Alekseev M.A.
City Clinical Hospital named after A.K. Eramishantsev, Moscow Healthcare Department, Moscow

Contacts: Mikhail A. Alekseev, e-mail: This e-mail address is being protected from spam bots, you need JavaScript enabled to view it

Abstract

Significance. Health protection has always been the core of the state social policy. Nowadays, societal development is characterized by a growing influence of the scientific and technical development, including public health and health care. In this context the role of comprehensive social and hygienic, environmental and hygienic, sociological, clinical and statistical and medical and demographic health studies is ever increasing.

The purpose of the study is to analyze admission rate associated with cerabrovascular disorders in the megapolis working population, identify peculiar features of the associated mortality and suggest measures to decrease it.

Results. In the 2000s, the mortality structure in Moscow was determined by diseases of the circulatory system, malignant neoplasms, accidents, poisoning and trauma as well as diseases of the respiratory system. Their cumulative impact added up to over 90% of all deaths.

Diseases of the circulatory system top the death structure. In the city under study this death cause accounted for over one half of all deaths being mainly registered in females rather than males. As to the working population, the share of deaths from cerebrovascular disorders is relatively high accounting for about 18%.

Analysis of deaths from cerebrovascular disorders by sex and age showed a reliably higher share of males compared to females (Ð<0,01). In 2014, male mortality from cerebrovascular disorders added up to 79.1% and female mortality equaled to 20.9%.

Conclusions. To improve timely delivery of care to patients with cerebrovascular disorders it is suggested to introduce a step-wise care delivery as follows:

1. Proper emergency care on the spot
2. Admission to a relevant facility with proper triage of patients according to the condition severity.
3. Appropriate care for stroke-associated conditions.
4. Proper nursing.
5. Proper level and quality of rehabilitation.

Quality and volumes of first aid significantly affect positive outcomes of cerebrovascular disorders. In this respect, one of the major factors is time span between the onset of the brain disorder and first aid initiation.

Keywords: vascular disorders; megapolis; working age; morbidity; mortality.

References

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