655-4519</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5991732/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5991732/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,315,728,781,785,865,886,2103,2929,23870,27928,27929,53795,53797</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29879151$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Jan, Yih-Kuen</contributor><creatorcontrib>Nakashima, Shuji</creatorcontrib><creatorcontrib>Yamanashi, Hirotomo</creatorcontrib><creatorcontrib>Komiya, Satomi</creatorcontrib><creatorcontrib>Tanaka, Katsumi</creatorcontrib><creatorcontrib>Maeda, Takahiro</creatorcontrib><title>Prevalence of pressure injuries in Japanese older people: A population-based cross-sectional study</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>The prevalence of pressure injuries is an essential indicator of prevention and quality of care. Population-based prevalence data on pressure injuries are scarce in Japan. This study aimed to estimate the prevalence of pressure injuries per 1000 adults and per 1000 older people in Japan.
Cross-sectional survey.
This study was conducted in Goto, a city located on a remote rural archipelago in Japan. In 2017, the population was 37,855; older people aged ≥65 years accounted for 37.7%.
Participants were enrolled in various facilities in the city. In total, 1126 participants (median age 85 years) were assessed to calculate age-specific numbers of people with pressure injuries.
Participants were directly evaluated by the research team between August and September 2017, and pressure injuries were classified using DESIGN-R schema. We calculated the number of adults with pressure injuries in Goto based on the proportion of pressure injuries in specific age categories. In these prevalence estimations, we assumed that all cases aged ≥65 years were long-term care insurance-certified older people, and all cases aged 18-64 years were people with physical disabilities who received social welfare services.
Of the 1126 participants, 113 (10%) had one or more pressure injuries. Overall, the estimated number of adults with pressure injuries in Goto was 301.4. The prevalence rate of pressure injuries was 9.2 per 1000 population in adults aged ≥18 years (95% confidence interval [CI] 8.1-10.2), 20.3 in those aged ≥65 years (95% CI 18.1-22.7), and 44.6 in those aged ≥80 years (95% CI 39.5-50.2).
This study revealed a high population-based prevalence of pressure injuries in a rural Japanese community. A key reason for this high disease burden in Japan appears to be the susceptibility of the aged population to pressure injuries.</description><subject>Adults</subject><subject>Age</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Archipelagoes</subject><subject>Confidence intervals</subject><subject>Cross-Sectional Studies</subject><subject>Decubitus ulcer</subject><subject>Dementia</subject><subject>Disabilities</subject><subject>Elderly</subject><subject>Female</subject><subject>Health aspects</subject><subject>Health surveillance</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Injuries</subject><subject>Injury prevention</subject><subject>Japan - epidemiology</subject><subject>Long term care insurance</subject><subject>Long term health care</subject><subject>Long-term care</subject><subject>Male</subject><subject>Mathematical analysis</subject><subject>Medicine</subject><subject>Medicine and Health Sciences</subject><subject>Older people</subject><subject>People and Places</subject><subject>Population</subject><subject>Population studies</subject><subject>Population-based studies</subject><subject>Pressure</subject><subject>Pressure Ulcer - epidemiology</subject><subject>Pressure ulcers</subject><subject>Prevalence</subject><subject>Public health</subject><subject>Quality</subject><subject>Risk factors</subject><subject>Rural communities</subject><subject>Rural Population - statistics & numerical data</subject><subject>Social Sciences</subject><subject>Statistics</subject><subject>Studies</subject><subject>Surveys and Questionnaires</subject><subject>University graduates</subject><subject>Wound healing</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>DOA</sourceid><recordid>eNqNk12L1DAUhoso7rr6D0QLguhFx6Rp2sQLYVj8GFlY8es2pMnpTIZM003axf33pjPdZSp7Ib1oOH3e96TnI0meY7TApMLvtm7wrbSLzrWwQJgzVJEHySnmJM_KHJGHR-eT5EkIW4QoYWX5ODnJOas4pvg0qb95uJYWWgWpa9LOQwiDh9S028EbCPGQfpWdbCFEwGrwaQeus_A-Xaad6wYre-ParJYBdKq8CyELoMaYtGnoB33zNHnUSBvg2fQ-S359-vjz_Et2cfl5db68yBRDeZ9hDpBjXnKCQFFS84pWhGmkSVVwRAvEqWK8kSznuCESaqmozhEjJSaa15ScJS8Pvp11QUzlCSJHFJcFyQscidWB0E5uRefNTvob4aQR-4DzayF9b5QFIZGCutCkZIgXRSVZyYFUgBFhtZK4il4fpmxDvQOtoO29tDPT-ZfWbMTaXQvKeZTn0eDNZODd1QChFzsTFFgba-2G_b1zFjtWoYi--ge9_-8mah37KUzbuJhXjaZiSYuYEyM0pl3cQ8VHw86oOEuNifGZ4O1MEJke_vRrOYQgVj--_z97-XvOvj5iNyBtvwnODuPohDlYHMD9dHlo7oqMkRhX4bYaYlwFMa1ClL04btCd6Hb2yV-L2QKd</recordid><startdate>20180607</startdate><enddate>20180607</enddate><creator>Nakashima, Shuji</creator><creator>Yamanashi, Hirotomo</creator><creator>Komiya, Satomi</creator><creator>Tanaka, Katsumi</creator><creator>Maeda, Takahiro</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-8655-4519</orcidid></search><sort><creationdate>20180607</creationdate><title>Prevalence of pressure injuries in Japanese older people: A population-based cross-sectional study</title><author>Nakashima, Shuji ; Yamanashi, Hirotomo ; Komiya, Satomi ; Tanaka, Katsumi ; Maeda, Takahiro</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c802t-19ee2196930ec53b975738d0d3749054095c89fa8291f3aebac5d2083613d9b53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adults</topic><topic>Age</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Archipelagoes</topic><topic>Confidence intervals</topic><topic>Cross-Sectional Studies</topic><topic>Decubitus ulcer</topic><topic>Dementia</topic><topic>Disabilities</topic><topic>Elderly</topic><topic>Female</topic><topic>Health aspects</topic><topic>Health surveillance</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Injuries</topic><topic>Injury prevention</topic><topic>Japan - epidemiology</topic><topic>Long term care insurance</topic><topic>Long term health care</topic><topic>Long-term care</topic><topic>Male</topic><topic>Mathematical analysis</topic><topic>Medicine</topic><topic>Medicine and Health Sciences</topic><topic>Older people</topic><topic>People and Places</topic><topic>Population</topic><topic>Population studies</topic><topic>Population-based studies</topic><topic>Pressure</topic><topic>Pressure Ulcer - epidemiology</topic><topic>Pressure ulcers</topic><topic>Prevalence</topic><topic>Public health</topic><topic>Quality</topic><topic>Risk factors</topic><topic>Rural communities</topic><topic>Rural Population - statistics & numerical data</topic><topic>Social Sciences</topic><topic>Statistics</topic><topic>Studies</topic><topic>Surveys and Questionnaires</topic><topic>University graduates</topic><topic>Wound healing</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nakashima, Shuji</creatorcontrib><creatorcontrib>Yamanashi, Hirotomo</creatorcontrib><creatorcontrib>Komiya, Satomi</creatorcontrib><creatorcontrib>Tanaka, Katsumi</creatorcontrib><creatorcontrib>Maeda, Takahiro</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: Opposing Viewpoints</collection><collection>Gale In Context: Science</collection><collection>ProQuest Central (Corporate)</collection><collection>Animal Behavior Abstracts</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Ecology Abstracts</collection><collection>Entomology Abstracts (Full archive)</collection><collection>Immunology Abstracts</collection><collection>Meteorological & Geoastrophysical Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Agricultural Science Collection</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Materials Science & Engineering Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Materials Science Collection</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Materials Science Database</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Meteorological & Geoastrophysical Abstracts - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nakashima, Shuji</au><au>Yamanashi, Hirotomo</au><au>Komiya, Satomi</au><au>Tanaka, Katsumi</au><au>Maeda, Takahiro</au><au>Jan, Yih-Kuen</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prevalence of pressure injuries in Japanese older people: A population-based cross-sectional study</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2018-06-07</date><risdate>2018</risdate><volume>13</volume><issue>6</issue><spage>e0198073</spage><epage>e0198073</epage><pages>e0198073-e0198073</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>The prevalence of pressure injuries is an essential indicator of prevention and quality of care. Population-based prevalence data on pressure injuries are scarce in Japan. This study aimed to estimate the prevalence of pressure injuries per 1000 adults and per 1000 older people in Japan.
Cross-sectional survey.
This study was conducted in Goto, a city located on a remote rural archipelago in Japan. In 2017, the population was 37,855; older people aged ≥65 years accounted for 37.7%.
Participants were enrolled in various facilities in the city. In total, 1126 participants (median age 85 years) were assessed to calculate age-specific numbers of people with pressure injuries.
Participants were directly evaluated by the research team between August and September 2017, and pressure injuries were classified using DESIGN-R schema. We calculated the number of adults with pressure injuries in Goto based on the proportion of pressure injuries in specific age categories. In these prevalence estimations, we assumed that all cases aged ≥65 years were long-term care insurance-certified older people, and all cases aged 18-64 years were people with physical disabilities who received social welfare services.
Of the 1126 participants, 113 (10%) had one or more pressure injuries. Overall, the estimated number of adults with pressure injuries in Goto was 301.4. The prevalence rate of pressure injuries was 9.2 per 1000 population in adults aged ≥18 years (95% confidence interval [CI] 8.1-10.2), 20.3 in those aged ≥65 years (95% CI 18.1-22.7), and 44.6 in those aged ≥80 years (95% CI 39.5-50.2).
This study revealed a high population-based prevalence of pressure injuries in a rural Japanese community. A key reason for this high disease burden in Japan appears to be the susceptibility of the aged population to pressure injuries.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>29879151</pmid><doi>10.1371/journal.pone.0198073</doi><tpages>e0198073</tpages><orcidid>https://orcid.org/0000-0002-8655-4519</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Adults Age Aged Aged, 80 and over Archipelagoes Confidence intervals Cross-Sectional Studies Decubitus ulcer Dementia Disabilities Elderly Female Health aspects Health surveillance Hospitals Humans Injuries Injury prevention Japan - epidemiology Long term care insurance Long term health care Long-term care Male Mathematical analysis Medicine Medicine and Health Sciences Older people People and Places Population Population studies Population-based studies Pressure Pressure Ulcer - epidemiology Pressure ulcers Prevalence Public health Quality Risk factors Rural communities Rural Population - statistics & numerical data Social Sciences Statistics Studies Surveys and Questionnaires University graduates Wound healing |
title | Prevalence of pressure injuries in Japanese older people: A population-based cross-sectional study |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-16T17%3A22%3A25IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Prevalence%20of%20pressure%20injuries%20in%20Japanese%20older%20people:%20A%20population-based%20cross-sectional%20study&rft.jtitle=PloS%20one&rft.au=Nakashima,%20Shuji&rft.date=2018-06-07&rft.volume=13&rft.issue=6&rft.spage=e0198073&rft.epage=e0198073&rft.pages=e0198073-e0198073&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0198073&rft_dat=%3Cgale_plos_%3EA541731002%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2051643241&rft_id=info:pmid/29879151&rft_galeid=A541731002&rft_doaj_id=oai_doaj_org_article_a0ceb4d36809447a869e37e1038bca17&rfr_iscdi=true |